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Drugs and Medicinal Substances

Fluconazole

Antiinfective Agents for Systemic Use

Fluconazole is an antifungal medication used for a number of fungal infections, including candidiasis, blastomycosis, coccidioidomycosis, cryptococcosis, histoplasmosis, dermatophytosis and tinea versicolor, given orally or intravenously. It is a first-generation triazole that inhibits the fungal cytochrome P450 enzyme 14-alpha-demethylase, blocking the conversion of lanosterol to ergosterol, a component the fungal cell membrane depends on. Fluconazole was developed by Pfizer, patented in 1981 and came into commercial use in 1988; it is now available as a generic medication and appears on the World Health Organization's List of Essential Medicines.

Facts
Classification
Approval Status
Approved 1
ATC ClassSourced to the subject's own account
J: Antiinfectives for Systemic Use 2
Route of Administration
Oral 3
Route of Administration
Intravenous 3
Route of Administration
Topical 3
WHO Essential MedicineSourced to the subject's own account
Core List 4
Drug Class
Triazole antifungal (azole class) 1
Mechanism of Action
Believed to work by affecting the fungal cellular membrane 1
Approved Use
Candidiasis, blastomycosis, coccidioidomycosis, cryptococcosis, histoplasmosis, dermatophytosis and tinea versicolor 1
First Approved / Isolated Year
1988 1
Significant Risk
Liver problems, QT prolongation and seizures 1
Sources
1. Fluconazole (Wikipedia)
  • Section: Medical uses, starting at character 0
    Fluconazole is a first-generation triazole antifungal medication.
  • Section: Side effects and mechanism, starting at character 300
    It is believed to work by affecting the fungal cellular membrane.
  • Lead section, paragraph 1, starting at character 130
    These include candidiasis, blastomycosis, coccidioidomycosis, cryptococcosis, histoplasmosis, dermatophytosis, and tinea versicolor.
  • Section: History and culture, starting at character 0
    Fluconazole was patented in 1981 and came into commercial use in 1988.
  • Section: Side effects and mechanism, starting at character 83
    Serious side effects may include liver problems, QT prolongation, and seizures.
  • Regulatory approval status
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2. Anatomical Therapeutic Chemical Classification System (Wikipedia)
WikipediaFirst-level anatomical group codes, Code J
Quote, First-level anatomical group codes, Code J
Antiinfectives for systemic use
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3. Fluconazole (Wikipedia)
WikipediaInfobox drug, routes_of_administration
Quote, Infobox drug, routes_of_administration
By mouth, intravenous, topical
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4. WHO Model List of Essential Medicines (Wikipedia)
WikipediaWHO Model List of Essential Medicines, Antifungal medicines section
Quote, WHO Model List of Essential Medicines, Antifungal medicines section
Fluconazole
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