How it works
Fungototal belongs to a class of drugs called triazole antifungals. A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions.
Fungototal works by blocking the ability of the fungi Candida and Cryptococcus to reproduce. For people with infections from these fungi, this drug helps to get rid of the infection. For people at higher risk of candidiasis, it helps to prevent infection.
Fungototal isn’t known to cause drowsiness, but it can cause other side effects.
Dosage In Patients With Impaired Renal Function
Fungototal is cleared primarily by renal excretion as unchanged drug. There is no need to adjust single dose therapy for vaginal candidiasis because of impaired renal function. In patients with impaired renal function who will receive multiple doses of DIFLUCAN, an initial loading dose of 50 mg to 400 mg should be given. After the loading dose, the daily dose (according to indication) should be based on the following table:
Patients on hemodialysis should receive 100% of the recommended dose after each hemodialysis; on non-dialysis days, patients should receive a reduced dose according to their creatinine clearance.
These are suggested dose adjustments based on pharmacokinetics following administration of multiple doses. Further adjustment may be needed depending upon clinical condition.
When serum creatinine is the only measure of renal function available, the following formula (based on sex, weight, and age of the patient) should be used to estimate the creatinine clearance in adults:
Although the pharmacokinetics of Fungototal has not been studied in children with renal insufficiency, dosage reduction in children with renal insufficiency should parallel that recommended for adults. The following formula may be used to estimate creatinine clearance in children:
(Where K=0.55 for children older than 1 year and 0.45 for infants.)
How should this medicine be used?
Fungototal comes as a tablet and a suspension (liquid) to take by mouth. It is usually taken once a day, with or without food. You may need to take only one dose of Fungototal, or you may need to take Fungototal for several weeks or longer. The length of your treatment depends on your condition and on how well you respond to Fungototal. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Fungototal exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Your doctor may tell you to take a double dose of Fungototal on the first day of your treatment. Follow these directions carefully.
Shake the liquid well before each use to mix the medication evenly.
You should begin to feel better during the first few days of treatment with Fungototal. If your symptoms do not improve or get worse, call your doctor.
Continue to take Fungototal until your doctor tells you that you should stop, even if you feel better. Do not stop taking Fungototal without talking to your doctor. If you stop taking Fungototal too soon, your infection may come back after a short time.
Ask your pharmacist or doctor for a copy of the manufacturer's information for the patient.
All other indications
- Use in pregnancy should be avoided except in patients with severe or potentially life-threatening fungal infections in whom Fungototal may be used if the anticipated benefit outweighs the possible risk to the fetus
- A few published case reports describe a rare pattern of distinct congenital anomalies in infants exposed in-utero to high dose maternal Fungototal (400-800 mg/day) during most or all of the first trimester
- Effective contraceptive measures should be considered in women of child-bearing potential who are being treated with 400-800 mg/day and should continue throughout the treatment period and for approximately 1 week (5 to 6 half-lives) after the final dose
- Reported anomalies are similar to those seen in animal studies and consist of brachycephaly, abnormal facies, abnormal calvarial development, cleft palate, femoral bowing, thin ribs and long bones, arthrogryposis, and congenital heart disease