Canditral

Canditral

itraconazole

Manufacturer:

Glenmark

Distributor:

Glenmark
Concise Prescribing Info
Contents
Itraconazole
Indications/Uses
Treatment of oropharyngeal & vulvovag candidiasis, pityriasis versicolor, dermatophytoses unresponsive to topical treatment, onychomycosis & systemic infections including aspergillosis, blastomycosis, candidiasis, chromoblastomycoccidioidomycosis, cryptococcosis, histoplasmosis, paracoccidioidomycosis, sporotrichosis. Prophylaxis of fungal infections in immunocompromised patients.
Dosage/Direction for Use
Onychomycosis/tinea fingernail 200 mg bid for 1 wk each mth for 2 mth (1 wk on & 3 wk off). Toenail w/ or w/o fingernail involvement 200 mg bid for 1 wk each mth for 3 mth (1 wk on & 3 wk off) or 200 mg once daily for 12 wk. Dermatomycoses Tinea corporis & cruris 200 mg once daily for 7 days or 100 mg bid for 2 days or 100 mg once daily for 15 days. Plantar tinea pedis & palmar tinea manuum 100 mg once daily for 30 days or 200 mg bid for 7 days. Tinea capitis 200 mg once daily for 2-4 wk. Pityriasis (tinea versicolor) Treatment: 400 mg as single dose or 400 mg/day for 3 days or 200 mg/day for 5-7 days. Prophylaxis: 200 mg bid 1 day/mth for 6 consecutive mth. Seborrheic dermatitis Treatment: 200 mg/day for 7 days. Prophylaxis: 200 mg once daily for 1st 2 days of each mth. Vulvovag candidiasis Acute: 200 mg bid for 1 day or 200 mg once daily for 3 days. Recurrent: Acute regimen followed by 200 mg once daily on 1st day of menses for 6 cycles. Oral candidiasis 100 mg once daily for 15 days. Patient w/ AIDS/neutropenia 200 mg once daily for 15 days. Aspergillosis (pulmonary & extrapulmonary) Usual dose: 200-400 mg daily (200 mg once daily or bid) for min of 3 mth & until resolution of active fungal infection. Life-threatening situations: 600 mg daily (200 mg bid) for 1st 3 days as loading dose followed by usual dose. Histoplasmosis/blastomycosis 200 mg once daily for a min of 3 mth & until resolution of active fungal infection. Dose may be increased in 100-mg increments to max of 400 mg daily. Sporotrichosis 200-400 mg daily (200 mg once daily or bid) for a min of 3 mth & until resolution of active fungal infection. Cryptococcosis (other than meningeal) Treatment: 200 mg bid. Maintenance: 200 mg bid. Cryptococcal meningitis Prophylaxis in AIDS patient 200 mg once daily. Coccidioidomycosis 200 mg bid for 6 wk. Paracoccidioidomycosis 100 mg once daily for 6 mth. Chromomycosis 100-200 mg once daily for 3-6 mth. Other systemic mycoses 200 mg once daily or bid until resolution of active symptoms. Cryptococcal meningitis Lifelong therapy may be indicated. Neutropenia Treatment (empiric): 200 mg bid following 14 days of IV treatment until neutropenia resolves. Prophylaxis (primary or secondary): 200 mg daily. AIDS Prophylaxis/prevention of fungal infection: 200 mg daily. Oculomycoses 200 mg once daily or bid until resolution of active fungal infection. Immunosuppressant therapy/chemotherapy/transplant recipient 400 mg until immune system recovery.
Administration
Should be taken with food: Take immediately after a full meal.
Contraindications
Hypersensitivity to itraconazole or other azole antifungals. Patients w/ evidence of ventricular dysfunction (CHF or history of CHF). Co-administration w/ cisapride, dofetilide, oral midazolam, pimozide, levacetylmethadol (levomethadyl), quinidine, lovastatin, simvastatin or triazolam; ergot alkaloids eg, dihydroergotamine, ergometrine (ergonovine), ergotamine & methylergometrine (methylergonovine). Pregnancy & women planning to become pregnant.
Special Precautions
Patients w/ risk factors for CHF eg, ischemic & valvular heart disease, significant pulmonary disease, renal failure & other edematous disorders. Hepatic dysfunction. Discontinue use if neuropathy or signs or symptoms of CHF & liver dysfunction occurs. Do not use interchangeably w/ itraconazole oral soln. Achlorhydria may occur.
Adverse Reactions
Nausea, vomiting, diarrhea, abdominal pain, anorexia, edema, fatigue, fever, malaise, rash, pruritus, headache, dizziness, somnolence, decreased libido, HTN, hypokalemia, albuminuria, abnormal hepatic function, impotence.
Drug Interactions
Quinidine, dofetilide, pimozide, cisapride; HMG-CoA reductase inhibitors eg, lovastatin & simvastatin; oral midazolam & triazolam; Ca channel blockers eg, dihydropyridines (nifedipine, felodipine) & verapamil; antacids; warfarin; antimycobacterial drugs eg, rifampicin, rifabutin & INH; nevirapine; oral hypoglycemic drugs; PIs.
MIMS Class
Antifungals
ATC Classification
J02AC02 - itraconazole ; Belongs to the class of triazole and tetrazole derivatives. Used in the systemic treatment of mycotic infections.
Presentation/Packing
Form
Canditral cap 100 mg
Packing/Price
28's (P2,402.4/box)
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