Cipla Ltd

Forcan Infusion 100ml

Fungal Infections
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    Introduction About FORCAN INFUSION

    FORCAN INFUSION contains Fluconazole which belongs to the group of medicines called Antifungal agents. It is used in adults and children for the management fungal infections including candidiasis, mucosal thrush (infection affecting the lining of mouth, throat, esophagus, bronchuses and lungs) when oral management is not possible and cryptococcal meningitis (fungal infection in the brain).

    FORCAN INFUSION is also used to manage candida fungal infections in patients having reduced amounts of white blood cells (neutropenia) following bone marrow transplants.

    Before receiving FORCAN INFUSION inform your doctor if you have kidney, liver or heart problems, AIDS or yeast infection. FORCAN INFUSION is not recommended to use among women who are pregnant or breastfeeding.

    FORCAN INFUSION can be used in children and adolescents. Your doctor will decide the correct dose and duration for your child, so consult with your child’s doctor. FORCAN INFUSION should be used with caution in elderly patients.

    The most common side effects of receiving FORCAN INFUSION are headache, rash, nausea, vomiting, stomach pain and diarrhea. Contact your doctor if any of the above symptoms worsen or persists.

    Uses Of FORCAN INFUSION

    Manages fungal infections such as:

    • candidiasis
    • mucosal thrush (infection affecting the lining of mouth, throat, esophagus, bronchuses and lungs)
    • cryptococcal meningitis (fungal infection of the tissues covering the brain and spinal cord)

    Prevents,

    • candida fungal infections in patients having reduced amounts of white blood cells (neutropenia) following bone marrow transplants

    How FORCAN INFUSION Works

    FORCAN INFUSION helps in manage fungal infection where Fluconazole inhibits the synthesis of certain compounds (ergosterol) that are essential components of the fungal cell membrane, resulting into increased cellular permeability that causes leaking of cellular contents. Moreover, it also impairs various important biological processes inside the fungal cell body required for its survival, thereby killing the fungal cell bodies.

    How to use FORCAN INFUSION

    FORCAN INFUSION will be given to you only by a doctor or a nurse into a vein as an intravenous infusion or a slow injection. Your doctor will decide the correct dose and duration of FORCAN INFUSION for you depending on your age, body weight and disease condition.

    Side Effects Of FORCAN INFUSION

    Common

    • headache
    • rash
    • nausea
    • vomiting
    • stomach pain
    • diarrhea
    • changes in blood test of liver function characterized by stomach pain, pale stools, dark urine, nausea, tiredness

    Uncommon

    • signs of reduction in red blood cells (anaemia) such as skin paleness, weakness or breathlessness
    • changes in taste, dry mouth
    • constipation
    • dizziness
    • indigestion
    • flatulence
    • itching or rash, swelling or blistering, wheals
    • increased sweating
    • decreased appetite or increased appetite
    • elevated liver and kidney enzymes
    • abnormal sleep
    • vertigo, paraesthesia (numbness or tingling sensation)
    • muscle pain
    • feeling weak and tired
    • fever

    Rare

    • increased fats in the blood
    • decreased levels of potassium leading to weakness and an irregular or fast heartbeat
    • tremor
    • hair loss
    • skin itching, reddening or scaling
    • red patches, blistering skin

    Stop receiving FORCAN INFUSION and contact your physician immediately if you experience any of the following side effects:

    • fits
    • yellowing of the skin and eyes and liver abnormalities
    • allergic reaction (symptoms of swollen face, lips, tongue or throat, difficulty in swallowing, hives and difficulty in breathing)
    • severe skin reaction which causes the detachment of the outer layer of skin (Toxic epidermal necrolysis)
    • Stevens-Johnson syndrome (signs include severe rashes that may involve blistering and peeling of the skin)
    • lesions or ulcers in the mouth, throat and skin
    • liver problems and toxicity (that includes liver failure and hepatitis)
    • widespread rash, high body temperature and enlarged lymph nodes (DRESS syndrome or drug hypersensitivity syndrome)

    How To Manage Side Effects

    Diarrhea:

    Drink lots of fluids, such as water or fruit juice to keep yourself hydrated. Do not consume any medicine on your own without consulting your doctor. Ask for your doctor’s advice if diarrhea doesn’t improve.

    Nausea:

    Stick to simple meals while receiving FORCAN INFUSION. Avoid eating rich or spicy food. Do not take any medication on your own. Ask for your doctor’s advice if nausea doesn’t improve.

    Headache:

    Try to take rest and don’t involve yourself in exertive activities. Rest in a quiet and dark room. Apply a pain-relieving balm on your forehead. Ask for your doctor’s advice if headache doesn’t improve

    Vomiting:

    Drink clear or ice-cold drinks. Eat light, bland foods and avoid fried, oily or sweet foods. Avoid carbonated drinks. Ask for your doctor’s advice if vomiting doesn’t improve.

    Dizziness:

    Lie or sit down immediately when you feel dizzy. If you're feeling severe episode of spinning(vertigo), lie in a dark and quite place with eyes closed. Try to avoid vehicle driving. Discuss with your doctor if the symptom worsens.

    Flatulence:

    Eat smaller and frequent meals. Eat and drink slow and exercise regularly. If it does not improve, contact your doctor.

    Constipation:

    Eat plenty of fiber rich foods such as vegetables, fresh fruits and cereals and drink plenty of water. Exercise more regularly. Ask for your doctor’s advice if constipation doesn’t improve

    Dry mouth:

    Dry mouth can be managed by chewing sugar-free gum or sucking on sugar-free hard candies to stimulate the flow of saliva. Sip water at regular intervals of time. Do not use mouthwashes that contain alcohol because they can be drying. Consult your physician for advice.

    Drowsiness:

    Take adequate sleep. Do not involve in rigorous activities. Do not interfere with your sleep cycle. Talk to your doctor if the drowsiness doesn’t improve.

    Muscle pain:

    Give your body a rest. Do not overexert or over stretch yourself. Do stress relieving activities such as yoga or meditation. If the symptom doesn’t improve, ask for your doctor’s advice.

    Warning & Precautions

    Pregnancy

    FORCAN INFUSION is not recommended for use in pregnant women. If FORCAN INFUSION is received during first trimester, it may increase the risk of miscarriage or baby being born with birth defects affecting the bones and/or muscles Consult your doctor before receiving FORCAN INFUSION.

    Breastfeeding

    FORCAN INFUSION is not recommended for use in breastfeeding women as it passes through the breast milk. Consult your doctor before receiving it.

    Driving and Using Machines

    Do not drive or operate any machines if you feel dizzy or experience fits after receiving FORCAN INFUSION.

    Kidney

    FORCAN INFUSION should be used with caution in patients with kidney disease. Your doctor may consider adjusting your dose depending on your kidney function. Consult your doctor before receiving FORCAN INFUSION.

    Liver

    FORCAN INFUSION should be used with caution in patients with liver problems. Consult your doctor before receiving it.

    Allergy

    Do not receive FORCAN INFUSION if you are allergic to Fluconazole, other similar medicines such as ketoconazole and itraconazole or any of the other ingredients of this medicine.

    Heart Disease

    FORCAN INFUSION should be used with caution in patients with heart disease. Consult your doctor before receiving it.

    Others

    Before receiving FORCAN INFUSION, inform your doctor if you have:

    • AIDS or infection that affects the whole body
    • yeast infection (cryptococcosis)
    • other fungal infections

    Use in pediatrics:

    FORCAN INFUSION can be used in children and adolescents. Your doctor will decide the correct dose and duration for your child, so consult with your child’s doctor.

    Use in geriatrics:

    FORCAN INFUSION should be used with caution in elderly patients (65 years and above). Your doctor may consider adjusting your dose depending on your kidney function. Consult your doctor before receiving FORCAN INFUSION.

    Interactions

    A. Drug-Drug interactions:

    Before receiving FORCAN INFUSION, inform your physician if you are taking any of the following medicine:

    • medicines used to manage pain (Ex. alfentanil, ibuprofen, fentanyl, methadone)
    • medicines used for depression (Ex. amitriptyline)
    • medicines used for other fungal infections (Ex. amphotericin B, ketoconazole, voriconazole)
    • medicines used for allergy (Ex. astemizole)
    • medicines used for bacterial infections (Ex. azithromycin, erythromycin)
    • medicines used as sleeping pills (Ex. midazolam, triazolam)
    • medicines used for heart problems (Ex. nifedipine, losartan, isradipine, nicardipine, amlodipine, felodipine, quinidine, amiodarone)
    • medicines used for epilepsy (Ex. carbamazepine, phenytoin, isoniazid)
    • medicines used for inflammation (Ex. celecoxib, prednisone)
    • medicines used in organ transplantation (Ex. ciclosporin, everolimus, tacrolimus, sirolimus)
    • medicines used for heartburn (Ex. cisapride)
    • medicines used to manage cancer (Ex. cyclophosphamide, vinca alkaloids)
    • medicines used to manage AIDS (Ex. didanosine, saquinavir, zidovudine)
    • medicines used for the management of malaria (Ex. halofantrine)
    • medicines used to reduce cholesterol (Ex. atorvastatin, simvastatin, fluvastatin)
    • medicines used as diuretic (Ex. hydrochlorothiazide)
    • medicines used to manage pregnancy such as oral contraceptives (Ex. estradiol, levonorgestrel)
    • medicines used for mental disorders (Ex. pimozide)
    • medicines used to manage for tuberculosis and other infections (Ex. rifabutin and rifampicin)
    • medicines used for diabetes (Ex. chlorpropamide, glibenclamide, glipizide, tolbutamide)
    • medicines used for the management of hay fever and allergies (Ex. terfenadine)
    • medicines used to manage respiratory problems (Ex. theophylline)
    • medicines used to manage pneumonia (Ex. trimetrexate)
    • medicines used to manage blood clots (Ex. warfarin and other coumarin-type medicines)

    Overdosage

    FORCAN INFUSION will be administered to you only by a doctor or a nurse in a hospital, so it is unlikely to receive an overdose. However, consult your physician or nurse if you experience any unusual symptoms while receiving FORCAN INFUSION, such as gastrointestinal complications and skin reactions like itching and rash.

    Synopsis

    Drug :   Fluconazole
    Pharmacological Category :   Antifungal agents
    Therapeutic Indication :   Fungal infections
    Dosage Forms :   Capsules, Cream, Dispersible tablet, Cream, Gel, Lotion, Dry syrup, Suspension, Dusting Powder,Powder, Eye drops, Eye drops, Eye/Ear drops,Ophthalmic Solution, Infusion, Injection, Soap

    More Information

    • Keep FORCAN INFUSION out of reach in children
    • Store FORCAN INFUSION at a temperature below 30°C

    FAQs About FORCAN INFUSION

    Q: What is the use of FORCAN INFUSION?

    A: FORCAN INFUSION is used to manage various fungal infections such as systemic candidiasis (fungal infection affecting the blood, brain, heart, eyes, or other parts of the body), mucosal candidiasis (fungal infection affecting the mouth, throat, or denture sore mouth), cryptococcosis (fungal infection mainly affecting the lungs and brain), genital thrush (infection of the vagina or penis), dermatomycosis (fungal infection affecting the skin), and fungal infections affecting the ears. FORCAN INFUSION is also used to manage fungal infections in patients with a reduced immune system.

    Q: How does FORCAN INFUSION work?

    A: FORCAN INFUSION helps in managing fungal infection where fluconazole inhibits the synthesis of certain compounds (ergosterol) that are essential components of the fungal cell membrane, resulting in increased cellular permeability that causes leaking of cellular contents. Moreover, it also impairs various important biological processes inside the fungal cell body required for its survival, thereby killing the fungal cell bodies.

    Q: What other precautions should be taken while using FORCAN INFUSION?

    A: FORCAN INFUSION may cause a reduction in the number of white blood cells, and your resistance to infection may be decreased. If you experience an infection with symptoms such as fever and serious deterioration of your general condition or fever with local infection symptoms such as sore throat, pharynx, mouth, or urinary problems while getting managed with FORCAN INFUSION, you should contact your doctor immediately. Your doctor might ask you to take a blood test.

    Q: Can I take other medicines along with FORCAN INFUSION?

    A: Before using FORCAN INFUSION, tell your doctor if you have recently taken any other medicines, including medicines obtained without a prescription, vitamin supplements, or herbal products.

    Q: Is it safe to use FORCAN INFUSION in pregnancy and breastfeeding?

    A: FORCAN INFUSION is not recommended for use by pregnant women. FORCAN INFUSION is also not recommended for use in breastfeeding women as it passes through the breast milk. Consult your doctor before using FORCAN INFUSION.

    Q: Does FORCAN INFUSION cause diarrhea?

    A: The most common side effect of taking FORCAN INFUSION is diarrhea. If diarrhea occurs, drink plenty of fluids, like water or fruit juice, to keep yourself hydrated. Do not consume any medicine without advice from your doctor for managing diarrhea. If the symptom does not improve or persist, contact your doctor.

    Q: Can I drive after using FORCAN INFUSION?

    A: Occasionally, dizziness or fits can occur in people using FORCAN INFUSION, so caution should be exercised when driving or operating machinery if dizziness occurs. Consult your doctor before taking it.

    Q: What are the possible side effects of taking FORCAN INFUSION?

    A: The most common side effects of taking FORCAN INFUSION are headache, rash, nausea, vomiting, stomach pain, diarrhea, indigestion, acne, burning sensation, itching, and irritation. Contact your doctor if any of the above symptoms worsen or persist.

    Q: Who should not use FORCAN INFUSION?

    A: FORCAN INFUSION is not recommended for use if you are allergic to fluconazole or other ingredients of this medicine or have rare hereditary problems of galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption.

    Q: What precautions must be taken while using FORCAN INFUSION?

    A: Before taking FORCAN INFUSION, inform your doctor if you have liver, kidney, heart disease, AIDS, or an infection that affects the whole body, a yeast infection (cryptococcosis), other fungal infections, abnormal levels of potassium, calcium, or magnesium in your blood, are prone to developing severe skin reactions (itching, reddening of the skin, or difficulty breathing), or have a history of adrenal insufficiency.

    References

    1. KD. Tripathi. Antifungal Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page – 794.

    2. Ameish Govindarajan, Karlyle G. Bistas, Curtis J. Ingold, Ayham Aboeed. Fluconazole. NIH National Library of Medicine. National Centre for Biotechnology Information. StatPearls. June 2022. [Accessed on 28th October 2022]. https://www.ncbi.nlm.nih.gov/books/NBK537158/

    3. J. W. van't Wout. Fluconazole treatment of Candidal infections caused by non-Albicans Candida species. European Journal of Clinical Microbiology and Infectious Diseases. Springer Link. March 1996. [Accessed on 28th October 2022]. https://link.springer.com/article/10.1007/BF01591361

    4. Focus Pharmaceuticals Limited. Electronic Medicines Compendium (EMC). [Revised in February 2021] [Accessed on 28th October 2022]. https://www.medicines.org.uk/emc/files/pil.3378.pdf

    5. Pfizer. Fluconazole. [Revised in March 2022] [Accessed on 28th October 2022]. https://labeling.pfizer.com/ShowLabeling.aspx?id=12902

    Useful Diagnostic Tests

    • Blood tests
    • Kidney function tests
    • Fungus culture

    Author Details

    Written By Dr. N. Sai Swaroop - Pharm.D
    Reviewed For Accuracy By Dr. Nitin Sattiwale - MBBS
    Last updated on 09 Apr 2024 | 12:42 PM(IST)
    Lab updated