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  • Imidazole Derivative Antifungal
    3 Drugs classified under this drug class

    All the Drug Class Drugs

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    Agisten Lozenges

    Imidazole Derivative Antifungal. Clotrimazole 10 mg.
    LOZENG.: 70.
    1 loz. ×5/ d.  for 14  consec. days
    For prophylax., to reduce the incid. of oropharyng. candidiasis in pts. immune-comprom. by condit. that include chemother., radiother., or steroid ther. utilized in the tmt. of leukemia, solid tumors, or ren.  transpl.: 1 loz. ×3/d for the durati. of chemother. or until steroids are reduced to mainten. levels. See lit.
    Local tmt. of oropharyng. candidias. Prophylact. tmt. to reduce inciden. of oropharyng. candidias. in pts. immune-comprom. by:- chemother. ,- radiother.,- steroid ther.  in Leukemia,- solid tumors,- renal transplant.
    C/I: Hypersens.

    not in the basket chart

    Imidazole Derivative Antifungal. Ketoconazole 200 mg.
    TABS.:60. Initiat. dose  in adult.& adolesc. is 400-600 mg/d. taken orally in two or three divid. doses and this dose can be incr. rapidly to 800-1,200 mg/d in two or three divid. doses.
    At tmt. initiat., 24-h urinary free cortisol should be controlled every few days/wks.
    Adjust. of the posology
    The dly. dose should be periodic. adjust. on an individ. basis with the aim to normalise urin. free cortisol and/or plasma cortisol levels.
    A dose incr.of 200 mg/d. every 7- 28 d. may be consid. if urin. free cortisol and/or plasma cortisol levels are above the normal range, as long as the dose is tolerated by the pt.;
    A mainten. dose from 400 mg/d.  to a max. dose of 1,200 mg/d. taken orally in 2 to 3 divided doses may be requir. to restore normal cortisol levels. the maint.  dose varied betwn. 600 mg/d. and 800 mg/d. See lit.
    Indicated for the tmt. of endogenous Cushing’s syndr. in adult.& adolesc. above the age of 12 yrs.
    C/I: Hypersens.
    Hypersens. to any imidazole antifung. medication produc.
    Acute or chron. hep. dis. and/or if pre-tmt. liver enzymes levels are above 2 times the upper limit of normal.
    Pts. with  documented acquired QTc prolong.
    Concom. ther. simvastatin, atorvastatin, lovastatin, eplerenone, methadone, disopyramide, quinidine, dronedarone, pimozide, sertindole, saquinavir (saquinavir/ritonavir 1000/100 mg bid), ranolazine, mizolastine, halofantrine, dabigatran, triazolam, oral midazolam, alprazolam.
    Concom. ther. with ergot alkaloids (e.g. dihydroergotamine, ergometrine (ergonovine), ergotamine and methylergometrine (methylergonovine).
    Concomitant therapy with lurasidone, quetiapine, telithromycin  clarithromycin, felodipine, nisoldipine, colchicine,  irinotecan, everolimus, sirolimus.
    Concom. ther. with vardenafil in men older than 75-yrs.
    Concom. ther. with paritaprevir/ombitasvir (ritonavir).
    Concom. ther, with fesoterodine and solifenacin in pts. with renal impair.
    Concom. ther. with tolvaptan.