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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Fluconazole Pharmacology

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 3 December 2020

⏱️ 14 minutes

🧾️ Download transcript

Summary

On this episode of the RLP podcast, I discuss fluconazole pharmacology.



Fluconazole prevents fungi from producing essential components for their cell membrane and thus inhibits their growth.



Drug interactions are common with fluconazole. Fluconazole inhibits CYP3A4, 2C9, and 2C19 to varying degrees.



I discuss an interaction between fluconazole and phenytoin in this podcast episode.



Hepatitis has rarely been reported with the use of azole antifungals like fluconazole.

Transcript

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0:00.0

Hey all, welcome back to the real life pharmacology podcast. I am your host, Eric Christensen,

0:05.4

and I thank you so much for listening. Hope you enjoy the episode today, but first want to remind you

0:11.7

at real life pharmacology.com, we've got a 31-page PDF for the top 200 drugs. Definitely go check that out.

0:20.6

All you need to provide is an email.

0:22.2

We'll send it to you.

0:23.9

I'll also get you updates when we've got new episodes and new content available as well.

0:30.1

So again, real life pharmacology.com.

0:33.8

If you want to track me down, comments, questions, send a message to me at Med Education 101 at gmail.com.

0:44.0

Otherwise, you can connect with me on LinkedIn as well, Eric Christensen, FarmD, BcPS, BcGP.

0:52.1

All right, so let's get into the medication of the day today, and that is fluconazole.

0:59.9

Brand name of this medication is diphlucan, and this is well known to be an antifungal medication.

1:16.5

Also, sometimes you'll hear it called an azol antifungal agent.

1:28.2

And this medication inhibits the action of lanosterol 14 alpha demethylase. And basically what that does is it helps produce ergosterol.

1:34.6

Now, ergosterol is necessary for fungal cell membrane formation.

1:41.6

So basically, by using fluconazole, we're blocking the production of necessary components

1:48.3

to basically build the cells, cell membrane. Now, what type of infections can fluconazole be used for?

2:00.3

Candidiasis, so that's, you know, things like thrush as well as vaginal candidiasis,

2:07.7

cryptococcus, off-label uses, you might see blastomycosis, tini infections.

2:15.7

So basically, there's a lot of different fungal infections that fluconazole

2:21.4

can be used for. Adverse effect profile. I would say in my experience, I've seen the medication

2:29.8

in general be pretty well tolerated as far as kind of mild demodurate dose limiting adverse effects

2:39.2

GI upset maybe some dizziness maybe a little bit of a headache has been reported in the literature

...

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