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Fluconazole

Common Brand Names: Diflucan

Drug Information

Medically reviewed by Jessica Swirble, PharmD
Last updated on April 17, 2025

Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

Quick facts

  • Brand Name: Diflucan
  • Generic Name: Fluconazole
  • Uses: Treating fungal infections, including yeast infections, thrush, and certain types of meningitis
  • Drug Class: Antifungal
  • Availability: Prescription only
  • Generic Status: Yes
  • Controlled Substance: No

What is fluconazole?

Fluconazole is an antifungal medication used to treat various fungal infections, including yeast infections (candidiasis), oral thrush, vaginal yeast infections, and certain types of meningitis caused by fungi. It belongs to the azole class of antifungals.

What conditions does fluconazole treat?

Fluconazole is used to treat conditions such as:

  • Vaginal yeast infections: Fungal infections affecting the vagina, often causing itching, discharge, and irritation
  • Oral thrush: Fungal infection in the mouth and throat, characterized by white patches on the tongue and inside the cheeks
  • Systemic fungal infections: Including invasive candidiasis and cryptococcal meningitis

It may also be prescribed for other fungal infections as determined by your healthcare provider.

How does fluconazole work?

Fluconazole works by interfering with the synthesis of fungal cell membranes, leading to the disruption of fungal growth and reproduction. It effectively targets fungal cells while sparing human cells, making it an effective treatment for various fungal infections.

How do I take fluconazole?

Fluconazole is usually taken orally with or without food, as directed by your healthcare provider. The dosage and duration of treatment depend on the type and severity of the fungal infection.

Follow the prescribed dosage and schedule strictly. Do not stop taking fluconazole suddenly without consulting your healthcare provider, as it may lead to the recurrence of the infection.

How long until I feel better?

The time it takes to see improvements in fungal infections can vary depending on the type of infection and individual response. Some infections may improve within a few days of starting fluconazole, while others may require longer treatment durations.

Continue taking fluconazole as prescribed even if your symptoms improve. Complete the full course of treatment to ensure the infection is fully eradicated.

Are there any other uses for fluconazole?

While fluconazole is primarily used for fungal infections, healthcare providers may sometimes prescribe it off-label for other conditions, such as:

  • Prevention of fungal infections in immunocompromised individuals
  • Fungal skin infections: Such as ringworm and athlete's foot
  • Fungal nail infections: Infections of the nails caused by fungi
  • Prophylactic treatment during bone marrow transplantation or chemotherapy

Discuss any alternative uses of fluconazole with your healthcare provider.

Dosage forms of fluconazole

Fluconazole is available in the following dosage forms:

  • Oral tablets: Available in various strengths (e.g., 50mg, 100mg, 150mg, 200mg)
  • Oral suspension: Available for pediatric use and patients who cannot swallow tablets
  • Intravenous (IV) solutions: For severe or systemic fungal infections

Generic versions of fluconazole are available under various brand names.

Fluconazole is a prescription medication. You will need a valid prescription from a licensed healthcare provider to obtain this medication.

Side Effects and Precautions for Fluconazole


Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

What are the side effects of fluconazole?

The use of fluconazole can lead to various side effects in some individuals.

Common mild side effects of fluconazole use include:

  • Headache
  • Nausea or upset stomach
  • Diarrhea
  • Dizziness
  • Changes in taste
  • Indigestion

More severe side effects of fluconazole use can include:

  • Liver problems (such as yellowing of the skin or eyes, dark urine, abdominal pain)
  • Allergic reactions (such as rash, itching, swelling of the face, tongue, or throat, trouble breathing)
  • Severe skin reactions (such as blistering, peeling, or redness of the skin)
  • Irregular heartbeat or palpitations
  • Unusual bruising or bleeding
  • Seizures
  • Persistent or severe headache
  • Persistent or severe dizziness
  • Changes in vision or hearing
  • Signs of a serious allergic reaction (such as hives, difficulty breathing, swelling of the face, lips, tongue, or throat)

If you experience any severe or concerning side effects while taking fluconazole, contact your healthcare provider promptly.

What should I tell my healthcare provider before using fluconazole?

Tell your healthcare provider about any existing medical conditions, allergies, or other medications you are taking before starting treatment with fluconazole. This includes prescription drugs, over-the-counter medications, and dietary supplements, as they may interact with fluconazole.

Tell your provider if you are taking these medications or supplements:

  • Anticoagulants (blood thinners)
  • Anticonvulsants (seizure medications)
  • Antidepressants
  • Antifungal medications
  • Antiplatelet medications
  • Antipsychotics
  • Heart medications
  • HIV/AIDS medications
  • Diabetes medications
  • Immunosuppressants
  • Chemotherapy medications
  • Oral contraceptives
  • Antacids containing aluminum or magnesium
  • Phenytoin
  • Rifampin or rifabutin (antibiotics)
  • Theophylline (used to treat asthma)

You should also mention medical conditions such as:

  • Liver or kidney disease
  • Heart disease
  • Diabetes
  • History of allergic reactions
  • Pregnancy or breastfeeding

If you are pregnant, planning to become pregnant, or breastfeeding, consult your healthcare provider before using fluconazole to assess potential risks and benefits.

Are there any other special instructions I should follow?

Take fluconazole exactly as prescribed by your healthcare provider. Do not skip doses or stop the medication prematurely, even if you start feeling better.

Fluconazole can be taken with or without food. Swallow the tablet whole with a full glass of water.

Avoid alcohol while taking fluconazole, as it may increase the risk of side effects and reduce the effectiveness of the medication.

If you are using fluconazole for a vaginal yeast infection, abstain from sexual activity until the infection is fully treated to prevent transmission.

Store fluconazole at room temperature, away from moisture and heat. Keep it out of reach of children.

What should I do in case of an overdose?

In case of a fluconazole overdose, seek medical attention immediately. Symptoms of overdose may include severe nausea, vomiting, diarrhea, and dizziness. If you suspect an overdose, contact the poison control helpline at 1-800-222-1222 or call emergency services.

Proper Use & Dosage Information for Fluconazole


Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

What is the typical starting dose of fluconazole?

Fluconazole is available in the following forms:

  • Oral tablets (50mg, 100mg, 150mg, 200mg)
  • Oral suspension (10mg/mL, 40mg/mL)

Typical starting dose for vaginal yeast infections:

  • 150mg as a single oral dose.

Typical starting dose for candidiasis (thrush):

  • 200mg on the first day, followed by 100mg daily for 2-4 weeks.

Typical starting dose for cryptococcal meningitis:

  • 800 mg to 1200 mg daily in combination with other medications for at least 2 weeks.

Fluconazole is available in oral tablet and suspension forms. It should be taken orally with or without food, as directed by your healthcare provider. Follow the prescribed dosage and schedule strictly for optimal effectiveness.

The dosage of fluconazole recommended for you will depend on various factors such as the type and severity of the infection, your medical history, and your response to the medication. Take fluconazole exactly as prescribed by your provider.

If you have any questions about your dosage or how to take this medication, contact your healthcare provider or pharmacist. If you want to talk to a provider right away, consider booking an online doctor appointment on Sesame to discuss your concerns.

What should I do if I miss a dose of fluconazole?

If you miss a dose of fluconazole, take it as soon as you remember unless it's almost time for your next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

What should I do if I'm feeling better while taking fluconazole?

Continue taking fluconazole as prescribed by your healthcare provider, even if you start feeling better. It is important to complete the full course of treatment to ensure the infection is fully eradicated. Do not stop taking fluconazole without consulting your provider.

How should I store fluconazole?

Store fluconazole according to the instructions provided by your healthcare provider or pharmacist. Keep it at room temperature, away from moisture, heat, and light. Ensure the container is tightly closed and out of reach of children.

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