Fluconazole Sodium Chloride Injection

1. Pharmacology This product belongs to the azole antifungal drug. It has a wide antifungal spectrum. Oral and intravenous administration of this product is effective against fungal infections in humans and various animals, such as Candida infections (including systemic candidiasis in humans and animals with normal or impaired immunity), Cryptococcus neoformans infections (including intracranial infections), Malassezia furfur, Microsporum, Trichophyton, Epidermophyton, Blastomyces dermatitidis, Coccidioides immitis (including intracranial infections), Histoplasma capsulatum, F. fischeri, and Cladosporium carinii. The in vitro antibacterial activity of this product is significantly lower than that of ketoconazole, but the in vivo antibacterial activity of this product is significantly higher than that of in vitro effects. The mechanism of action of this product is mainly to highly selectively interfere with the activity of fungal cytochrome P-450, thereby inhibiting the biosynthesis of ergosterol on the fungal cell membrane. 2. Toxicology This product is highly selective for the cytochrome P-450 enzyme that fungi depend on. Taking 0.5g of this product per day for 28 consecutive days has been shown to have no effect on the plasma testosterone concentration in men or the steroid hormone concentration in women of childbearing age.

The main ingredient of this product is fluconazole, and its chemical name is: alpha;-(2,4-fluorophenyl)-alpha;-(1H-1,2,4-triazol-1-ylmethyl)-1H-1,2,4-triazol-1-ylethanol.

This product is a colorless clear liquid.

This product is mainly used for patients with more serious conditions in the following indications: 1. Candidiasis: used to treat oropharyngeal and esophageal Candida infections; disseminated Candidiasis, including peritonitis, pneumonia, urinary tract infections, etc.; Candida vulvovaginitis. It can also be used to prevent the occurrence of Candida infections in bone marrow transplant patients receiving cytotoxic drugs or radiotherapy. 2. Cryptococcosis: used to treat new cryptococcosis other than meninges; when treating cryptococcal meningitis, this product can be used as a maintenance therapy after initial treatment with amphotericin B combined with flucytosine. 3. Coccidioidomycosis. 4. This product can also replace itraconazole for the treatment of blastomycosis and histoplasmosis.

Intravenous drip. Adults (1) Disseminated candidiasis: The first dose is 0.4g, followed by 0.2g once a day for 4 weeks, and continued for at least 2 weeks after the symptoms are relieved. (2) Esophageal candidiasis: The first dose is 0.2g, followed by 0.1g once a day for at least 3 weeks, and continued for at least 2 weeks after the symptoms are relieved. Depending on the treatment response, the dose can also be increased to 0.4g once a day. (3) Oropharyngeal candidiasis: The first dose is 0.2g, followed by 0.1g once a day, and the course of treatment is at least 2 weeks. (4) Candidal vulvovaginitis: Single dose, 0.15g. (5) Cryptococcal meningitis: 0.4g once a day until the condition is significantly improved, then 0.2-0.4g once a day, and used until at least 10-12 weeks after the cerebrospinal fluid virus culture turns negative. Or: 0.4g once, twice a day, for 2 days, then 0.4g once a day, the course of treatment is the same as above. If the patient with renal insufficiency only needs to be given once, there is no need to adjust the dose; if multiple doses are required, the regular dose should be given on the first and second days, and the dose should be adjusted according to the creatinine clearance rate thereafter, as described in the following table: Creatinine clearance (ml/min) Dose 50 Regular dose 11-50 Half of the regular dose Patients undergoing regular dialysis Administer once after each dialysis Pediatric treatment has not yet been established. There are data reporting that the starting dose is 3-6mg/kg per day based on body weight, once a day, and the results are safe for treating a small number of pediatric patients aged 2 weeks to 14 years.

1. Common gastrointestinal reactions, manifested as nausea, vomiting, abdominal pain or diarrhea, etc. 2. Allergic reactions: may manifest as rash, and occasionally severe exfoliative dermatitis (often accompanied by liver damage) and exudative erythema multiforme may occur. 3. Hepatotoxicity: Mild transient elevation of serum aminotransferase may occur during treatment, and symptoms of hepatotoxicity may occasionally occur, especially in patients with serious underlying diseases (such as AIDS and cancer). 4. Dizziness and headache may be seen. 5. Some patients, especially those with serious underlying diseases (such as AIDS and cancer), may have abnormal renal function. 6. Changes in hematological examination indicators such as transient neutropenia and thrombocytopenia in peripheral blood may occasionally occur, especially in patients with serious underlying diseases (such as AIDS and cancer).

Patients with a history of allergy to this product or other azole drugs are contraindicated.

1. When this product is used in combination with isoniazid or rifampicin, the concentration of this product can be reduced. 2. When this product is used in combination with sulfonylurea hypoglycemic drugs such as tolbutamide, chlorbutamide and glipizide, the blood concentration of these drugs can be increased, which may lead to hypoglycemia. Therefore, blood sugar needs to be monitored and the dose of sulfonylurea hypoglycemic drugs needs to be reduced. 3. When high doses of this product are used in combination with cyclosporine, the blood concentration of cyclosporine can be increased, which increases the risk of toxic reactions. Therefore, it must be used with caution while monitoring the blood concentration of cyclosporine and adjusting the dose. 4. When this product is used in combination with hydrochlorothiazide, the blood concentration of this product can be increased. 5. When this product is used in combination with theophylline, the blood concentration of theophylline can be increased by about 13%, which can lead to toxic reactions. Therefore, the blood concentration of theophylline needs to be monitored. 6. When this product is used in combination with dicoumarin anticoagulants such as warfarin, it can enhance the anticoagulant effect of dicoumarin anticoagulants and prolong the prothrombin time, so the prothrombin time should be monitored and used with caution. 7. When this product is used in combination with phenytoin sodium, the blood concentration of phenytoin sodium can be increased, so the blood concentration of phenytoin sodium needs to be monitored.

Keep away from light and store in a sealed container.

100ml: Fluconazole 0.2g and sodium chloride 0.9g

24 months

Shandong Fenghuang Pharmaceutical Co., Ltd.

• Founded in:

  1998-08-12

• Address:

  No. 198, Jiner Road, Lijin County, Dongying City, Shandong Province

• Tax NO.:

  91370500706294987U

• Registered Funds:

  60 million yuan

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