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Antifungals

Fluconazole

Also sold as: Diflucan, Forcan

Prescription neededAntifungals
Comes as:CapsuleTabletSuspensionDrip (infusion)

Usual adult dose

Usual adult dose for vaginal thrush: one 150 mg capsule as a single dose. Other fungal infections: 50 to 400 mg once a day, as prescribed by your doctor.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • nausea
  • stomach pain
  • headache
  • diarrhoea
  • rash

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • severe allergic reaction (swelling of face or throat)
  • yellow eyes or skin
  • severe skin rash with peeling
  • fast or irregular heartbeat

Do not take it, or take care, if

  • Pregnancy (avoid, especially high or repeated doses)
  • Severe liver disease
  • Heart rhythm problems (use with caution)
  • Known allergy to azole antifungals

Interactions

Medicines that can react with this one.

Serious6 medicinesDo not take these together unless your doctor says so.
  • Amiodarone

    Both can prolong the QT interval and cause dangerous heart rhythms.

  • Glibenclamide

    Fluconazole raises glibenclamide levels and can cause dangerous low blood sugar.

  • Gliclazide

    Fluconazole raises gliclazide levels and can cause severe low blood sugar.

  • Glimepiride

    Fluconazole raises glimepiride levels and can cause severe low blood sugar.

  • Simvastatin

    Fluconazole raises simvastatin levels and the risk of muscle damage.

  • Warfarin

    Fluconazole strongly raises the effect of warfarin and the risk of bleeding; INR must be checked.

Moderate2 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Celecoxib

    Fluconazole raises celecoxib levels; a lower celecoxib dose is usually needed.

  • Phenytoin

    Fluconazole raises phenytoin levels; watch for signs of toxicity.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category D

There is evidence of risk to the baby. Used only in serious situations when safer medicines do not work.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Itraconazole
  • ClotrimazoleNo prescription needed
  • NystatinNo prescription needed
  • MiconazoleNo prescription needed
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.