Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur.
In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below.
The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is not recommended.
Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases.
If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:.
Take this medicine exactly as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects. This medicine should come with a patient information leaflet. Read and follow these instructions carefully. Ask your doctor if you have any questions. Keep using this medicine for the full treatment time, even if you feel better after the first few doses.
Your infection may not clear up if you stop using the medicine too soon. Shake the oral liquid well before each use. Measure the medicine with a marked measuring spoon, oral syringe, or medicine cup.
The average household teaspoon may not hold the right amount of liquid. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine.
If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. Sign up for Diflucan price alerts and find out when the price changes!
Get price alerts. Monistat formulations are intended for the treatment of vulvovaginal candidiasis vaginal yeast infections in females who have been previously diagnosed with a vaginal yeast infection and are having recurring symptoms. Monistat is not intended for use by anyone who has never been diagnosed with a vaginal yeast infection.
Women who are having first-time symptoms consistent with a vaginal yeast infection but have never been diagnosed should be evaluated by a physician first. Diflucan is also indicated for the treatment of vaginal yeast infections but has a variety of other approved uses which include candida growth in the urinary tract, abdomen, heart, esophagus, oral cavity, blood, and bone.
Diflucan may also be used in the treatment of fungal growth on the nails and feet. Patients who are immunocompromised may benefit from prophylactic treatment with Diflucan to prevent fungal overgrowth.
A rare condition, cryptococcal meningitis, may also be treated with Diflucan. Monistat and Diflucan are each effective treatment options for vaginal yeast infections and have been compared in a variety of ways. In some women, vaginal yeast infections may be recurrent and bothersome, and the simplicity of a one-day treatment option may be the most appealing.
In a study comparing the single-dose treatment of Monistat and Diflucan, Diflucan was found to have slightly higher cure rates, verified by lab tests and symptomatic improvement, though these differences were not statistically significant.
Therefore, both Monistat and Diflucan are highly effective treatment options for vaginal yeast infections. One factor that is important in women affected by vaginal yeast infections is how quickly the symptoms begin to show resolution. Vaginal tenderness, itching, and odor can be extremely bothersome, and if left untreated, can affect other lifestyle activities.
The results of this study found that local treatment with miconazole resulted in relief of at least one symptom in one hour versus four hours with systemic fluconazole treatment.
Furthermore, all symptoms were relieved in four hours with local miconazole treatment versus sixteen hours with systemic fluconazole treatment.
The time it takes to achieve symptomatic relief is an important factor when choosing the best treatment course. Only your physician can diagnose a vaginal yeast infection and decide what course of treatment is best for you in treating initial and recurring infections.
Monistat is an over-the-counter medication, and may not be covered by Medicare or other prescription insurance plans. Your doctor can prescribe Monistat, even though a prescription is not required. Get the SingleCare prescription discount card.
Diflucan is only available by prescription and is usually covered by Medicare and most other insurance plans. Monistat and Diflucan are generally both well tolerated. The most common adverse events for Monistat products are irritation, burning, and itching. These may be difficult to discern from the symptoms relating to the vaginal yeast infection. Diflucan may cause headaches in a significant number of patients. Other side effects of Diflucan may include skin rash, dizziness, and gastrointestinal intolerance.
This may not be a complete list of side effects. Your doctor or pharmacist can provide a complete list and additional information on the side effects of Monistat and Diflucan.
Monistat is generally very safe to take with other medications. There is a chance that intravaginal use of miconazole products may result in enough significant systemic absorption to interfere with Coumadin warfarin metabolism, causing an increase in plasma levels of warfarin. Therefore, intravaginal use of miconazole in patients taking warfarin is generally not recommended as a precaution. This results in a variety of potential drug interactions as these enzymes play important roles in the processing and absorption of many other drugs.
Diflucan may interact with blood thinners, antibiotics, oral contraceptives, and other commonly used medications. It is safe to take for a long time if your doctor has advised you to. If you take fluconazole long term, your doctor may ask you to have regular blood tests.
There are many different antifungal medicines. Some are available to buy from a pharmacy, others are available on prescription. They can come as creams, gels, sprays, pessaries soft tablets you put into your vagina , tablets, capsules, liquid, or injections. Your doctor or a pharmacist will be able to recommend the best treatment for you, based on your condition.
Fluconazole is not likely to affect your contraception, including the combined pill or emergency contraception. If taking fluconazole makes you vomit or have severe diarrhoea for more than 24 hours, your contraceptive pills may not protect you from pregnancy.
Look on the pill packet to find out what to do. Find out what to do if you're taking the pill and you're being sick or have diarrhoea. There have been some reports of "breakthrough bleeding", known as spotting, when people take fluconazole and the combined pill together.
It is not known whether this is to do with the fluconazole. If you get any breakthrough bleeding while using oral contraception, speak to your doctor. Some studies have shown that there is a small chance that fluconazole could increase the levels of hormones in your body when using the combined pill.
You can continue taking fluconazole with your oral contraception, but if you get any side effects, such as feeling sick or tender breasts, speak to your doctor. There is no clear evidence to suggest that fluconazole will reduce fertility in either men or women. In rare cases, taking fluconazole can make you feel dizzy or lightheaded. If you're affected, do not drive or cycle until this feeling goes away.
Page last reviewed: 23 March Next review due: 23 March Fluconazole - Brand name: Diflucan On this page About fluconazole Key facts Who can and cannot take fluconazole How and when to take fluconazone Side effects How to cope with side effects Pregnancy and breastfeeding Cautions with other medicines Common questions.
About fluconazole Fluconazole is an antifungal medicine. The most common cause of fungal infections is a yeast called candida. Fluconazole is used to treat many infections caused by candida including: thrush in men and women , such as vaginal thrush, skin irritation on the head of the penis balanitis , and thrush in the mouth oral thrush infections in your blood or elsewhere in your body Fluconazole is also used to treat a brain infection called cryptococcal meningitis.
This includes people who: keep getting vaginal thrush have a weakened immune system have had a bone marrow transplant have HIV are at risk of getting cryptococcal meningitis Fluconazole is available as capsules or a liquid that you swallow.
It also comes as an injection, but this is usually given in hospital. Help us improve our website Can you answer a quick question about your visit today? You'll usually take fluconazole once a day. Your dose and how long you take it for depends on the kind of infection you have. You can take fluconazole with or without food.
The most common side effects of fluconazole are feeling sick nausea and diarrhoea. For thrush, you can buy fluconazole capsules brand names include Canesten Thrush Oral Capsules or fluconazole capsules with clotrimazole cream brand names include Canesten Thrush Duo. Tell a pharmacist or your doctor before taking it if you have: had an allergic reaction to fluconazole or any other medicines in the past heart disease, including heart rhythm problems arrhythmia kidney or liver problems a rare, inherited blood disorder called acute porphyria had a blood test that showed you have abnormal levels of potassium, calcium or magnesium.
You can take fluconazole capsules and liquid with or without food. Dosage for capsules or liquid These are the usual doses for adults: oral mouth thrush — 50mg a day, taken for 7 to 14 days vaginal thrush or balanitis — mg, taken as a single dose vaginal thrush that keeps coming back — mg, taken once every 72 hours for the first 3 doses, then take mg once a week for 6 months candida infections in your blood or elsewhere in your body — mg to mg a day for several weeks cryptococcal meningitis — mg to mg a day for several weeks to stop cryptococcal meningitis coming back — mg a day, taken long term to prevent fungal infections if you have a weakened immune system a low white blood cell count — 50mg to mg a day, until your white blood cell count improves For children, your doctor will work out the right dose depending on the infection and your child's age and weight.
What if I forget to take a dose? Do not take a double dose to make up for a missed dose. What if I take too much? Accidentally taking 1 or 2 extra doses is unlikely to harm you. Urgent advice: Speak to your doctor or pharmacist now if:. Common side effects These common side effects happen in more than 1 in people. Talk to your doctor or a pharmacist if these side effects bother you or do not go away: headache stomach pain diarrhoea feeling or being sick nausea or vomiting rash Serious side effects Serious side effects are rare and happen in less than 1 in people.
Call a doctor immediately if: you get yellow skin, or the whites of your eyes turn yellow, or if you have pale poo and dark pee — these can be signs of liver problems you bruise more easily or get infections more easily — these can be signs of a blood disorder you have a faster or irregular heartbeat Serious allergic reaction It happens rarely but it is possible to have a serious allergic reaction anaphylaxis to fluconazole.
Information: You can report any suspected side effect to the UK safety scheme. What to do about: headache — rest and drink plenty of fluids. Do not drink too much alcohol. Ask a pharmacist to recommend a painkiller if you need one. Talk to your doctor if the headaches last longer than a week or are severe. It can help to eat and drink slowly and have smaller and more frequent meals. Putting a heat pad or covered hot water bottle on your tummy may also help.
If you are in a lot of pain, speak to a doctor or pharmacist. Speak to a pharmacist if you have signs of dehydration, such as peeing less than usual or having dark, strong-smelling pee.
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