Introduction

PATIENT INFORMATION LEAFLET

Fluconazole Teva 50 mg Hard Capsules EFG

Fluconazole Teva 100 mg Hard Capsules EFG

Fluconazole Teva 150 mg Hard Capsules EFG

Fluconazole Teva 200 mg Hard Capsules EFG

Read this 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 or pharmacist.

This medicine has been prescribed for you only. Do not give it to others, even if they have the same symptoms as you, as it may harm them.
If you experience any side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

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

Fluconazol Teva is one of the medications in the group called “antifungals”. The active ingredient is fluconazole.

Fluconazol Teva is used to treat infections caused by fungi, and it may also be used to prevent the appearance of an infection byCandida.The most common cause of fungal infections is a yeast calledCandida.

Adults

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

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

Your doctor may also prescribe Fluconazol Teva for:

To prevent the recurrence of cryptococcal meningitis.
To prevent the recurrence of mucosal infections byCandida.
To reduce the recurrence of vaginal infections byCandida.

To prevent the transmission of infections caused byCandida(if your immune system is weak and does not function properly).

Children and adolescents (0 to 17 years)

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

Mucosal candidiasis – an infection that affects the lining of the mouth or throat.
Infections caused byCandidalocated in the bloodstream, in organs of the body (e.g. heart, lungs) or in the urinary tract.
Cryptococcal meningitis – a fungal infection in the brain.

Your doctor may also prescribe Fluconazol Teva for:

To prevent the transmission of infections caused byCandida(if your immune system is weak and does not function properly).
To prevent the recurrence of cryptococcal meningitis.

2. What you need to know before starting Fluconazol Teva

Do not take Fluconazol Teva if

You are allergic (hypersensitive) to fluconazole, to other medications you have taken to treat fungal infections, or to any of the other components of this medication included in section 6. Symptoms may include itching, skin redness, or difficulty breathing.
You are taking astemizole, terfenadine (antihistamines for treating allergies).
You are taking cisapride (used to treat stomach discomfort).
You are taking pimozide (used to treat mental illnesses).
You are taking quinidine (used to treat heart arrhythmias).
You are taking erythromycin (an antibiotic for treating infections).

Warnings and precautions

Consult your doctor or pharmacist before starting to take Fluconazol Teva

If you have liver or kidney problems.
If you have a heart disease, including heart rhythm problems.
If you have abnormal levels of potassium, calcium, or magnesium in your blood.
If you experience signs of adrenal insufficiency, in which the adrenal glands do not produce enough of certain hormones, such as cortisol (chronic fatigue or prolonged), muscle weakness, loss of appetite, weight loss, abdominal pain)
If you have ever had a severe skin rash or skin peeling, blisters, and/or mouth sores after taking Fluconazol Teva.

Severe skin reactions, including drug reaction with eosinophilia and systemic symptoms (DRESS), have been reported in relation to Fluconazol Teva treatment. Stop taking Fluconazol Teva and seek medical attention immediately if you notice any of the symptoms related to these severe skin reactions described in section 4.

Talk to your doctor or pharmacist if the fungal infection does not improve, as an alternative antifungal treatment may be necessary.

Taking Fluconazol Teva with other medications

Inform your doctor or pharmacist if you are using, have used recently, or may need to use any other medication.

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

There are some medications that may interact with Fluconazol Teva.

Make sure your doctor knows if you are taking any of the following medications, as it may be necessary to adjust the dose or monitor to ensure the medications continue to have the desired effect:

Rifampicin or rifabutin (antibiotics for infections).
Abrocitinib (used to treat atopic dermatitis, also known as eczema).
Alfentanil, fentanil (used as anesthetics).
Amitriptyline, nortriptyline (used as antidepressants).
Amphotericin B, voriconazole (antifungals).

Medications that make blood less viscous, to prevent clot formation (warfarin or similar medications).
Benzodiazepines (midazolam, triazolam, or similar medications) used to help sleep or for anxiety.
Carbamazepine, phenytoin (used to treat seizures).
Nifedipine, isradipine, amlodipine, verapamil, felodipine, and losartan (for hypertension).
Ciclosporin, everolimus, sirolimus, or tacrolimus (to prevent transplant rejection).
Cyclophosphamide, vinca alkaloids (vincristine, vinblastine, or similar medications) used to treat cancer.
Halofantrine (used to treat malaria).
Statins (atorvastatin, simvastatin, and fluvastatin, or similar medications) used to reduce high cholesterol levels.
Methadone (used for pain).
Celecoxib, flurbiprofen, naproxen, ibuprofen, lornoxicam, meloxicam, diclofenac (Nonsteroidal Anti-Inflammatory Drugs – NSAIDs).
Oral contraceptives.
Prednisone (steroid).
Zidovudine, also known as AZT; saquinavir (used in patients infected with HIV).
Medications for diabetes, such as chlorpropamide, glibenclamide, glipizide, or tolbutamide.
Theophylline (used to control asthma).
Tofacitinib (used to treat rheumatoid arthritis)
Tolvaptan (used to treat hyponatremia [low sodium levels in blood] or to slow the deterioration of kidney function).
Vitamin A (nutritional supplement).
Ivacaftor (alone or changing with medications used to treat cystic fibrosis).
Amiodarone (used to treat irregular heartbeats).
Hydrochlorothiazide (diuretic)
Ibrutinib (used to treat blood cancer)
Lurasidone (used to treat schizophrenia)

Taking Fluconazol Teva with food and drinks

You can take the medication with or without food.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before taking any medication.

If you plan to become pregnant, it is recommended that you wait one week after a single dose of fluconazole before becoming pregnant.

For longer fluconazole treatment cycles, consult your doctor about the need to use suitable contraceptive methods during treatment, which should be maintained for one week after the last dose.

You should not take Fluconazol Teva if you are pregnant, think you may be pregnant, or plan to become pregnant or breastfeed, unless your doctor has told you to do so. If you become pregnant while taking this medication or within one week of the most recent dose, consult your doctor.

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

Cases of babies born with congenital anomalies affecting the skull, ears, and leg and arm 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 unclear.

You can continue breastfeeding after taking a single dose of 150 mg of Fluconazol Teva. Do not continue breastfeeding if you are taking repeated doses of Fluconazol Teva.

Driving and operating machinery

When driving or operating machinery, be aware that occasional dizziness or seizures may occur.

Important information about some of the components of Fluconazol Teva

This medication contains lactose. If your doctor has told you that you have a certain sugar intolerance, consult with them before taking this medication.

This medication contains less than 1 mmol (23 mg) per capsule; this is essentially “sodium-free”.

Fluconazol Teva 200 mgmay cause allergic reactions because it contains azorubin (carmoisine) (E-122). It may cause asthma, especially in patients allergic to acetylsalicylic acid.

3. How to Take Fluconazol Teva

Follow exactly the administration instructions of this medication as indicated by your doctor. In case of doubt, consult your doctor or pharmacist again.

The capsules should be swallowed whole with the help of a glass of water. It is better to take your medication always at the same time of day.

The following are the recommended doses of this medication for different types of infections:

Adults

Condition	Dose
To treat cryptococcal meningitis	400 mg on the first day and subsequently 200 mg to 400 mg once a day for 6 to 8 weeks or longer if necessary. In some cases, the dose is increased to 800 mg
To prevent the recurrence of cryptococcal meningitis	200 mg once a day until your doctor tells you
To treat coccidioidomycosis	200 mg to 400 mg once a day from 11 months to 24 months or longer if necessary. In some cases, the dose is increased to 800 mg
To treat internal fungal infections caused byCandida	800 mg on the first day and subsequently 400 mg once a day until your doctor tells you
To treat mucosal infections that affect the lining of the mouth, throat, or associated with dental prostheses.	200 mg to 400 mg on the first day, and then 100 mg to 200 mg once a day until your doctor tells you
To treat mucosal candidiasis – the dose depends on where the infection is located	50 mg to 400 mg once a day for 7 to 30 days until your doctor tells you
To prevent the recurrence of mucosal infections that affect the lining of the mouth and throat	100 mg to 200 mg once a day, or 200 mg three times a week, as long as you continue to be at risk of developing an infection
To treat genital candidiasis	150 mg as a single dose
To reduce the recurrence of vaginal candidiasis	150 mg every three days until a total of three doses (day 1, 4, and 7) and then once a week as long as you continue to be at risk of developing an infection
To treat fungal infections of the skin or nails	Depending on the location of the infection, 50 mg once a day, 150 mg once a week, 300 to 400 mg once a week for 1 to 4 weeks (for athlete's foot, up to 6 weeks may be necessary, and for nail infections, treatment should continue until a healthy nail grows)
To prevent the transmission of an infection caused byCandida(if your immune system is weakened and does not function properly)	200 mg to 400 mg once a day as long as you continue to be at risk of developing an infection

Adolescents aged 12 to 17 years

Follow the dose indicated by your doctor (either the adult dose or the pediatric dose)

Children up to 11 years

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
Mucosal candidiasis and throat infections caused byCandida– the dose and duration of treatment depend on the severity of the infection and where it is located.	3 mg per kilogram of body weight once a day (the first day may be 6 mg per kilogram of body weight)
Cryptococcal meningitis or internal fungal infections caused byCandida	6 mg to 12 mg per kilogram of body weight once a day.
To prevent the recurrence of cryptococcal meningitis	6 mg per kilogram of body weight once a day
To prevent the child from contracting an infection caused byCandida(if your immune system does not function properly)	3 mg to 12 mg per kilogram of body weight once a day.

Use in children 0 to 4 weeks of age

Use in children 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 kilogram 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 dose is 12 mg per kilogram of body weight every 72 hours.

In some cases, doctors may prescribe different doses than those described. Follow exactly the administration instructions indicated by your doctor. Consult your doctor or pharmacist if you have any doubts.

Geriatric patients

The usual adult dose, unless you have kidney problems.

Patients with kidney problems

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

If you take more Fluconazol Teva than you should

Taking too many capsules at once may make you feel unwell. Contact your doctor immediately or go to the nearest hospital. You can also call the Toxicology Information Service, phone 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 forgot to take Fluconazol Teva

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

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

4. Possible Adverse Effects

Like all medicines, Fluconazol Teva may cause side effects, although not everyone will experience them.

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

Generalized rash, high body temperature, and enlarged lymph nodes (DRESS syndrome or drug hypersensitivity syndrome)

Some people developallergic reactions, although severe allergic reactions are rare..If you experience any side effect, talk to your doctor or pharmacist. This includes any possible side effect not mentioned in this leaflet. If you experience any of the following symptoms, informyour doctor immediately.

Sudden ringing in the ears, difficulty breathing, or chest tightness.
Swelling of the eyelids, face, or lips.
Itching all over the body, redness of the skin, or red spots with itching.
Skin rash.

Severe skin reactions, such as a rash that causes blisters (this can affect the mouth and tongue).

Fluconazol Teva may affect your liver. Signs that indicate liver problems

include:

Fatigue.
Loss of appetite.
Vomiting.
Yellowing of the skin or white of the eyes (jaundice).

If you experience any of these symptoms, stop taking Fluconazol Teva andinform your doctor immediately.

Other side effects:

In addition, if you consider that any of the side effects you experience are severe or if you notice any side effect not mentioned in this leaflet, inform your doctor or pharmacist.

Frequent side effects (may affect up to 1 in 10 patients) are:

Headache.
Stomach discomfort, diarrhea, nausea, vomiting.
Abnormal blood test results indicating liver function.
Rash.

Less frequent side effects (may affect up to 1 in 100 patients) are:

Reduction of red blood cells, which can cause pale skin and weakness or difficulty breathing.
Loss of appetite.
Inability to sleep, numbness.
Seizures, dizziness, feeling of spinning, tingling, pins and needles, or changes in taste.
Constipation, heavy digestion, gas, dry mouth.
Muscle pain.
Liver damage and yellowing of the skin and eyes (jaundice).
Hives, blisters (pustules), itching, increased sweating.
Weakness, general feeling of discomfort, fever.

Rare side effects (may affect up to 1 in 1,000 patients) are:

White blood cells in the blood that help us fight infections and blood cells that help stop bleeding, lower than normal.
Red or purple discoloration of the skin, which may be due to a low number of platelets, other changes in blood cells.
Abnormal blood test results (high levels of cholesterol, fats).
Low levels of potassium in the blood.
Tremors.
Abnormal electrocardiogram (ECG), changes in heart rate or rhythm.
Liver function failure.
Allergic reactions (sometimes severe), including widespread rash with blisters and skin peeling, severe allergic reactions, swelling of the lips or face.
Hair loss.

Frequency not known, but may occur (cannot be estimated from available data):

Hypersensitivity reaction with skin rash, fever, swollen glands, increased eosinophils, and inflammation of internal organs (liver, lungs, heart, kidneys, and large intestine) (drug reaction or rash with eosinophilia and systemic symptoms [DRESS]).

Reporting side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect not mentioned in this leaflet. You can also report them directly through the Spanish System for Pharmacovigilance of Medicines for Human Use:www.notificaRAM.es.

By reporting side effects, you can contribute to providing more information on the safety of this medicine.

5. Conservation of Fluconazol Teva

Keep this medication out of the sight and reach of children.

Do not use Fluconazol Teva after the expiration date that appears on the packaging after CAD. The expiration date is the last day of the month indicated.

No special storage conditions are required.

Medicines should not be disposed of through drains or in the trash. Dispose of the packaging and medicines you no longer need at the SIGRE collection point of the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. By doing so, you will help protect the environment.

6. Contents of the packaging and additional information

Composition of Fluconazole Teva:

The active ingredient is fluconazole.

Each hard capsule contains 50 mg, 100 mg, 150 mg or 200 mg of fluconazole.

The other components (excipients) are:

Capule content: lactose monohydrate, cornstarch, anhydrous colloidal silica, sodium lauryl sulfate, magnesium stearate.

Composition of gelatin capsules:

Fluconazole Teva 50 mg: titanium dioxide (E171), brilliant blue FCF (E133) and gelatin.

Fluconazole Teva 100 mg: titanium dioxide (E171), brilliant blue FCF (E133) and gelatin.

Fluconazole Teva 150 mg: titanium dioxide (E171), brilliant blue FCF (E133) and gelatin.

Fluconazole Teva 200 mg: titanium dioxide (E171), brilliant blue FCF (E133), carmoisine (E122) and gelatin.

See section 2Important information about some of the components of Fluconazole Teva.

Appearance of Fluconazole and packaging contents

The Fluconazole Teva 50 mg capsules have a white body and a light blue cap.

The Fluconazole Teva 100 mg capsules have a white body and a dark blue cap.

The Fluconazole Teva 150 mg capsules have a light blue body and cap.

The Fluconazole Teva 200 mg capsules have a white body and a purple cap.

They are presented in blister packs containing:

Fluconazole Teva 50 mg and: contains 7 and 500 (clinical pack) hard capsules

Fluconazole Teva 100 mg; contains 7 and 100 (clinical pack) hard capsules

Fluconazole Teva 150 mg: contains 1 or 4 hard capsules.

Fluconazole Teva 200 mg: contains 7 or 100 (clinical pack) hard capsules.

Not all packaging sizes may be marketed

Marketing authorization holder and manufacturer

Marketing authorization holder:

Teva Pharma, S.L.U.

C/ Anabel Segura 11, Edificio Albatros B, 1st floor

Alcobendas, 28108 Madrid

Manufacturer:

Teva Pharmaceutical Works Private Limited Company.

Pallagi út, 13

Debrecen H-4042- Hungary

Last review date of this leaflet:October 2024

Detailed information about this medicine is available on the website of the Spanish Agency for Medicines and Medical Devices (AEMPS): (http://www.aemps.gob.es/)

You can access detailed and updated information about this medicine by scanning the QR code included in the packaging with your smartphone. You can also access this information at the following internet address: https://cima.aemps.es/cima/dochtml/p/69082/P_69082.html