Nipcan 200mg Capsule

Fluconazole 200mg Capsule is an antifungal medication. It functions by inhibiting an enzyme crucial for the formation of the fungal cell membrane. This action disrupts the integrity of the cell membrane, preventing the fungus from multiplying and ultimately leading to its death.

This medication is specifically active against fungi and does not exhibit efficacy against viruses or bacteria. It should be taken precisely as prescribed by a healthcare professional. Pregnant or breastfeeding individuals should not use this medication without consulting their doctor.

If pregnancy occurs or is suspected during treatment, medical advice must be sought immediately. Contraceptive measures are recommended for at least one week after discontinuing the medication. Common side effects may include abdominal pain, nausea, vomiting, headache, and diarrhea.

These effects are typically temporary; however, if they persist or worsen, medical consultation is advised.

Dosage

Overdose

• Symptoms of overdose may include feeling or seeing things that are not real (hallucination and paranoid behaviour)
• Contact your doctor immediately in case of overdose, or rush to the nearest hospital

Missed a Dose

If you missed any dose of medicine, take it as soon as you remember. If it's time for your next dose, then skip the missed dose and continue with your regular dosing schedule. Do not take a double dose of medicine to compensate for the missed one.

Mode of Action

How Does It Work?

• It blocks the formation of the cell membrane of the fungus by inhibiting an enzyme
• Thus the fungi stop multiplying or die because of non-formation of complete cell membrane
• It is not effective against virus or bacteria

Usage Instructions

Use Fluconazole 200mg Capsule as directed by your physician or as indicated on the product packaging.

Precautions and Warnings

Pregnancy

Can I take Nipcan Capsule during pregnancy?

• Nipcan is unsafe during pregnancy. You should not take Nipcan if you are pregnant or planning to have a baby. During pregnancy, it may increase the risk of miscarriage while large doses may cause severe birth defects
• If you are taking Nipcan, then use contraception at least for one week even after stopping the medicine

Breast Feeding

Can I take Nipcan Capsule while breastfeeding?

Nipcan passes into human milk. Breastfeeding can be continued after a single dose; however, if you are taking this medicine repeatedly or in high doses, breastfeeding is not recommended.

Driving

Can I drive if I have consumed Nipcan Capsule?

• You may experience dizziness or fits while taking this medicine
• If you experience any of these, you should not drive or use any tools or machines while taking this medicine

Alcohol

Can I consume alcohol with Nipcan Capsule?

Avoid excess alcohol while taking this medicine, as alcohol may worsen the side effects like dizziness.

Other General Warnings

Talk to your doctor if

• You have liver disease or kidney disease
• You have heart diseases and irregular heart rhythm
• You have abnormal electrolyte levels (potassium, calcium or magnesium) in your blood
• You have severe skin reactions
• You have adrenal insufficiency (condition where the adrenal gland does not produce sufficient steroid hormone)

Contraindications

• You are allergic to Fluconazole or any other ingredient of this medicine
• You are taking medicines like Astemizole, Terfenadine, Cisapride, Pimozide, Quinidine, Erythromycin

Side effects

• Headache
• Vomiting
• Diarrhea
• Nausea
• Increased liver enzymes
• Skin rash
• Liver damage (loss of appetite, vomiting, yellowing of your skin)

Interactions

Interactions with other medicines

• Serious interaction - Terfenadine, Voriconazole, Clarithromycin, Erythromycin, Ranolazine, Lomitapide, Donepezil, Pimozide and Quinidine. Never take Fluconazole with these medicines. When used with Fluconazole, these medicines can cause a life-threatening heart rhythm condition (torsades de pointes)
• Medicines used as anaesthetic like Alfentanil, Fentanyl
• Medicines used to treat depression like Amitriptyline, Nortriptyline
• Blood thinners like Warfarin
• Medicines for anxiety, like Benzodiazepines (Midazolam, Triazolam)
• Medicines to treat fits like Phenytoin, Carbamazepine
• Medicines for high blood pressure like Nifedipine, Isradipine, Amlodipine, Felodipine and Losartan
• Medicines used for treating ovarian cancer (Olaparib)
• Medicines used to prevent organ transplant rejection like Ciclosporin, Everolimus, Sirolimus or Tacrolimus
• Medicines used for treating cancer (Vincristine, Vinblastine)
• Medicines used for reducing high cholesterol level (Atorvastatin, Simvastatin, and Fluvastatin)
• Medicines for treating pain and inflammation like Celecoxib, Flurbiprofen, Naproxen, Ibuprofen
• Effect of contraceptive pills might be reduced. Addition of barrier form of contraception is needed
• Medicines for HIV (Saquinavir)
• Medicines to control diabetes like Chlorpropamide, Glibenclamide, Glipizide or Tolbutamide
• Medicines to control asthma (Theophylline)
• Medicines for treating rheumatoid arthritis (Tofacitinib)
• Medicines to treat cystic fibrosis (Ivacaftor)
• Diuretics like Hydrochlorothiazide
• Medicines used to treat irregular heartbeats (Amiodarone)

Interactions with food items

This medicine can be taken with or without food.

Storage and disposal

• Do not store above 25°C
• Keep out of the reach of children

Frequently Asked Questions (FAQs)

What precautions should I take when using Nipcan Capsule?

• Tell your doctor if you are sexually active and discuss effective contraception methods
• This medicine can make your oral contraceptive pills work less efficiently
• Hence if you are on this medication, then use barrier methods of contraception like condoms

I have cough, cold, flu, can I take Nipcan Capsule?

No, flu mostly occurs due to viruses. This medicine works against fungus and not viruses. Take it only if prescribed by your doctor for the complete duration of treatment.