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Formulas

Fluconazole 200 mg Suppositories

FDA-approved generic
Dose form
Suppository
Active ingredients
Fluconazole

Fluconazole 200 mg Suppositories are a solid dosage form designed for insertion into a body cavity, typically the rectum or vagina. Upon insertion, the suppository dissolves or melts, allowing the medication to be absorbed locally or systemically. This formulation is used to treat fungal infections, including vaginal yeast infections and other systemic fungal infections, providing targeted antifungal therapy.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Fluconazole
Suppository
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Fluconazole 200 mg suppositories are solid dosage forms designed for insertion into a body cavity, typically the vagina, where they dissolve or melt to release medication for local absorption. Fluconazole is an antifungal agent belonging to the triazole class, which works by inhibiting the synthesis of ergosterol, an essential component of fungal cell membranes. This disruption leads to increased cellular permeability and ultimately the death of the fungal cell.

This formulation is primarily used for the treatment of vaginal yeast infections caused by Candida species. By delivering the medication directly to the site of infection, the suppository form can provide targeted antifungal activity, potentially reducing systemic side effects associated with oral therapy. The 200 mg dosage ensures a sufficient concentration of the drug to combat fungal growth effectively.

For patients, using fluconazole suppositories may alleviate symptoms such as itching, burning, and abnormal discharge associated with vaginal candidiasis. The local application allows for rapid symptom relief and may be especially beneficial for individuals who experience gastrointestinal side effects from oral antifungal medications. It is important for patients to follow the prescribed treatment regimen and complete the full course of therapy to prevent recurrence of the infection.

Prescribers may consider fluconazole 200 mg suppositories for patients who prefer a local treatment option or when oral administration is contraindicated. This formulation can be particularly useful in cases of recurrent or resistant infections where higher localized concentrations of the drug are desired. Additionally, the suppository form bypasses hepatic first-pass metabolism, which can be advantageous in reducing systemic exposure and potential drug interactions.

While generally well-tolerated, some patients may experience local adverse effects such as irritation or discomfort at the application site. It is advisable to counsel patients on the proper insertion technique and to inform them to report any severe or persistent side effects. Monitoring for signs of hypersensitivity reactions is also recommended, although such occurrences are rare.

If you have any questions, please reach out to us.

Drug Interactions

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Fluconazole 200 mg suppositories are a solid dosage form designed for insertion into a body cavity, typically the rectum or vagina, where they dissolve or melt to release medication for local or systemic absorption. This formulation is primarily used to treat fungal infections, such as vaginal yeast infections, and may also be used for other fungal infections as determined by a healthcare provider.

Fluconazole is a potent inhibitor of the cytochrome P450 enzyme CYP3A4, as well as CYP2C9 and CYP2C19. This means that it can interact with a wide range of medications that are metabolized by these enzymes, potentially leading to increased blood levels and enhanced effects or toxicity of these drugs. Patients and prescribers should be particularly cautious when fluconazole is used concurrently with medications such as warfarin, as this can increase the risk of bleeding due to elevated INR levels. Regular monitoring of INR is recommended in such cases.

Another significant interaction is with certain statins, such as simvastatin and atorvastatin, where fluconazole can increase the risk of muscle-related side effects, including rhabdomyolysis. It is advisable to consider alternative lipid-lowering therapies or adjust the statin dose while using fluconazole. Additionally, fluconazole can increase the levels of certain benzodiazepines, such as midazolam and triazolam, leading to enhanced sedative effects. Dose adjustments or alternative anxiolytics may be necessary.

Fluconazole may also interact with oral hypoglycemic agents, such as sulfonylureas, leading to an increased risk of hypoglycemia. Patients should be advised to monitor their blood glucose levels closely and adjust their diabetes medications as needed. Furthermore, fluconazole can increase the plasma concentrations of certain antiepileptic drugs, such as phenytoin, necessitating careful monitoring of drug levels and potential dose adjustments to avoid toxicity.

Patients taking fluconazole suppositories should also be aware of potential interactions with other antifungal agents, as concurrent use may lead to additive effects or increased side effects. It is important to inform healthcare providers of all medications, including over-the-counter drugs and supplements, to assess for potential interactions. If you have any questions or concerns about drug interactions with fluconazole 200 mg suppositories, please reach out to us for further guidance and support.

How Does it Work

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Fluconazole 200 mg suppositories are a specialized formulation designed to deliver the antifungal medication fluconazole directly to the site of infection or for systemic absorption through mucosal tissues. This solid dosage form is intended for insertion into a body cavity, typically the rectum or vagina, where it dissolves or melts at body temperature. Upon insertion, the suppository base, often composed of substances like polyethylene glycol or cocoa butter, begins to dissolve or melt, facilitating the release of fluconazole.

Fluconazole is an antifungal agent that belongs to the triazole class of medications. It works by inhibiting the synthesis of ergosterol, a critical component of fungal cell membranes. By disrupting the production of ergosterol, fluconazole compromises the integrity of the fungal cell membrane, leading to cell death and the resolution of the infection.

When administered as a suppository, fluconazole can provide both local and systemic effects. In the case of vaginal administration, the medication is delivered directly to the site of infection, allowing for high local concentrations that can effectively eradicate fungal cells. This localized delivery is particularly beneficial for treating vaginal yeast infections, as it minimizes systemic exposure and potential side effects. For rectal administration, the suppository can facilitate systemic absorption through the rectal mucosa, providing an alternative route for patients who may have difficulty swallowing oral medications or require rapid systemic effects.

This formulation is especially useful for patients with recurrent or resistant infections, as it allows for targeted delivery of the medication. Prescribers may consider this formulation for patients who require a tailored approach to antifungal therapy, taking into account the specific needs and circumstances of each patient.

For both patients and prescribers, it is important to follow the prescribed dosing regimen and administration instructions to ensure optimal therapeutic outcomes. Patients should be advised on the proper insertion technique and the importance of completing the full course of treatment, even if symptoms improve before the medication is finished. As with any medication, potential side effects and interactions should be discussed with a healthcare provider.

If you have any questions or need further information about fluconazole 200 mg suppositories, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation or its use in treating fungal infections.

Frequently Asked Questions

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What is Fluconazole 200 mg Suppository used for?

Fluconazole 200 mg Suppository is used to treat fungal infections by delivering the medication directly to the site of infection, typically in the rectum or vagina, for local or systemic absorption.

How do I use Fluconazole 200 mg Suppositories?

Insert the suppository into the rectum or vagina as directed by your healthcare provider. It is important to follow the instructions carefully to ensure proper absorption and effectiveness.

How often should I use Fluconazole 200 mg Suppositories?

The frequency of use will depend on your specific condition and the recommendation of your healthcare provider. Always follow the prescribed dosage and schedule.

Can I use Fluconazole 200 mg Suppositories during pregnancy?

You should consult your healthcare provider before using Fluconazole 200 mg Suppositories during pregnancy to ensure it is safe for you and your baby.

Are there any side effects associated with Fluconazole 200 mg Suppositories?

Some people may experience side effects such as irritation, burning, or itching at the site of insertion. If you experience severe side effects or an allergic reaction, contact your healthcare provider immediately.

How should I store Fluconazole 200 mg Suppositories?

Store the suppositories in a cool, dry place away from direct sunlight and out of reach of children. Follow any specific storage instructions provided by your pharmacist or healthcare provider.

Can I use Fluconazole 200 mg Suppositories if I am breastfeeding?

Consult your healthcare provider before using Fluconazole 200 mg Suppositories while breastfeeding to ensure it is safe for you and your baby.

What should I do if I miss a dose of Fluconazole 200 mg Suppository?

If you miss a dose, use it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Can I use other medications while using Fluconazole 200 mg Suppositories?

Inform your healthcare provider about all other medications you are taking, as there may be interactions. Your provider will advise you on the safe use of other medications alongside Fluconazole suppositories.

How long does it take for Fluconazole 200 mg Suppositories to work?

The time it takes for the suppositories to work can vary depending on the severity of the infection and individual response to treatment. Follow your healthcare provider's instructions and complete the full course of treatment for the best results.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Fluconazole 200 mg Suppositories
Suppository
30 suppositories
controlled

Insert 1 unwrapped suppository

Once daily at bedtime