FLUCONAZOLE-0.5%W/WOther diseases of liver
How does the disease interact with Ikon 0.5% Gel 15 gm:
Hepatotoxicity has only sometimes been linked to the usage of Ikon 0.5% Gel 15 gm. There have been cases of reversible idiosyncratic hepatitis, cholestasis, and deadly fulminant hepatic failure; the latter generally affects people with substantial underlying medical disorders who are also taking several concurrent drugs. Patients with pre-existing hepatic problems should have periodic liver function tests done, especially during prolonged medication. If liver enzyme levels continue to rise or worsen, treatment should be stopped.
How to manage the interaction:
In patients with preexisting liver abnormalities, particularly during prolonged therapy, liver function tests should be done regularly. Treatment should be withdrawn if persistent elevations or worsening of liver enzyme levels occur.
FLUCONAZOLE-0.5%W/WOther cardiac arrhythmias
How does the disease interact with Ikon 0.5% Gel 15 gm:
The QT interval on the ECG has been shown to be prolonged by some azole antifungals. During postmarketing experience, there have been a few isolated incidences of QT prolongation and torsade de pointes; these reports typically involved critically ill patients with a number of complicating risk factors, including structural cardiac disease, electrolyte problems, and concurrent medicines. Patients with illnesses that could cause proarrhythmic symptoms should take these medications cautiously. It is best to avoid using drugs that could potentially enhance the risk of cardiotoxicity concurrently.
How to manage the interaction:
It should be administered with caution to patients with heart problems. Concomitant use with other medications that have potential to increase the risk of cardiotoxicity should be avoided.
FLUCONAZOLE-0.5%W/WCare involving dialysis
How does the disease interact with Ikon 0.5% Gel 15 gm:
Hemodialysis effectively removes Ikon 0.5% Gel 15 gm from the body. Following three hours of dialysis, it has been demonstrated that plasma levels of Ikon 0.5% Gel 15 gm decrease by 50%. After hemodialysis, Ikon 0.5% Gel 15 gm should be taken.
How to manage the interaction:
Ikon 0.5% Gel 15 gm should be administered after hemodialysis.