Fluconazole Combix 200 mg hard capsules EFG

Spain
Brand name Fluconazole Combix 200 mg hard capsules EFG
Form capsules, hard
Active substance / Dosage
FLUCONAZOLE · 200 mg
Prescription type Prescription Only Medicine
Registration number 75964
Fluconazole Combix 200 mg hard capsules EFG capsules, hard

Package leaflet: Information for the user

Introduction

PACKAGE LEAFLET: INFORMATION FOR THE USER

Fluconazole Combix 200 mg hard capsules EFG

Read the entire leaflet carefully before you start taking this medicine because it contains important information for you.

  • Keep this leaflet as you may need to read it again.
  • If you have any questions, ask your doctor, pharmacist or nurse.
  • This medicine has been prescribed for you only, and you should not give it to others, even if they have the same symptoms as you, because it could harm them.
  • If you experience any adverse reactions, consult your doctor, pharmacist or nurse, even if they are adverse reactions not listed in this leaflet.

Leaflet contents

  1. What Fluconazole Combix is and what it is used for
  2. What you need to know before taking Fluconazole Combix
  3. How to take Fluconazole Combix
  4. Possible adverse effects
  5. How to store Fluconazole Combix
  6. Contents of the pack and other information

1. What Fluconazol Combix is and what it is used for

Fluconazol Combix is a medicine belonging to a group called "antifungals". The active substance is fluconazole.

Fluconazol Combix is used to treat fungal infections, and may also be used to prevent the occurrence of a fungal infection. The most common cause of fungal infections is a yeast called Candida.

Official recommendations on the appropriate use of antifungal agents should be taken into account.

Adults

Your doctor may prescribe this medicine to treat the following types of fungal infections:

  • Cryptococcal meningitis – a fungal infection of the brain.
  • Coccidioidomycosis – a disease affecting the bronchopulmonary system.
  • Infections caused by Candida located in the bloodstream, in body organs (e.g. heart, lungs), or in the urinary tract.
  • Mucosal candidiasis – infection affecting the lining of the mouth, throat, or associated with dental prostheses.
  • Genital candidiasis – infection of the vagina or penis.
  • Skin infections – e.g. athlete's foot, ringworm, jock itch, nail infections.

Fluconazol Combix may also be prescribed to:

  • Prevent recurrence of cryptococcal meningitis.
  • Prevent recurrence of mucosal infections.
  • Reduce repeated episodes of vaginal Candida infections.
  • Prevent transmission of Candida infections (if your immune system is weakened and not functioning properly).

Children and adolescents (0 to 17 years)

Your doctor may prescribe this medicine to treat the following types of fungal infections:

  • Mucosal candidiasis – infection affecting the lining of the mouth or throat.
  • Infections caused by Candida located in the bloodstream, in body organs (e.g. heart, lungs), or in the urinary tract.
  • Cryptococcal meningitis – a fungal infection of the brain.

Fluconazol Combix may also be prescribed to:

  • Prevent transmission of Candida infections (if your immune system is weakened and not functioning properly).
  • Prevent recurrence of cryptococcal meningitis.

2. What you need to know before taking Fluconazol Combix

Do not take Fluconazol Combix

  • if you are allergic (hypersensitive) to fluconazole, to other antifungal medicines you have taken, or to any of the other ingredients of Fluconazol Combix. Symptoms may include itching, skin redness, or difficulty breathing.
  • if you are taking astemizole or terfenadine (antihistamine medicines used to treat allergies).
  • if you are taking cisapride (used to treat stomach discomfort).
  • if you are taking pimozide (used to treat mental illnesses).
  • if you are taking quinidine (used to treat heart arrhythmias).
  • if you are taking erythromycin (an antibiotic used to treat infections).

Warnings and precautions

Tell your doctor if

  • you have liver or kidney problems.
  • you have a heart condition, including heart rhythm disorders.
  • you have abnormal levels of potassium, calcium, or magnesium in your blood.
  • you develop severe skin reactions (itching, skin redness, or difficulty breathing).
  • you have ever had a severe skin rash, skin peeling, blisters, and/or mouth sores after taking Fluconazol Combix.
  • your fungal infection does not improve, as alternative antifungal treatment may be needed.

Severe skin reactions, including Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS), have been reported during treatment with Fluconazol Combix. Stop taking Fluconazol Combix and seek immediate medical attention if you notice any symptoms related to these severe skin reactions described in section 4.

Interaction of Fluconazol Combix with other medicines

Inform your doctor immediately if you are taking astemizole, terfenadine (antihistamines used to treat allergies), cisapride (used for stomach discomfort), pimozide (used to treat mental illnesses), quinidine (used to treat heart arrhythmias), or erythromycin (an antibiotic used to treat infections), as these medicines must not be taken with Fluconazol Combix (see section: “Do not take Fluconazol Combix”).

Some medicines may interact with Fluconazol Combix.

Make sure your doctor knows if you are taking any of the following medicines:

  • rifampicin or rifabutin (antibiotics used for infections).
  • alfentanil, fentanyl (used as anesthetics).
  • amitriptyline, nortriptyline (used as antidepressants).
  • amphotericin B, voriconazole (antifungals).
  • blood-thinning medicines to prevent blood clots (warfarin or similar medicines).
  • benzodiazepines (midazolam, triazolam, or similar medicines) used to help sleep or for anxiety.
  • carbamazepine, phenytoin (used to treat seizures).
  • nifedipine, isradipine, amlodipine, felodipine, and losartan (for hypertension - high blood pressure).
  • ciclosporin, everolimus, sirolimus, or tacrolimus (to prevent transplant rejection).
  • cyclophosphamide, vinca alkaloids (vincristine, vinblastine, or similar medicines) used to treat cancer.
  • halofantrine (used to treat malaria).
  • statins (atorvastatin, simvastatin, fluvastatin, or similar medicines) used to reduce high cholesterol levels.
  • methadone (used for pain).
  • celecoxib, flurbiprofen, naproxen, ibuprofen, lornoxicam, meloxicam, diclofenac (Non-Steroidal Anti-Inflammatory Drugs – NSAIDs).
  • oral contraceptives.
  • prednisone (a steroid).
  • zidovudine (also known as AZT), saquinavir (used in HIV-infected patients).
  • diabetes medicines such as chlorpropamide, glyburide, glipizide, or tolbutamide.
  • theophylline (used to control asthma).
  • vitamin A (nutritional supplement).

Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including those obtained without a prescription.

Fluconazol Combix with food and drink

You may take this medicine with or without food.

Pregnancy, breastfeeding, and fertility

Tell your doctor if you are pregnant, trying to become pregnant, or breastfeeding.

If you are planning to become pregnant, it is recommended that you wait one week after a single dose of fluconazole before attempting to conceive.

For longer treatment courses with fluconazole, consult your doctor about using appropriate contraceptive methods during treatment, which should be continued for one week after the last dose.

You must not take Fluconazol Combix if you are pregnant, think you may be pregnant, plan to become pregnant, or are breastfeeding, unless your doctor has specifically instructed you to do so.

Fluconazole taken during the first or second trimester of pregnancy may increase the risk of spontaneous abortion. Fluconazole use during the first trimester may increase the risk of congenital abnormalities affecting the heart, bones, and/or muscles.

Cases of babies born with congenital abnormalities affecting the skull, ears, and thigh and elbow bones have been reported in women treated for three months or more with high doses (400–800 mg daily) of fluconazole for coccidioidomycosis. The relationship between fluconazole and these cases is not fully established.

Consult your doctor or pharmacist before using any medicine.

Driving and using machines

When driving or operating machinery, bear in mind that dizziness or seizures may occasionally occur.

Fluconazol Combix contains lactose. If your doctor has informed you of an intolerance to certain sugars, consult him before taking this medicine.

3. How to take Fluconazole Combix

Follow exactly the instructions given by your doctor for taking this medicine. If in doubt, consult your doctor or pharmacist again.

The capsules should be swallowed whole with a glass of water. It is best to take your capsules at the same time each day.

The usual doses of this medicine for different types of infections are given below:

Adults

Condition

Dosage

To treat cryptococcal meningitis.

400 mg on the first day, followed by 200 mg to 400 mg once daily for 6 to 8 weeks, or longer if necessary. The dose may occasionally be increased up to 800 mg.

To prevent recurrence of cryptococcal meningitis.

200 mg once daily until your doctor advises otherwise.

To treat coccidioidomycosis.

200 mg to 400 mg once daily for 11 to 24 months, or longer if necessary. The dose may occasionally be increased up to 800 mg.

To treat systemic fungal infections caused by Candida.

800 mg on the first day, followed by 400 mg once daily until your doctor advises otherwise.

To treat mucosal infections affecting the lining of the mouth, throat, or associated with dental prostheses.

200 mg to 400 mg on the first day, then 100 mg to 200 mg once daily until your doctor advises otherwise.

To treat mucosal candidiasis – dosage depends on the site of infection.

50 mg to 400 mg once daily for 7 to 30 days, or until your doctor advises otherwise.

To prevent mucosal infections affecting the lining of the mouth and throat.

100 mg to 200 mg once daily, or 200 mg three times per week, for as long as the risk of developing an infection persists.

To treat genital candidiasis.

150 mg as a single dose.

To reduce recurrent episodes of vaginal candidiasis.

150 mg every third day for a total of 3 doses (on days 1, 4, and 7), followed by once weekly for as long as the risk of developing an infection persists.

To treat fungal skin or nail infections.

Depending on the site of infection: 50 mg once daily, 150 mg once weekly, or 300 to 400 mg once weekly for 1 to 4 weeks (for athlete's foot, up to 6 weeks may be needed; for nail infections, continue treatment until a healthy nail has grown).

To prevent Candida infection (if your immune system is weakened and not functioning properly).

200 mg to 400 mg once daily for as long as the risk of developing an infection persists.

Adolescents aged 12 to 17 years

Follow the dose prescribed by your doctor (the adult or pediatric dosage).

Children up to 11 years of age

The maximum daily dose for children is 400 mg per day.

The dose will be based on the child's weight in kilograms.

Condition

Daily dose

Candidiasis of mucous membranes and throat infections caused by Candida – dose and duration of treatment depend on the severity of the infection and its location.

3 mg per kg of body weight (on the first day, 6 mg per kg of body weight may be given).

Cryptococcal meningitis or internal fungal infections caused by Candida.

6 mg to 12 mg per kg of body weight.

To prevent the child from acquiring an infection caused by Candida (if their immune system is not functioning properly).

3 mg to 12 mg per kg of body weight.

Use in children from 0 to 4 weeks of age

Use in children from 3 to 4 weeks of age:

The same dose as described in the table, but administered once every 2 days. The maximum dose is 12 mg per kg of body weight every 48 hours.

Use in children under 2 weeks of age:

The same dose as described in the table, but administered once every 3 days. The maximum daily dose is 12 mg per kg of body weight every 72 hours.

Occasionally, doctors may prescribe doses different from those described. Always follow exactly the administration instructions given by your doctor. Consult your doctor or pharmacist if you have any doubts.

Elderly patients

The usual adult dose, unless you have kidney problems.

Patients with kidney problems

Your doctor may adjust your dose depending on how well your kidneys are functioning.

If you take more Fluconazol Combix than you should

Taking too many capsules at once may make you feel unwell. Contact your doctor or the nearest hospital immediately. You may also call the Toxicology Information Service at telephone number 91 562 04 20, indicating the medication and the amount taken. Symptoms of a possible overdose may include hearing, seeing, feeling, and thinking things that are not real (hallucinations and paranoid behavior). It may be appropriate to initiate symptomatic treatment (with supportive measures and gastric lavage if necessary).

If you forget to take Fluconazol Combix

Do not take a double dose to make up for missed doses. If you forget to take a dose, take it as soon as you remember. If it is almost time for your next dose, do not take the missed dose.

If you have any questions about the use of this medicine, ask your doctor or pharmacist.

If you stop treatment with Fluconazol Combix

If you have any further questions about the use of this medicine, ask your doctor, pharmacist, or nurse.

4. Possible adverse effects

Like all medicines, Fluconazol Combix may cause adverse effects, although not everyone experiences them.

Stop taking Fluconazol Combix and seek immediate medical attention if you notice any of the following symptoms:

  • Widespread rash, high body temperature, and swollen lymph nodes (DRESS syndrome or drug hypersensitivity syndrome).

Some people may develop allergic reactions, although serious allergic reactions are rare. If any of the following symptoms occur, contact your doctor immediately:

  • Sudden wheezing, difficulty breathing, or chest tightness.
  • Swelling of the eyelids, face, or lips.
  • Itching all over the body, skin redness, or itchy red spots.
  • Skin rash.
  • Severe skin reactions, such as blistering rash (this may affect the mouth and tongue).

Fluconazol Combix may affect your liver. Signs indicating liver problems include:

  • Fatigue.
  • Loss of appetite.
  • Nausea or vomiting.
  • Yellowing of the skin or whites of the eyes (jaundice).

If you experience any of these symptoms, stop taking Fluconazol Combix and contact your doctor immediately.

Other adverse effects:

Additionally, if you consider any of the adverse effects you experience to be severe, or if you notice any adverse effects not listed in this leaflet, inform your doctor or pharmacist.

The following are frequent adverse effects, which may affect up to 1 in 10 people:

  • Headache.
  • Stomach discomfort, diarrhea, nausea, vomiting.
  • Elevated blood test results indicating liver function abnormalities.
  • Rash.

The following are uncommon adverse effects, which may affect up to 1 in 100 people:

  • Reduction in red blood cells, which may cause pale skin, weakness, or difficulty breathing.
  • Decreased appetite.
  • Difficulty sleeping, numbness or tingling sensations.
  • Seizures, dizziness, spinning sensation, tingling, prickling, or numbness, changes in taste sensation.
  • Constipation, indigestion, flatulence, dry mouth.
  • Muscle pain.
  • Liver damage and yellowing of the skin and eyes (jaundice).
  • Hives, blisters (wheals), itching, increased sweating.
  • Fatigue, general malaise, fever.

The following are rare adverse effects, which may affect up to 1 in 1,000 people:

  • Lower than normal levels of white blood cells (which help fight infections) and blood platelets (which help stop bleeding).
  • Reddish or purplish skin discoloration, possibly due to low platelet count or other blood cell changes.
  • Changes in blood tests (elevated cholesterol or fat levels).
  • Low blood potassium levels.
  • Tremors.
  • Abnormal electrocardiogram (ECG), changes in heart rate or rhythm.
  • Liver function failure.
  • Allergic reactions (sometimes severe), including widespread blistering rash and skin peeling, severe allergic reactions, swelling of the lips or face.
  • Hair loss.

If you consider any of the adverse effects you experience to be severe, or if you notice any adverse effects not listed in this leaflet, inform your doctor or pharmacist.

5. Storage of Fluconazole Combix

Keep out of sight and reach of children.

Do not use this medicine after the expiry date stated on the packaging after EXP. The expiry date is the last day of the month indicated.

Do not store above 30°C.

Medicines must not be disposed of via wastewater or household waste. Dispose of containers and unused medicines at the SIGRE point at your pharmacy. If you have any doubts, ask your pharmacist how to dispose of containers and medicines you no longer need. This will help protect the environment.

6. Contents of the pack and other information

Composition of Fluconazole Combix

  • The active substance is fluconazole. Each hard capsule contains 200 mg of fluconazole.
  • The other components are:

Capsule contents: monohydrate lactose, corn starch, anhydrous colloidal silica, sodium lauryl sulfate, magnesium stearate.

Composition of the gelatin capsules: gelatin, sodium lauryl sulfate, titanium dioxide (E171).

Appearance of the product and contents of the pack

The 200 mg hard gelatin capsule has a body and cap both white in color. The capsule size is No. 0.

Blister packs made of PVDC/PVC-Aluminum.

Packaging containing 7 hard capsules.

Marketing Authorization Holder

Laboratorios Combix, S.L.U.

C/ Badajoz 2. Building 2.

28223 Pozuelo de Alarcón (Madrid)

Spain

Manufacturer

Zydus France

25, parc d’activités des Peupliers

92000 Nanterre

France

or

Centre Spécialités Pharmaceutiques

ZAC des Suzots

35 rue de la Chapelle

63450 Saint Amant Tallende

France

This leaflet was approved in February 2024

Detailed and up-to-date information on this medicine is available on the website of the Spanish Agency of Medicines and Health Products (AEMPS): http://www.aemps.gob.es/