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Voriconazole

About

Voriconazole belongs to the class of medicines known as 'antifungals' used to treat a broad range of infections caused due to fungi and yeast. A fungal infection is caused when a fungus invades and affects any part of the body, including the mouth, throat, esophagus, lungs, bladder, genital area and blood.

Voriconazole contains ‘Voriconazole’ that kills or prevents fungi or yeast by inhibiting an enzyme in fungi responsible for its normal fat metabolism, which interferes with the fungal cell membrane's formation. As a result, fungal or yeast cells get killed, or their growth is minimized. 

Take Voriconazole as prescribed by your doctor. You are advised to take Voriconazole for as long as your doctor has prescribed it for you, depending upon your medical condition. In some cases, you may experience certain common side effects such as vomiting, headache, nausea, abnormal liver function tests, rash, slow heart rate, and altered vision. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently. 

Do not take Voriconazole if you have had an allergic reaction Voriconazole or any of its ingredients. Voriconazole is associated with liver toxicity, including fatalities in patients with other serious underlying diseases. Voriconazole is a pregnancy category D drug, so it should not be taken by breastfeeding and pregnant women. Exposure to sunlight should be avoided while taking $Name as it makes you sensitive to the sun's UV rays or use a high sun protection factor (SPF) while going out. Antacid should be taken at 2 hours after taking Voriconazole.

Uses of Voriconazole

Fungal infections

Medicinal Benefits

Voriconazole belongs to the class of medicines known as 'antifungal' containing Voriconazole, used to treat a broad range of infections caused due to fungi and yeast. It treats various fungal infections like invasive aspergillosis (fungal infection in the lungs), esophageal candidiasis (white patching in the mouth and throat) and candidemia (a fungal infection in the blood). It is also used to treat certain fungal infections when other medications do not work for certain patients. It works by killing or preventing fungi or yeast by inhibiting an enzyme in fungi responsible for its normal fat metabolism, interfering with the fungal cell membrane's formation. As a result, fungal or yeast cells get killed, or their growth is minimized.

Directions for Use

Tablet: Take Voriconazole with or without food or as directed by your physician. Swallow the whole tablet with a glass of water. Do not crush, chew or break it. Oral suspension/Syrup: Shake the oral suspension well before use, and always use a measuring device for intake.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Voriconazole

  • Vomiting
  • Headache
  • Nausea
  • Abnormal liver function tests
  • Rash
  • Sinus infections
  •  Low numbers of white and red blood cells
  • Slow heart rate
  • Altered vision
  • Low blood sugar
  • Depression, hallucinations

In-Depth Precautions and Warning

Drug Warnings

Do not take Voriconazole if you have had an allergic reaction Voriconazole or any of its ingredients. Voriconazole is associated with liver toxicity, including fatalities in patients with other serious underlying diseases. If you are suffering from liver disease, the doctor will lower the dose, and a regular liver function test will be done. Voriconazole is a pregnancy category D drug, so it should not be taken in breastfeeding and pregnant women. If you are suffering from a heart problem like an irregular heartbeat, slow heart rate or abnormality in ECG (electrocardiogram), please inform your doctor before starting Voriconazole. Exposure to sunlight should be avoided while taking $Name as it makes you sensitive to the sun's UV rays or use a high sun protection factor (SPF) while going out. Antacid should be taken at 2 hours after taking Voriconazole.

Drug Interactions

  • Drug-Disease Interaction: Tell your doctor before taking Voriconazole if you have a medical history of allergic reactions to medicines, heart diseases, liver or kidney problems, blood disorders like acute porphyria and low levels of magnesium and potassium.
  • Drug-Food Interaction: Voriconazole is known to interact with St. John's wort plant (a natural remedy to treat depression). Also, consumption of alcohol should be avoided while taking Voriconazole.
  • Drug-Drug Interaction: Voriconazole may interact with drugs treating mental illness (pimozide, quetiapine), depression (reboxetine),  migraine (ergotamine, dihydroergotamine), epilepsy (carbamazepine), tuberculosis (rifabutin, rifampin), organ transplant (sirolimus), HIV (ritonavir), stomach problems (cisapride).

Drug-Drug Interactions Checker List:

  • PIMOZIDE
  • QUETIAPINE
  • REBOXETINE
  • ERGOTAMINE
  • DIHYDROERGOTAMINE
  • CARBAMAZEPINE
  • RIFABUTIN
  • SIROLIMUS
  • RITONAVIR
  • CISAPRIDE
  • RIFAMPICIN
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      It is advisable to avoid or limit the intake of alcohol while you use Voriconazole.

    • Safety Warning

      Pregnancy

      unsafe

      It is unsafe to take Voriconazole during pregnancy since it may show harmful effects on the fetus as it is a pregnancy category D drug. There are chances of spontaneous abortions in women treated with Voriconazole in the first trimester. Consult your doctor for further advice.

    • Safety Warning

      Breast Feeding

      caution

      If you are breastfeeding, please consult your doctor before taking Voriconazole. Your doctor may prescribe this medicine if the benefits outweigh the risks.

    • Safety Warning

      Driving

      caution

      Do not drive or operate machines if you experience dizziness or sensitivity to sunlight after taking Voriconazole.

    • Safety Warning

      Liver

      caution

      Inform your doctor if you have liver problems before taking Voriconazole. Your doctor may adjust the dose if necessary based on your condition.

    • Safety Warning

      Kidney

      caution

      Inform your doctor if you have kidney problems before taking Voriconazole. Your doctor may adjust the dose if necessary based on your condition.

    • Safety Warning

      Children

      caution

      Please consult your doctor. Your doctor will prescribe Voriconazole based on the age, condition and body weight of your child.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • In wet places such as changing rooms and gym showers, don’t walk barefoot to prevent fungal infections.
    • Do not scratch the affected skin, as it can spread the infection to other body parts.
    • Avoid sharing towels, combs, bedsheets, shoes or socks with others.
    • Wash your bedsheets and towels regularly.
    • Avoid taking Voriconazole (oral form) with foods containing chocolate and caffeine, such as cocoa beans, tea, coffee, cola and energy drinks, as it may increase the adverse effects of caffeine.
    • Avoid alcohol intake with Voriconazole (oral form) as it may cause adverse effects and increase the risk of liver damage.
    • It is advisable to follow a candida diet during yeast infections. This diet excludes sugar, gluten, certain dairy products, and alcohol and switches to low-sugar fruits, non-starchy vegetables and gluten-free foods. A very-high sugar or high-carbohydrate diet may increase the count of Candida in some people.

    Special Advise

    • Liver function tests should be monitored regularly while taking Voriconazole.
    • Wear a strong SPF while going out in the sun.

    Patients Concern

    Disease/Condition Glossary

    Fungal infection: It occurs when a fungus enters, infects and multiplies in the body. Fungi can live in water, soil, air and plants. Fungi affect any part of the body, including the mouth, throat, esophagus, lungs, bladder, genital area and blood. Mild fungal skin infections are common and can cause rashes. Fungal infections affecting body organs like the lungs can cause flu or tuberculosis. Some fungal diseases like cryptococcal meningitis and blood infections can be fatal. A few common fungal infections are yeast infections that affect the genital area, esophagus and urinary tract caused by Candida. 

    Invasive aspergillosis: A fungal infection that starts in the lungs and spreads throughout the bloodstream to other organs.

    Esophageal candidiasis: A yeast (a type of fungus) infection that may cause white patching in the mouth and throat. 

    Candidemia: A fungal infection in the blood.

    FAQs

    Voriconazole belongs to the class of medicines known as 'antifungal' containing Voriconazole, used to treat a broad range of infections caused due to fungi and yeast. It works by killing or preventing fungi or yeast by inhibiting an enzyme in fungi responsible for its normal fat metabolism, which interferes with the formation of the fungal cell membrane. As a result, fungal or yeast cells get killed, or their growth is minimized. 

    There is no clinical evidence that Voriconazole affects fertility in either men or women.

    Voriconazole may not be suitable for some people with a weakened immune system, diabetes, cancer or low blood magnesium or potassium levels.

    You can take Voriconazole with contraceptive pills. However, some studies show a chance of an increase in the body's hormonal levels when you take Voriconazole with a combined pill. Seek your doctor's advice if any side effects occur.

    Yes, fungal infection is a contagious skin condition that spreads from one person to another through direct skin-to-skin contact or by contact with contaminated soil or surfaces and infected animals. Therefore, it is recommended to avoid close direct contact until the infection is clear and avoid sharing things with the infected person, as it can also spread the infection.

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    Voriconazole

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