Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C13H12F2N6O |
| Molecular Weight | 306.2708 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
OC(CN1C=NC=N1)(CN2C=NC=N2)C3=CC=C(F)C=C3F
InChI
InChIKey=RFHAOTPXVQNOHP-UHFFFAOYSA-N
InChI=1S/C13H12F2N6O/c14-10-1-2-11(12(15)3-10)13(22,4-20-8-16-6-18-20)5-21-9-17-7-19-21/h1-3,6-9,22H,4-5H2
| Molecular Formula | C13H12F2N6O |
| Molecular Weight | 306.2708 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
DescriptionSources: http://www.drugbank.ca/drugs/DB00196Curator's Comment: Description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2011/019949s051lbl.pdf
Sources: http://www.drugbank.ca/drugs/DB00196
Curator's Comment: Description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2011/019949s051lbl.pdf
Fluconazole, a synthetic antifungal agent of the imidazole class, is used to treat vaginal candidiasis. It inhibits the fungal lanosterol 14 alpha-demethylase which thereby prevents the formation of ergosterol which is an essential component in the fungal cell membrane. Indicated for the treatment of fungal infections.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/20930076
Curator's Comment: Fluconazole readily penetrated the blood-CSF/blood-brain barrier
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL1780 Sources: http://www.drugbank.ca/drugs/DB00196 |
0.127 nM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Curative | Diflucan Approved UseDIFLUCAN (fluconazole) is indicated for the treatment of:
1. Vaginal candidiasis (vaginal yeast infections due to Candida).
2. Oropharyngeal and esophageal candidiasis. In open noncomparative studies of relatively small numbers of patients, DIFLUCAN was also effective for the treatment of Candida urinary tract infections, peritonitis, and systemic Candida infections including candidemia, disseminated candidiasis, and pneumonia.
3. Cryptococcal meningitis. Launch Date1990 |
|||
| Curative | Diflucan Approved UseDIFLUCAN (fluconazole) is indicated for the treatment of:
1. Vaginal candidiasis (vaginal yeast infections due to Candida).
2. Oropharyngeal and esophageal candidiasis. In open noncomparative studies of relatively small numbers of patients, DIFLUCAN was also effective for the treatment of Candida urinary tract infections, peritonitis, and systemic Candida infections including candidemia, disseminated candidiasis, and pneumonia.
3. Cryptococcal meningitis. Launch Date1990 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
6.72 μg/mL |
400 mg single, oral dose: 400 mg route of administration: Oral experiment type: SINGLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
|
2.61 μg/mL |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: FEMALE food status: UNKNOWN |
|
2.9 μg/mL |
2 mg/kg single, oral dose: 2 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: UNKNOWN age: CHILD sex: UNKNOWN food status: UNKNOWN |
|
9.8 μg/mL |
8 mg/kg single, oral dose: 8 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: UNKNOWN age: CHILD sex: UNKNOWN food status: UNKNOWN |
|
5.5 μg/mL |
2 mg/kg 1 times / day multiple, intravenous dose: 2 mg/kg route of administration: Intravenous experiment type: MULTIPLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: UNKNOWN age: CHILD sex: UNKNOWN food status: UNKNOWN |
|
11.4 μg/mL |
4 mg/kg 1 times / day multiple, intravenous dose: 4 mg/kg route of administration: Intravenous experiment type: MULTIPLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: UNKNOWN age: CHILD sex: UNKNOWN food status: UNKNOWN |
|
14.1 μg/mL |
8 mg/kg 1 times / day multiple, intravenous dose: 8 mg/kg route of administration: Intravenous experiment type: MULTIPLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: UNKNOWN age: CHILD sex: UNKNOWN food status: UNKNOWN |
|
1.54 μg/mL |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
156.1 ug*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01806623 |
150 mg single, oral dose: 150 mg route of administration: oral experiment type: single co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: unhealthy age: sex: F food status: |
|
79.5 ug*h/g Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01806623 |
150 mg single, oral dose: 150 mg route of administration: oral experiment type: single co-administered: |
FLUCONAZOLE vaginal fluid | Homo sapiens population: unhealthy age: sex: F food status: |
|
85.3 ug*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01806623 |
150 mg single, oral dose: 150 mg route of administration: oral experiment type: single co-administered: |
FLUCONAZOLE vaginal fluid | Homo sapiens population: unhealthy age: sex: F food status: |
|
76.4 μg × h/mL |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
30 h |
400 mg single, oral dose: 400 mg route of administration: Oral experiment type: SINGLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
|
25 h |
2 mg/kg single, oral dose: 2 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: UNKNOWN age: CHILD sex: UNKNOWN food status: UNKNOWN |
|
19.5 h |
8 mg/kg single, oral dose: 8 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: UNKNOWN age: CHILD sex: UNKNOWN food status: UNKNOWN |
|
17.4 h |
2 mg/kg 1 times / day multiple, intravenous dose: 2 mg/kg route of administration: Intravenous experiment type: MULTIPLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: UNKNOWN age: CHILD sex: UNKNOWN food status: UNKNOWN |
|
15.2 h |
4 mg/kg 1 times / day multiple, intravenous dose: 4 mg/kg route of administration: Intravenous experiment type: MULTIPLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: UNKNOWN age: CHILD sex: UNKNOWN food status: UNKNOWN |
|
17.6 h |
8 mg/kg 1 times / day multiple, intravenous dose: 8 mg/kg route of administration: Intravenous experiment type: MULTIPLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: UNKNOWN age: CHILD sex: UNKNOWN food status: UNKNOWN |
|
46.2 h |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
FLUCONAZOLE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
88.5% |
FLUCONAZOLE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
15 mg/kg 1 times / day steady, oral Dose: 15 mg/kg, 1 times / day Route: oral Route: steady Dose: 15 mg/kg, 1 times / day Sources: |
unhealthy, 0 - 17 years Health Status: unhealthy Age Group: 0 - 17 years Sex: M+F Sources: |
Other AEs: Vomiting, Abdominal pain... Other AEs: Vomiting (5.4%) Sources: Abdominal pain (2.8%) Nausea (2.3%) Diarrhea (2.1%) |
5.3 mg/kg 1 times / day steady, oral Recommended Dose: 5.3 mg/kg, 1 times / day Route: oral Route: steady Dose: 5.3 mg/kg, 1 times / day Sources: |
unhealthy, 1 - 12 month Health Status: unhealthy Age Group: 1 - 12 month Sex: unknown Sources: |
Other AEs: Anaemia, Transaminases increased... Other AEs: Anaemia (1 patient) Sources: Transaminases increased (1 patient) |
6 mg/kg 1 times / day steady, oral Dose: 6 mg/kg, 1 times / day Route: oral Route: steady Dose: 6 mg/kg, 1 times / day Sources: |
unhealthy, 1 - 12 month Health Status: unhealthy Age Group: 1 - 12 month Sex: M+F Sources: |
Disc. AE: Nephrotoxicity, Hepatotoxicity... AEs leading to discontinuation/dose reduction: Nephrotoxicity Sources: Hepatotoxicity Myelosuppression |
400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 16 - 73 years Health Status: unhealthy Age Group: 16 - 73 years Sex: M+F Sources: |
Disc. AE: Anemia, Transaminases increased... AEs leading to discontinuation/dose reduction: Anemia (3 patients) Sources: Transaminases increased (1 patient) |
400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 46.1 years Health Status: unhealthy Age Group: 46.1 years Sex: M+F Sources: |
Other AEs: Xerosis, Alopecia... Other AEs: Xerosis (8 patients) Sources: Alopecia (11 patient) Fatigue (13 patients) Nausea and vomiting (10 patients) Anorexia (7 patients) Headache (6 patients) Arthralgia (5 patients) Cheilitis (4 patients) Xerostomia (2 patients) Dizziness (3 patients) Neuropathy (2 patients) Abdominal discomfort (2 patients) ALP increased (2 patients) |
150 mg 1 times / day steady, oral Studied dose Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult |
Other AEs: Abortions spontaneous... |
150 mg 1 times / day steady, oral Studied dose Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult |
Other AEs: Abortions spontaneous... |
150 mg single, oral Dose: 150 mg Route: oral Route: single Dose: 150 mg Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
Other AEs: Headache, Nausea... Other AEs: Headache (13%) Sources: Nausea (7%) Abdominal pain (6%) Diarrhea (3%) Dyspepsia (1%) Dizziness (1%) Taste perversion (1%) |
100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
Other AEs: Glucose high, Acute depression... Other AEs: Glucose high (serious, 1 patient) Sources: Acute depression (serious, 1 patient) Agitation (below serious, 1 patient) Aspartate aminotransferase increased (below serious, 1 patient) Blood alkaline phosphatase high (below serious, 1 patient) Taste altered (below serious, 1 patient) Bilirubin total high (below serious, 3 patients) Chlamydial infection (below serious, 1 patient) Constipation (below serious, 1 patient) Subcutaneous cyst (below serious, 1 patient) Depressed mood (below serious, 2 patients) Dry mouth (below serious, 2 patients) Flank pain (below serious, 1 patient) Blood glucose increased (below serious, 3 patients) Headache NOS (below serious, 1 patient) Insomnia (below serious, 1 patient) Generalized joint pain (below serious, 1 patient) Lightheadedness (below serious, 1 patient) Lymphadenopathy cervical (below serious, 1 patient) Nausea (below serious, 4 patients) Nose bleed (below serious, 1 patient) Prostatitis (below serious, 1 patient) Sexual dysfunction (below serious, 1 patient) Syphilis (below serious, 1 patient) Tooth infection (below serious, 1 patient) Upper respiratory infection (below serious, 1 patient) Visual disturbance (below serious, 1 patient) Vomiting (below serious, 1 patient) Weight loss (below serious, 1 patient) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Diarrhea | 2.1% | 15 mg/kg 1 times / day steady, oral Dose: 15 mg/kg, 1 times / day Route: oral Route: steady Dose: 15 mg/kg, 1 times / day Sources: |
unhealthy, 0 - 17 years Health Status: unhealthy Age Group: 0 - 17 years Sex: M+F Sources: |
| Nausea | 2.3% | 15 mg/kg 1 times / day steady, oral Dose: 15 mg/kg, 1 times / day Route: oral Route: steady Dose: 15 mg/kg, 1 times / day Sources: |
unhealthy, 0 - 17 years Health Status: unhealthy Age Group: 0 - 17 years Sex: M+F Sources: |
| Abdominal pain | 2.8% | 15 mg/kg 1 times / day steady, oral Dose: 15 mg/kg, 1 times / day Route: oral Route: steady Dose: 15 mg/kg, 1 times / day Sources: |
unhealthy, 0 - 17 years Health Status: unhealthy Age Group: 0 - 17 years Sex: M+F Sources: |
| Vomiting | 5.4% | 15 mg/kg 1 times / day steady, oral Dose: 15 mg/kg, 1 times / day Route: oral Route: steady Dose: 15 mg/kg, 1 times / day Sources: |
unhealthy, 0 - 17 years Health Status: unhealthy Age Group: 0 - 17 years Sex: M+F Sources: |
| Anaemia | 1 patient | 5.3 mg/kg 1 times / day steady, oral Recommended Dose: 5.3 mg/kg, 1 times / day Route: oral Route: steady Dose: 5.3 mg/kg, 1 times / day Sources: |
unhealthy, 1 - 12 month Health Status: unhealthy Age Group: 1 - 12 month Sex: unknown Sources: |
| Transaminases increased | 1 patient | 5.3 mg/kg 1 times / day steady, oral Recommended Dose: 5.3 mg/kg, 1 times / day Route: oral Route: steady Dose: 5.3 mg/kg, 1 times / day Sources: |
unhealthy, 1 - 12 month Health Status: unhealthy Age Group: 1 - 12 month Sex: unknown Sources: |
| Hepatotoxicity | Disc. AE | 6 mg/kg 1 times / day steady, oral Dose: 6 mg/kg, 1 times / day Route: oral Route: steady Dose: 6 mg/kg, 1 times / day Sources: |
unhealthy, 1 - 12 month Health Status: unhealthy Age Group: 1 - 12 month Sex: M+F Sources: |
| Myelosuppression | Disc. AE | 6 mg/kg 1 times / day steady, oral Dose: 6 mg/kg, 1 times / day Route: oral Route: steady Dose: 6 mg/kg, 1 times / day Sources: |
unhealthy, 1 - 12 month Health Status: unhealthy Age Group: 1 - 12 month Sex: M+F Sources: |
| Nephrotoxicity | Disc. AE | 6 mg/kg 1 times / day steady, oral Dose: 6 mg/kg, 1 times / day Route: oral Route: steady Dose: 6 mg/kg, 1 times / day Sources: |
unhealthy, 1 - 12 month Health Status: unhealthy Age Group: 1 - 12 month Sex: M+F Sources: |
| Transaminases increased | 1 patient Disc. AE |
400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 16 - 73 years Health Status: unhealthy Age Group: 16 - 73 years Sex: M+F Sources: |
| Anemia | 3 patients Disc. AE |
400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 16 - 73 years Health Status: unhealthy Age Group: 16 - 73 years Sex: M+F Sources: |
| Nausea and vomiting | 10 patients | 400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 46.1 years Health Status: unhealthy Age Group: 46.1 years Sex: M+F Sources: |
| Alopecia | 11 patient | 400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 46.1 years Health Status: unhealthy Age Group: 46.1 years Sex: M+F Sources: |
| Fatigue | 13 patients | 400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 46.1 years Health Status: unhealthy Age Group: 46.1 years Sex: M+F Sources: |
| ALP increased | 2 patients | 400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 46.1 years Health Status: unhealthy Age Group: 46.1 years Sex: M+F Sources: |
| Abdominal discomfort | 2 patients | 400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 46.1 years Health Status: unhealthy Age Group: 46.1 years Sex: M+F Sources: |
| Neuropathy | 2 patients | 400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 46.1 years Health Status: unhealthy Age Group: 46.1 years Sex: M+F Sources: |
| Xerostomia | 2 patients | 400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 46.1 years Health Status: unhealthy Age Group: 46.1 years Sex: M+F Sources: |
| Dizziness | 3 patients | 400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 46.1 years Health Status: unhealthy Age Group: 46.1 years Sex: M+F Sources: |
| Cheilitis | 4 patients | 400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 46.1 years Health Status: unhealthy Age Group: 46.1 years Sex: M+F Sources: |
| Arthralgia | 5 patients | 400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 46.1 years Health Status: unhealthy Age Group: 46.1 years Sex: M+F Sources: |
| Headache | 6 patients | 400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 46.1 years Health Status: unhealthy Age Group: 46.1 years Sex: M+F Sources: |
| Anorexia | 7 patients | 400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 46.1 years Health Status: unhealthy Age Group: 46.1 years Sex: M+F Sources: |
| Xerosis | 8 patients | 400 mg 1 times / day steady, oral Studied dose Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 46.1 years Health Status: unhealthy Age Group: 46.1 years Sex: M+F Sources: |
| Abortions spontaneous | 345 patients | 150 mg 1 times / day steady, oral Studied dose Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult |
| Abortions spontaneous | 249 patients | 150 mg 1 times / day steady, oral Studied dose Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult |
| Dizziness | 1% | 150 mg single, oral Dose: 150 mg Route: oral Route: single Dose: 150 mg Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Dyspepsia | 1% | 150 mg single, oral Dose: 150 mg Route: oral Route: single Dose: 150 mg Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Taste perversion | 1% | 150 mg single, oral Dose: 150 mg Route: oral Route: single Dose: 150 mg Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Headache | 13% | 150 mg single, oral Dose: 150 mg Route: oral Route: single Dose: 150 mg Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Diarrhea | 3% | 150 mg single, oral Dose: 150 mg Route: oral Route: single Dose: 150 mg Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Abdominal pain | 6% | 150 mg single, oral Dose: 150 mg Route: oral Route: single Dose: 150 mg Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Nausea | 7% | 150 mg single, oral Dose: 150 mg Route: oral Route: single Dose: 150 mg Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: F Sources: |
| Agitation | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Aspartate aminotransferase increased | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Blood alkaline phosphatase high | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Chlamydial infection | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Constipation | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Flank pain | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Generalized joint pain | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Headache NOS | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Insomnia | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Lightheadedness | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Lymphadenopathy cervical | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Nose bleed | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Prostatitis | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Sexual dysfunction | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Subcutaneous cyst | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Syphilis | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Taste altered | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Tooth infection | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Upper respiratory infection | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Visual disturbance | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Vomiting | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Weight loss | below serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Depressed mood | below serious, 2 patients | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Dry mouth | below serious, 2 patients | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Bilirubin total high | below serious, 3 patients | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Blood glucose increased | below serious, 3 patients | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Nausea | below serious, 4 patients | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Acute depression | serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
| Glucose high | serious, 1 patient | 100 mg 2 times / day steady, oral Dose: 100 mg, 2 times / day Route: oral Route: steady Dose: 100 mg, 2 times / day Sources: |
unhealthy |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| moderate [IC50 13.1 uM] | yes (co-administration study) Comment: see https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/019949s065,020090s047lbl.pdf#page=14 for DDIs |
|||
| moderate [IC50 30.3 uM] | yes (co-administration study) Comment: see https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/019949s065,020090s047lbl.pdf#page=14 for DDIs |
|||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| strong [IC50 12.3 uM] | yes (co-administration study) Comment: see https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/019949s065,020090s047lbl.pdf#page=14 for DDIs |
|||
| weak [Ki 529 uM] | ||||
| weak |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| major | ||||
| minor | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
PubMed
| Title | Date | PubMed |
|---|---|---|
| Candidiasis in a cured MB patient. | 2001-05-01 |
|
| Therapy for fungal infections in leukemia. | 2001-05 |
|
| Candida dubliniensis at a cancer center. | 2001-04-01 |
|
| Effects of fluconazole and fluvoxamine on the pharmacokinetics and pharmacodynamics of glimepiride. | 2001-04 |
|
| Double-blind placebo-controlled trial of fluconazole to prevent candidal infections in critically ill surgical patients. | 2001-04 |
|
| Fluconazole-induced torsade de pointes. | 2001-04 |
|
| In vitro activity of propyl gallate-azole drug combination against fluconazole- and itraconazole-resistant Candida albicans strains. | 2001-04 |
|
| Susceptibility to fluconazole of Candida clinical isolates determined by FUN-1 staining with flow cytometry and epifluorescence microscopy. | 2001-04 |
|
| Acute adrenal failure associated with fluconazole after administration of high-dose cyclophosphamide. | 2001-04 |
|
| Access to fluconazole in less-developed countries. | 2001-03-31 |
|
| Candida ciferrii, a new fluconazole-resistant yeast causing systemic mycosis in immunocompromised patients. | 2001-03 |
|
| Impending rupture in an aortic arch aneurysm by Candida infection. | 2001-03 |
|
| Capecitabine (Xeloda) improves medical resource use compared with 5-fluorouracil plus leucovorin in a phase III trial conducted in patients with advanced colorectal carcinoma. | 2001-03 |
|
| Fluconazole-impregnated beads in the management of fungal infection of prosthetic joints. | 2001-03 |
|
| Laryngeal candidiasis. | 2001-03 |
|
| Treatment for coccidioidomycosis in pregnancy? | 2001-03 |
|
| Fluconazole dose recommendation in urinary tract infection. | 2001-03 |
|
| The influence of antifungal drugs on virulence properties of Candida albicans in patients with diabetes mellitus. | 2001-03 |
|
| Candidal endophthalmitis after keratoplasty. | 2001-03 |
|
| Candidal endophthalmitis in a renal transplant patient. | 2001-03 |
|
| Interstitial lung disease induced by endogenous Candida albicans. | 2001-02-28 |
|
| Treating onychomycosis. | 2001-02-15 |
|
| South Africa cuts agreement for one AIDS drug but ignores another. | 2001-02 |
|
| Synergistic interaction of terbinafine with triazoles or amphotericin B against Aspergillus species. | 2001-02 |
|
| Identification and expression of multidrug resistance-related ABC transporter genes in Candida krusei. | 2001-02 |
|
| Fungal left ventricular assist device endocarditis. | 2001-02 |
|
| Antifungal and immunomodulating activities of 1,4-benzothiazine azole derivatives: review. | 2001-02 |
|
| Effect of ketoconazole, itraconazole and fluconazole on the gastrointestinal colonization of mice by Candida albicans. | 2001-02 |
|
| Determination of minumum inhibitory concentrations of Candida species isolated from vaginal swab specimens by using broth macrodilution and E-test. | 2001-02 |
|
| Cutaneous alternariosis in a cardiac transplant recipient. | 2001-02 |
|
| Effective fluconazole therapy for liver transplant recipients during continuous hemodiafiltration. | 2001-02 |
|
| Analytical validation for a series of marker compounds used to assess renal drug elimination processes. | 2001-02 |
|
| The evolution of Candida species and fluconazole susceptibility among oral and vaginal isolates recovered from human immunodeficiency virus (HIV)-seropositive and at-risk HIV-seronegative women. | 2001-01-15 |
|
| In vitro activity of a new echinocandin, LY303366, and comparison with fluconazole, flucytosine and amphotericin B against Candida species. | 2001-01 |
|
| Aerobic bacterial and fungal infections in peripheral blood stem cell transplants. | 2001-01 |
|
| Pharmacokinetics of sequential intravenous and enteral fluconazole in critically ill surgical patients with invasive mycoses and compromised gastro-intestinal function. | 2001-01 |
|
| Clinico-myocological profile of tinea capitis in North India and response to griseofulvin. | 2001-01 |
|
| Coccidioidomycosis in adolescents with lupus nephritis. | 2001-01 |
|
| Systemic Candida infection in University hospital 1997-1999: the distribution of Candida biotypes and antifungal susceptibility patterns. | 2001 |
|
| Muscular-skeletal cryptococcosis in a patient with idiopathic CD4+ lymphopenia. | 2001 |
|
| Electrophoretic karyotyping and antifungal susceptibility patterns of Candida parapsilosis clinical isolates causing deep and superficial fungal infections. | 2001 |
|
| Penicillium marneffei: types and drug susceptibility. | 2001 |
|
| In vitro susceptibility of 137 Candida sp. isolates from HIV positive patients to several antifungal drugs. | 2001 |
|
| Comparison of PCR to histology for the diagnosis of invasive candidiasis in a murine model. | 2001 |
|
| Candidemia before and during the fluconazole era: prevalence, type of species and approach to treatment in a tertiary care community hospital. | 2001 |
|
| [Current problems in etiotropic therapy of mycoses]. | 2001 |
|
| The cost of treating systemic fungal infections. | 2001 |
|
| Clinical experience with itraconazole in systemic fungal infections. | 2001 |
|
| Current management of fungal infections. | 2001 |
|
| Synergistic effects of low doses of histatin 5 and its analogues on amphotericin B anti-mycotic activity. | 2000-08 |
Sample Use Guides
Dosage and Administration in Adults:
Single Dose
Vaginal candidiasis: The recommended dosage of DIFLUCAN for vaginal candidiasis is 150 mg as a single oral dose.
Multiple Dose
SINCE ORAL ABSORPTION IS RAPID AND ALMOST COMPLETE, THE DAILY DOSE OF DIFLUCAN (FLUCONAZOLE) IS THE SAME FOR ORAL (TABLETS AND SUSPENSION) AND INTRAVENOUS ADMINISTRATION. In general, a loading dose of twice the daily dose is recommended on the first day of therapy to result in plasma concentrations close to steady-state by the second day of therapy.
Oropharyngeal candidiasis: The recommended dosage of DIFLUCAN for oropharyngeal candidiasis is 200 mg on the first day, followed by 100 mg once daily.
Esophageal candidiasis: The recommended dosage of DIFLUCAN for esophageal candidiasis is 200 mg on the first day, followed by 100 mg once daily. Doses up to 400 mg/day may be used.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/27222702
Fluconazole inhibited Candida albicans with MIC 0.125-16 ug/ml
| Substance Class |
Chemical
Created
by
admin
on
Edited
Wed Apr 02 09:33:53 GMT 2025
by
admin
on
Wed Apr 02 09:33:53 GMT 2025
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| Record UNII |
8VZV102JFY
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Validated (UNII)
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| Record Version |
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| Classification Tree | Code System | Code | ||
|---|---|---|---|---|
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WHO-ATC |
J01RA07
Created by
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WHO-VATC |
QD01AC15
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WHO-ATC |
J02AC01
Created by
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NDF-RT |
N0000008217
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WHO-ATC |
D01AC15
Created by
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NCI_THESAURUS |
C514
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WHO-VATC |
QJ02AC01
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LIVERTOX |
NBK548300
Created by
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NDF-RT |
N0000175487
Created by
admin on Wed Apr 02 09:33:53 GMT 2025 , Edited by admin on Wed Apr 02 09:33:53 GMT 2025
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WHO-ESSENTIAL MEDICINES LIST |
6.3
Created by
admin on Wed Apr 02 09:33:53 GMT 2025 , Edited by admin on Wed Apr 02 09:33:53 GMT 2025
|
| Code System | Code | Type | Description | ||
|---|---|---|---|---|---|
|
C500
Created by
admin on Wed Apr 02 09:33:53 GMT 2025 , Edited by admin on Wed Apr 02 09:33:53 GMT 2025
|
PRIMARY | |||
|
CHEMBL106
Created by
admin on Wed Apr 02 09:33:53 GMT 2025 , Edited by admin on Wed Apr 02 09:33:53 GMT 2025
|
PRIMARY | |||
|
m5423
Created by
admin on Wed Apr 02 09:33:53 GMT 2025 , Edited by admin on Wed Apr 02 09:33:53 GMT 2025
|
PRIMARY | Merck Index | ||
|
5851
Created by
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PRIMARY | |||
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1187
Created by
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PRIMARY | |||
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SUB07674MIG
Created by
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PRIMARY | |||
|
N0000185504
Created by
admin on Wed Apr 02 09:33:53 GMT 2025 , Edited by admin on Wed Apr 02 09:33:53 GMT 2025
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PRIMARY | Cytochrome P450 2C9 Inhibitors [MoA] | ||
|
7420
Created by
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PRIMARY | |||
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DB00196
Created by
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PRIMARY | |||
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Fluconazole
Created by
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PRIMARY | |||
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N0000182141
Created by
admin on Wed Apr 02 09:33:53 GMT 2025 , Edited by admin on Wed Apr 02 09:33:53 GMT 2025
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PRIMARY | Cytochrome P450 3A4 Inhibitors [MoA] | ||
|
1271700
Created by
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PRIMARY | |||
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8VZV102JFY
Created by
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PRIMARY | |||
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758661
Created by
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PRIMARY | |||
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FLUCONAZOLE
Created by
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PRIMARY | |||
|
86386-73-4
Created by
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PRIMARY | |||
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46081
Created by
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|
PRIMARY | |||
|
N0000182140
Created by
admin on Wed Apr 02 09:33:53 GMT 2025 , Edited by admin on Wed Apr 02 09:33:53 GMT 2025
|
PRIMARY | Cytochrome P450 2C19 Inhibitors [MoA] | ||
|
4450
Created by
admin on Wed Apr 02 09:33:53 GMT 2025 , Edited by admin on Wed Apr 02 09:33:53 GMT 2025
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PRIMARY | RxNorm | ||
|
3365
Created by
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PRIMARY | |||
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100000092657
Created by
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PRIMARY | |||
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FLUCONAZOLE
Created by
admin on Wed Apr 02 09:33:53 GMT 2025 , Edited by admin on Wed Apr 02 09:33:53 GMT 2025
|
PRIMARY | Description: A white or almost white, crystalline powder.Solubility: Slightly soluble in water, freely soluble in methanol, soluble in acetone.Category: Antifungal.Storage: Fluconazole should be kept in a tightly closed container.Additional information: Fluconazole is hygroscopic and exhibits polymorphism.Definition: Fluconazole contains not less than 99.0% and not more than 101.0% of C13H12F2N6O, calculated with reference to the dried substance. | ||
|
DTXSID3020627
Created by
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PRIMARY | |||
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8VZV102JFY
Created by
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PRIMARY | |||
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D015725
Created by
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PRIMARY |
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
EXCRETED UNCHANGED |
URINE
|
||
|
METABOLIC ENZYME -> INHIBITOR |
IC50
|
||
|
BASIS OF STRENGTH->SUBSTANCE |
ASSAY (TITRATION)
EP
|
||
|
|
INHIBITOR -> METABOLIC ENZYME | |||
|
METABOLIC ENZYME -> INHIBITOR | |||
|
METABOLIC ENZYME -> INHIBITOR |
IC50
|
||
|
BINDER->LIGAND |
BINDING
|
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
METABOLITE -> PARENT |
MAJOR
URINE
|
||
|
|
PRODRUG -> METABOLITE ACTIVE |
|
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
IMPURITY -> PARENT |
In the chromatogram obtained with solution (1):
? the area of any peak corresponding to impurity A is not is not greater than 0.8 times the area of the principal peak in the chromatogram obtained with solution (2) (0.4 %).
|
||
|
IMPURITY -> PARENT |
Fluconazole Impurity H
Amount Not Specified.
|
||
|
IMPURITY -> PARENT |
Fluconazole Impurity I
Amount Not Specified.
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
||
|
IMPURITY -> PARENT |
Fluconazole Impurity G
Amount Not Specified.
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
|
||
|
IMPURITY -> PARENT |
Fluconazole Impurity E
Amount Not Specified.
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
||
|
IMPURITY -> PARENT |
In the chromatogram obtained with solution (1):? the area of any peak corresponding to impurity B, when multiplied by a correction factor of 1.5, is not greater than 0.3 times the area of the principal peak in the chromatogram obtained with solution (3) (0.3 %).
|
||
|
IMPURITY -> PARENT | |||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
|
||
|
IMPURITY -> PARENT |
Fluconazole Impurity F
Amount Not Specified.
|
||
|
IMPURITY -> PARENT |
Amount not specified.
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
||
|
IMPURITY -> PARENT |
The test is not valid, unless in the chromatogram obtained with solution (4), the resolution between the peaks due to impurity C and fluconazole is at least 3.0.
In the chromatogram obtained with solution (1):? the area of any peak corresponding to impurity C is not is not greater than 0.1 times the area of the principal peak in the chromatogram obtained with solution (3) (0.1 %).
|
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
|
ACTIVE MOIETY |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| MAXIMUM TOLERATED DOSE | TOXICITY |
|
|
|||
| Route of Elimination | PHARMACOKINETIC |
|
ELDERLY: 22% UNCHANGED |
|
||
| Volume of Distribution | PHARMACOKINETIC |
|
|
|||
| Biological Half-life | PHARMACOKINETIC |
|
CHILDREN, AGE 9 MONTHS TO 15 YEARS: 15.2 - 25 HOURS |
|
||
| Biological Half-life | PHARMACOKINETIC |
|
|
|||
| Cmax | PHARMACOKINETIC |
|
Route PHARMACOKINETIC |
|
||
| Volume of Distribution | PHARMACOKINETIC |
|
ROUTE OF ADMINISTRATION: ORAL |
|
||
| Tmax | PHARMACOKINETIC |
|
EFFECT OF FOOD: NONE |
|
||
| Volume of Distribution | PHARMACOKINETIC |
|
ROUTE OF AMINISTRATION: IV |
|
||
| ORAL BIOAVAILABILITY | PHARMACOKINETIC |
|
EFFECT OF FOOD: NONE |
|
||
| PROTEIN BINDING | PHARMACOKINETIC |
|
||||
| Cmax | PHARMACOKINETIC |
|
ROUTE PHARMACOKINETIC PHARMACOKINETIC |
|||