Treatment of a fungal infection is a difficult process, especially if the disease has passed into a neglected form. In this case, it will not work out with local drugs alone and you need to buy antimycotics for oral administration. Their assortment includes hundreds of items, but most often people who suffer from one type or another of a fungus choose Fluconazole.
The active component of the drug is fluconazole. Excipients:
- microcrystalline cellulose;
- sodium glycolate;
- calcium stearate.
The medicine is available in the form of tablets and capsules of 50, 100 and 150 mg, as well as as a solution for injection with a dosage of 2 mg / ml.
Those who are trying to find information about an ointment, cream or varnish with the same name should know that such forms of release do not exist. On sale there are only medicines in the form of a gel, the active substance of which is fluconazole. These are Indian Futsis-gel and Flukore (made in Russia).
Indications for use
Fluconazole is rapidly absorbed by the gastrointestinal tract and is carried throughout the body by circulatory and lymphatic fluid. The active component of the agent almost immediately begins to fight pathogenic microflora, destroying its structure and leading to death. The remains of spores and dead fungal cells are subsequently excreted through the urinary system.
The main indications for the use of the tablet form of Fluconazole are as follows:
- intestinal fungus;
- candidiasis of the skin, mucous membranes;
- mycotic lesions of the skin of the foot;
- mycosis of the scalp;
- ear fungus (otomycosis).
Another medicine is used in the treatment of meningitis, as well as with blood poisoning. Women who regularly drink fluconazole can be cured of thrush at any stage of development, but subject to a combination of tablets with vaginal suppositories.
Fluconazole is a relatively safe substance. He has very few application restrictions. The list of contraindications for taking medications based on it includes:
- pregnancy and lactation;
- liver or kidney failure;
- individual intolerance to the active substance;
- children's age up to 4 years (for older patients, the use of the drug is permissible exclusively under the supervision of a doctor).
The presence of chronic diseases in a patient requires careful use of the drug.
With alcoholism, this drug is not prescribed, since the simultaneous use of fluconazole with alcohol leads to serious complications.
Advantages of the drug
The popularity of Fluconazole in dermatology, gynecology and pediatrics is explained by a large list of its advantages compared with other types of antimycotic agents for oral administration. Below are the main ones:
- safety (the active component does not harm the body even with prolonged use);
- a small number of contraindications and side effects;
- simultaneous effect on different types of fungi;
- acceptable price;
- the possibility of use in children after 4 years (most antifungal tablets are allowed for small patients only after they reach 10 years of age).
But, despite all the advantages of the drug, it should be used exclusively under the supervision of a specialist. Only a doctor knows how effective Fluconazole will be in a particular case.
How to drink fluconazole
The instructions for use attached to the package of the product include a number of requirements and recommendations that must be followed to obtain the desired therapeutic result. In addition, before drinking the tablets, you should consult a doctor, as well as take tests. They will help to identify the type of microorganism that caused the appearance of the fungus, and determine whether the selected drug can cope with it.
To eliminate infection of the nails and skin at the middle stage of infection, adults take 150 mg of the drug once a week. Treatment continues until a diseased keratin plate or soft tissue is released from the fungus, that is, until the symptoms disappear completely. If after two weeks the condition does not improve, the doctor changes the standard dose. In this case, the tablets begin to use 2 times a day at 100 mg. For children, a single dose is 75 mg. Correction of treatment duration is not required.
The duration of the course of therapy is from 6 to 12 months. It is not recommended to interrupt the use of fluconazole from the fungus ahead of time. This contributes to the return of the disease, which will have to be treated again.
With nail fungus on the legs and arms, when more than 1/3 of the area of the plate is destroyed, experts recommend using 50 mg every day. In order to quickly get rid of the disease, ointments or creams with an antimycotic effect should be used simultaneously with tablets.
Regular treatment of shoes, surfaces in housing and things with disinfectants will help accelerate the onset of recovery. You must also adhere to the rules of personal hygiene. This will avoid re-infection with the fungus.
Unwanted reactions of the body to taking drugs containing fluconazole are rare. Often this happens due to a violation of the rules for the use of the drug or in the presence of an allergy to the composition of the drug. The most common side effects include:
- upset stool;
- increased gas formation;
- discomfort in the abdomen;
- loss of appetite;
- nausea, vomiting.
In some cases, there is a malfunction of the liver, which is manifested by yellowing of the skin and eyeballs. From the side of the nervous system, a violation of coordination of movements, insomnia, irritability may occur.
The appearance of at least one of the listed symptoms is a reason for drug withdrawal. After you need to see a doctor who will prescribe another, safer antifungal agent.
Prices and analogues of Fluconazole
The cost of the drug depends on the manufacturer and dosage.
Tablets from the company Vertex Russia:
- 1 piece in a plastic blister (150 mg) – 33 p.
- capsule packaging (2 pieces of 150 mg each) – 57 p.
- 7 pieces of tablets in a cardboard box – 70 p.
The company Stada Russia produces a drug of 1 piece 150 mg. Its price is 70 p.
You can purchase a product from both manufacturers in each pharmacy. A prescription from a doctor is not required.
How to replace the drug
The active component of fluconazole is found in many drugs that are produced both in Russia and abroad. Cheap domestic counterparts include:
Which is better – Fluconazole or Diflucan?
Often, medical publications recommend the use of Diflucan, rather than fluconazole. There is no clear explanation for this, because of which many patients do not understand why the first drug is better than the second. A detailed study of Diflucan's instructions will help to figure this out.
The drug is manufactured in France and has a strong antifungal effect. The active ingredient is fluconazole. Indications for use of the product:
- fungal infection of the nails and feet;
The patterns of use of both drugs for fungus are similar. The difference in medicines is only in the manufacturer and in the price, which is much higher for the French counterpart. This means that there are no significant differences between Diflucan and Fluconazole. Therefore, you can choose a particular medicine based on personal preferences.
Reviews of doctors and patients about fluconazole
Oleg Safronov, dermatologist.
Fungal infection is one of the most common reasons for going to the doctor. Unfortunately, many of the patients visit a doctor when the disease has become severe. But even at this stage, dealing with it in a short time is real. Fluconazole will help in this.
The drug is inexpensive and well tolerated. For all the years of my practice, only one man found adverse reactions to the use of the drug. This was due to hormonal imbalance in the patient's body. In general, it is a safe antimycotic, but should not self-medicate.
Olga, 24 years old.
Once, when I entered the pool, I discovered that I had forgotten slippers at home. Therefore, from the locker room to the shower and back walked barefoot. And after a while I noticed that the toenails began to exfoliate. I got scared and went straight to the dermatologist. It turned out that I have a fungus. The doctor reassured, explaining that this is only the initial stage of the disease, there is no particular danger. Prescribed fluconazole tablets and ointment. The drug is inexpensive, it is convenient to take it, only once a week. After a month, I noticed that healthy nails grow back. They say that if I had not started treatment on time, I would have to take pills for a long time.
Anton, 25 years old.
For several months he suffered from a fungus of toenails. He was treated with various folk methods. For a while, the disease receded, but then, unfortunately, returned again. I do not like going to doctors, and there was no time. But this time, I decided to go. A dermatologist has prescribed fluconazole tablets.
Surprised that you need to drink the drug once a week. The result was not long. Only after 9 months, the nail plates began to acquire a healthy look. Now, finally, everything is fine. The tool really helps, it can cure infection even at an advanced stage.