Anfasil Oral Suspension

Brand Name:	Anfasil
Generic:	Fluconazole
Weight:	50 mg/5 ml
Type:	Oral Suspension
Therapeutic Class:	Drugs for cutaneous mycoses, Drugs for subcutaneous and systemic mycoses
Manufacturer:	Silva Pharmaceuticals Ltd.
Price:	105.00
Last Updated:	2020-11-22 18:15:00

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Anfasil Oral Suspension Uses

Anfasil Oral Suspension contains Fluconazole. Anfasil uses:

Fluconazole is indicated in

Superficial candidal infections such as oral or vaginal thrush
Esophagitis caused by Candida or other susceptible species
Maintenance therapy of cryptococcal meningitis
Disseminated candidiasis
Prophylaxis for fungal infection in neutropenic cancer patients
Acute treatment of other systemic fungal infections
Dermatophyte and Candida skin infections
Fungal UTIs

Anfasil Oral Suspension Doses

Anfasil Oral Suspension contains Fluconazole 50 mg/5 ml. Anfasil doses:

Oral-

Adults:

Oropharyngeal Candidiasis: 200 mg on the first day, followed by 100 mg once daily for 7-14 days.
Esophageal Candidiasis: 200 mg on the first day, followed by 100 mg once daily for 2-3 weeks.
Systemic Candidiasis and Cryptococcal Meningitis: 400 mg daily followed by 200 mg once daily. The recommended duration of treatment for initial therapy of cryptococcal meningitis is 10 to 12 weeks.
Acute or recurrent vaginal candidiasis: Single dose of 150 mg.
Urinary Tract Infections and Peritonitis: 50 to 200 mg once daily. Prophylaxis in Patients Undergoing Bone Marrow Transplantation: 400 mg once daily.

Children:

Oropharyngeal Candidiasis: 6 mg/kg on the first day, followed by 3 mg/kg once daily. Treatment should be administered for at least 2 weeks to decrease the likelihood of relapse.
Esophageal Candidiasis: 6 mg/kg on the first day, followed by 3 mg/kg once daily.
Cryptococcal meningitis: Initial therapy should be started with 6 to 12 mg/kg daily. Doses up to 12 mg/kg/day may be used for three weeks and treatment for initial therapy of cryptococcal meningitis is 10 to 12 weeks.

Intravenous-

Adult & child:

Invasive candidal infections including candidaemia and disseminated candidiasis and cryptococcal infections including meningitis, by IV, 400 mg initially then 200 mg daily, increased if necessary to 400 mg daily, treatment continued according to response (at least 6-8 weeks for cryptococcal meningitis); Child 6-12 mg/kg daily (every 72 hours in neonate up to 2 weeks old, every 48 hours in neonate 2-4 weeks old); maximum 400 mg daily.Prevention of relapse of cryptococcal meningitis, by IV, 100-200 mg daily.

Since oral absorption is rapid and almost complete, the daily dose of Fluconazole is the same for oral and intravenous administration.

Side Effects

Therapy with Fluconazole is well tolerated. The common adverse effects are nausea. abdominal pain, vomiting, diarrhoea, headache and skin rash.

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Introduction

Fluconazole is the first of a new subclass of synthetic triazole antifungal agent which acts by inhibition of the ergosterol component of the fungal cell membrane. It is active against a broad spectrum of fungal pathogens and is available for oral use.

Anfasil Precaution

Caution should be taken in renal impairment, pregnancy and breast feeding and in raised liver enzymes. The use of Fluconazolein lactating mothers is not recommended.

Interaction

Rifampicin reduces plasma concentration of Fluconazole. Fluconazole enhances the effect of nicoumalone, warfarin and phenytoin. It also increases the plasma concentration of sulphonylureas & theophlline.

Pregnancy Lactation use

Use in pregnancy: Fluconazole should be used in pregnancy only if the potential benefit justifies the possible risk to the foetus.Use in lactation: Fluconazole is secreted in human milk at concentrations similar to plasma. Therefore, the use of Flouconazole in nursing mother is not recommended.

Contraindication

Fluconazole is contraindicated to patients hypersensitive to this drug and in advanced liver disease.

Special Warning

Store below 30° C. Protect from light & moisture. Remaining reconstituted suspension should not be used after 7 days. If it is kept under freezing temperature (2- 8° C) , it can be used for 14 days. Keep out of the reach of children.