Consumer medicine information

Fluconazole Sandoz Injection

Fluconazole

BRAND INFORMATION

Brand name

Fluconazole Sandoz Injection

Active ingredient

Fluconazole

Schedule

S4

 

Consumer medicine information (CMI) leaflet

Please read this leaflet carefully before you start using Fluconazole Sandoz Injection.

What is in this leaflet

This leaflet answers some common questions about Fluconazole Sandoz injection.

It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.

All medicines have risks and benefits. Your doctor has weighed the risks of you having this medicine against the benefits they expect it will have for you.

If you have any concerns about having this medicine, ask your doctor or pharmacist.

Keep this leaflet. You may need to read it again.

What Fluconazole Sandoz is used for

This medicine is used to treat certain fungal and yeast infections.

It contains the active ingredient fluconazole.

Fluconazole belongs to a group of medicines called azole antibiotics.

It works by preventing the growth of fungal and yeast organisms causing your infection.

Ask your doctor if you have any questions about why this medicine has been prescribed for you. Your doctor may have prescribed it for another reason.

This medicine is not addictive.

This medicine is available only with a doctor’s prescription.

Before you are given Fluconazole Sandoz

When you must not be given

This medicine should not be given if you have an allergy to:

  • fluconazole, the active ingredient, or to any of the other ingredients listed at the end of this leaflet under Product Description
  • any other similar medicines related to fluconazole such as miconazole, ketoconazole or clotrimazole.

Some of the symptoms of an allergic reaction may include:

  • shortness of breath
  • wheezing or difficulty breathing
  • swelling of the face, lips, tongue or other parts of the body
  • rash, itching or hives on the skin.

You must not be given Fluconazole Sandoz injection if you are taking any of the following medicines:

  • terfenadine or astemizole (a medicine used to treat allergies)
  • cisapride (a medicine used to treat stomach problems
  • erythromycin (a medicines used to treat infections)
  • pimozide (a medicine used to treat mental illness)
  • quinidine (a medicine used to treat irregular heartbeat).

If you are not sure whether you should start having this medicine, talk to your doctor.

Before you are given it

Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.

Tell your doctor if you have any of the following medical conditions:

  • liver problems
  • heart problems
  • kidney problems.

Tell your doctor if you are pregnant or plan to become pregnant or are breastfeeding. Your doctor can discuss with you the risks and benefits involved.

If you have not told your doctor about any of the above, tell him/her before you are given Fluconazole Sandoz injection.

Taking other medicines

Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.

Some medicines should not be given with Fluconazole Sandoz injection. These include:

  • astemizole and terfenadine (a medicine used to treat allergy)
  • cisapride (used to treat stomach problems)
  • erythromycin (a medicine used to treat infections)
  • pimozide (an antipsychotic medicine, used to treat mental illness)
  • quinidine, a medicine used to treat irregular heartbeat.

Some medicines and Fluconazole Sandoz may interfere with each other. These include:

  • some medicines for diabetes such as glipizide, tolbutamide or glibenclamide
  • some antibiotics and antiviral drugs such as rifampicin, rifabutin, zidovudine, amphotericin B, azithromycin, saquinivir or voriconazole
  • some medicines used in problems with the immune system, such as ciclosporin, tacrolimus, tofacitinib or sirolimus
  • drugs used for heart problems, such as amiodarone or verapamil
  • warfarin (used to stop blood clots)
  • phenytoin (used to treat epilepsy)
  • prednisone (used to treat inflammation or suppress the immune system)
  • theophylline (used to treat asthma)
  • some benzodiazepines such as midazolam
  • lemborexant (used to treat insomnia or sleeping difficulties)
  • hydrochlorothiazide (used for treating fluid problems)
  • the contraceptive pill (birth control pill)
  • carbamazepine (used in the treatment of epilepsy and bipolar disorder)
  • cyclophosphamide, vincristine, vinblastine, olaparib or ibrutinib, a medicine used to treat certain types of cancers
  • tolvaptan, a medicine used to treat low levels of sodium in your blood or for kidney problems
  • NSAIDs such as naproxen, diclofenac and celecoxib
  • Vitamin A
  • opioid pain killers such as alfentanil, fentanyl and methadone
  • losartan, a medicine used to treat high blood pressure
  • cholesterol-lowering medicines, such as atorvastatin, fluvastatin or simvastatin
  • halofantrine, a medicine used to treat malaria
  • antidepressants such as amitriptyline and nortriptyline.

These medicines may be affected by Fluconazole Sandoz or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines.

Talk to your doctor about the need for an additional method of contraception while being given Fluconazole Sandoz.

Fluconazole Sandoz may decrease the effectiveness of some birth control pills.

Your doctor and pharmacist have more information on medicines to be careful with or avoid while having this medicine.

How Fluconazole Sandoz is given

Fluconazole Sandoz injection can only be given by a doctor or nurse. It is usually infused slowly into a vein.

How much to have

The amount of Fluconazole Sandoz injection you receive and the length of your treatment will depend on your body weight and kidney function. It will also depend on how quickly the infection is brought under control.

After a while, the injection may be stopped and you may begin to receive fluconazole capsules by mouth.

If you take too much (overdose)

Because Fluconazole Sandoz injection is given to you by a health professional, overdose is unlikely to arise. However, you should tell your doctor or nurse immediately if you feel unwell while you are receiving this medicine.

While you are given Fluconazole Sandoz

Things you must do

If you are about to be started on any new medicine, remind your doctor and pharmacist that you are receiving Fluconazole Sandoz injection.

Tell any other doctors, dentists, and pharmacists who treat you that you are receiving this medicine.

If you suffer from HIV or have a weakened immune system and develop a rash while being treated with this medicine, tell your doctor immediately. If this rash worsens, Fluconazole Sandoz injection may need to be stopped.

Be careful when driving vehicles or operating machinery as it should be taken into account that occasionally dizziness or seizures may occur.

Side effects

Tell your doctor or pharmacist as soon as possible if you do not feel well while you are receiving Fluconazole Sandoz injection. This medicine helps most people with fungal and yeast infections, but it may have a few unwanted effects in some people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical attention if you get some of the side effects.

Do not be alarmed by the following lists of side effects. You may not experience any of them.

Ask your doctor or pharmacist to answer any questions you may have.

Tell your doctor or pharmacist if you notice any of the following and they worry you:

  • nausea or feeling sick, vomiting
  • headache
  • stomach pain, indigestion, diarrhoea
  • acne.

These are the more common side effects of this medicine. They are usually mild and short-lived.

Tell your doctor as soon as possible if you notice any of the following:

  • swelling of the face, lips or tongue which may cause difficulty in swallowing or breathing
  • asthma, wheezing, shortness of breath
  • sudden or severe itching, skin rash, hives
  • fainting, seizures or fits
  • flaking of the skin
  • yellowing of the skin or eyes, also called jaundice
  • increased sweating
  • bleeding or bruising more easily than normal, reddish or purplish blotches under the skin
  • signs of frequent or worrying infections such as fever, severe chills, sore throat or mouth ulcers
  • fast or irregular heartbeat.

These side effects are usually rare but can be serious and need urgent medical attention.

Tell your doctor or pharmacist if you notice anything else that is making you feel unwell. Other side effects not listed above may also occur in some people.

After having Fluconazole Sandoz

Storage

Fluconazole Sandoz injection is stored by the hospital pharmacy, and should be kept in the original packaging until immediately before use.

It should be kept in a cool dry place where the temperature stays below 25°C. It should not be refrigerated or frozen.

Product description

What it looks like

Fluconazole Sandoz injection comes in two strengths:

Fluconazole Sandoz 100 mg/50 mL - clear, colourless solution, free from visible particles.

Fluconazole Sandoz 200 mg/100 mL - clear, colourless solution, free from visible particles.

Available in packs containing 1 vial.

Ingredients

Active ingredients:

  • Fluconazole Sandoz 100 mg/50 mL - 100 mg fluconazole
  • Fluconazole Sandoz 200 mg/100 mL - 200 mg fluconazole.

Inactive ingredients:

  • sodium chloride
  • hydrochloric acid
  • water for injections.

Supplier

Sandoz Pty Ltd
ABN 60 075 449 553
54 Waterloo Road
Macquarie Park
NSW 2113
Australia
Tel: 1800 726 369

Novartis New Zealand Ltd
PO Box 99102
Newmarket, Auckland 1149
New Zealand
Tel: 0800 354 335

This leaflet was revised in December 2021.

Australian Register Numbers

100 mg/50 mL injection: AUST R 104301

200 mg/100 mL injection: AUST R 104302

Published by MIMS January 2022

BRAND INFORMATION

Brand name

Fluconazole Sandoz Injection

Active ingredient

Fluconazole

Schedule

S4

 

1 Name of Medicine

Fluconazole.

2 Qualitative and Quantitative Composition

Each Fluconazole Sandoz vials contains 2 mg/mL fluconazole.
For the full list of excipients, see Section 6.1 List of Excipients.

3 Pharmaceutical Form

Fluconazole Sandoz injection 2 mg/mL is a clear colourless solution, free from visible particles.

4 Clinical Particulars

4.9 Overdose

The minimal lethal human dose has not been established. There have been reports of overdosage with fluconazole, and in one case a 42 year old patient infected with HIV developed hallucinations and exhibited paranoid behaviour after reportedly ingesting 8,200 mg of fluconazole. The patient was admitted to hospital, and his condition resolved within 48 hours. Signs and symptoms are likely to be an extension of those under Section 4.8 Adverse Effects (Undesirable Effects).
Treatment. There is no specific antidote. Treatment is symptomatic and supportive, including respiratory and cardiovascular function. Monitor for hypokalaemia and elevated liver enzymes; and obtain a full blood count to monitor for possible thrombocytopenia and agranulocytosis.
Fluconazole is largely excreted in the urine; forced volume diuresis would probably increase the elimination rate. A three hour haemodialysis session decreases plasma levels by approximately 50%.
In mice and rats receiving very high doses of fluconazole, clinical effects in both species included decreased motility and respiration, ptosis, lacrimation, salivation, urinary incontinence, loss of righting reflex and cyanosis; death was sometimes preceded by clonic convulsions.
For information on the management of overdose, contact the Poisons Information Centre on 131126 (Australia).

5 Pharmacological Properties

5.3 Preclinical Safety Data

Genotoxicity. Fluconazole, with or without metabolic activation, was negative in tests for mutagenicity in four strains of Salmonella typhimurium and in the mouse lymphoma system. Cytogenetic studies in vivo and in vitro showed no evidence of chromosomal mutations.
Carcinogenicity. Fluconazole showed no evidence of carcinogenic potential in mice and rats treated orally for 24 months at doses of 2.5, 5 or 10 mg/kg/day (approximately two to seven times the recommended human dose). Male rats treated with 5 and 10 mg/kg/day had an increased incidence of hepatocellular adenomas.

6 Pharmaceutical Particulars

6.7 Physicochemical Properties

Fluconazole is a white to off-white crystalline powder, which is sparingly soluble in water and saline. The pH of Fluconazole Sandoz injection is 5.0-7.0.
Chemical structure.
https://stagingapi.mims.com/au/public/v2/images/fullchemgif/CSFLUCON.gif Chemical name: 2-(2,4-difluorophenyl)-1,3-bis (1H-1,2,4-triazol-1-yl)-2-propanol.
Molecular formula: C13H12F2N6O.
Molecular weight: 306.3.
CAS number. 86386-73-4.

7 Medicine Schedule (Poisons Standard)

S4 - Prescription Only Medicine.

Summary Table of Changes

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