Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a...

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Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal

Transcript of Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a...

Page 1: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Pharmacological Composition

Each capsule containing 150mg Fluconazole.

Fluconazole is a broad spectrum Systemic Antifungal

Page 2: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Mechanism of actionInhibition of cytochrome P-

450→Impairment of Ergosterol synthesis in the fungal cell membrane→Interfers with fungal cell membrane function &growth→stop the fungal growth

N.B:Fluconazole is highly selective

inhibitor to fungal cytochrome P-450 and doesn't affect on liver cytochrome P-450

Page 3: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Pharmacokinetics The bioavailability of orally

administered Fluconazole is over 90%

Absorption of fluconazole is unaffected by food or gastric acidity

Pharmacokinetics The bioavailability of orally

administered Fluconazole is over 90%

Absorption of fluconazole is unaffected by food or gastric acidity

Page 4: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

PharmacokineticsPharmacokineticsPeak plasma concentrations (C-max)

occur between 1 and 2 hours with a terminal plasma elimination half-life of approximately 30 hours after oral administration

Page 5: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

PharmacokineticsPharmacokinetics

Fluconazole lipophillicity will achieve tissue levels exceeding the required MICs for all pathognomonic fungi for a complete week.

Page 6: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Effective Against Candida Species Infection At Wide Range Of Body Sites And Tissues.

Page 7: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.
Page 8: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.
Page 9: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Flucoral®Pharmacokinetics

Fluconazole(FLUCORAL) is cleared primarily by renal excretion, with approximately 80% of the administered dose appearing in the urine as unchanged drug. About 11% of the dose is excreted in the urine as metabolites.

Page 10: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Excellent EradicationFlucoral is well established as a first

line management option for the treatment of localized and systemic C.albicans infections.

Micheal V. Martin;Journal of Antimicrobial Chemotherapy (1999) 44.429-437

Page 11: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.
Page 12: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Excellent eradication rates in PityriasisVersicolor

Single dose fluconazole Vs Itraconazole

60

15

0

10

20

30

40

50

60

Flucoral Itraconazole

Page 13: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.
Page 14: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Excellent eradication rates in Onychomycosis

Page 15: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

53% 59% 61%

16%

0%

20%

40%

60%

80%

150 mg 300 mg 450 mg Placebo

Clinical microbiology Review.1998 July;11(3):415-429

Treatment of Toenail OnychomycosisIn 362 Patients for 6 months.

Page 16: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.
Page 17: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Flucoral penetrates the nails and persists after twice weekly doses for 6 months in toenails and fingernails

Amalia del Palacio et al ,dermatophytosis treatment (2000).Madrid,Spain

Page 18: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Indications:1: tinea Capitis.

2: Tinea cruris

Page 19: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Tinea Barbe.

Tinea Corporis.Tinea Corporis.

Page 20: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Tinea Pedis.

Tinea Versicolor.

Page 21: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Onychomycosis.

Candidiasis.

Page 22: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Flucoral®

SafetySafety

Fluconazole is contraindicated in

lactating women and category C in

pregnant women.

Page 23: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Monitoring of liver enzymes is not Monitoring of liver enzymes is not recommended during therapy with fluconazole recommended during therapy with fluconazole (FLUCORAL)(FLUCORAL)

American Family Physician,February American Family Physician,February 15,200115,2001;Volume ;Volume 6363,Number ,Number 44

Page 24: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Itraconazole is not suitable for the Itraconazole is not suitable for the routine treatment of infections in routine treatment of infections in patients with raised liver patients with raised liver enzymes,history of liver diseases enzymes,history of liver diseases when treatment prolonged when treatment prolonged ((>>11 monthmonth)) liver enzyme monitoring liver enzyme monitoring should be undertakenshould be undertaken

Journal of antimicrobial chemotherapy.1999Journal of antimicrobial chemotherapy.1999

Page 25: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

Flucoral is available as a box containing 2 capsules each containing Fluconazole 150mg with a price of 14.60 LE.

Page 26: Flucoral ® Pharmacological Composition Each capsule containing 150mg Fluconazole. Fluconazole is a broad spectrum Systemic Antifungal.

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