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Published on: December 28, 2017
Fluconazole for the treatment of candidiasis: 15 years experience
1Eugene Applebaum College of Pharmacy and Health Sciences, School of Medicine, AntiInfective Research Laboratory, Wayne State University, Detroit, Michigan 48201, USA. r.cha@wayne.edu
Abstract:
Candidia spp. are responsible for contributing to the increasing global prevalence of fungal infections. Fluconazole (Diflucan((R)), Pfizer) is a triazole that has established an exceptional therapeutic record for candida infections including oropharyngeal and esophageal candidiasis, vulvovaginal candidiasis, candidemia and disseminated candidiasis. It is both an oral and parenteral fungistatic agent that inhibits ergosterol synthesis in yeasts. Extensive clinical studies have demonstrated fluconazole's remarkable efficacy, favorable pharmacokinetics and reassuring safety profile, all of which have contributed to its widespread use. Fluconazole became the first antifungal with worldwide sales exceeding billions of dollars, therefore providing an incentive for the pharmaceutical industry to develop new antifungals. This review will examine the contributions and limitations of fluconazole in the treatment of superficial and invasive candidiasis syndromes.
Insights
Fluconazole is a key antifungal drug for treating Candida infections, showing great efficacy and safety. This review examines its contributions and limitations in managing superficial and invasive candidiasis.
Area of Science:
- Mycology
- Pharmacology
- Infectious Diseases
Background:
- Candida species are a growing cause of global fungal infections.
- Fluconazole, a triazole antifungal, is widely used for various candidiasis types.
- It functions by inhibiting ergosterol synthesis in yeasts.
Purpose of the Study:
- To review the clinical contributions of fluconazole in treating candidiasis.
- To examine the limitations of fluconazole in managing superficial and invasive fungal infections.
- To understand fluconazole's role in driving the development of new antifungals.
Main Methods:
- Literature review of clinical studies on fluconazole.
- Analysis of fluconazole's efficacy, pharmacokinetics, and safety profile.
- Examination of market data and its impact on antifungal drug development.
Main Results:
- Fluconazole demonstrates remarkable efficacy across multiple candidiasis syndromes.
- Favorable pharmacokinetics and a reassuring safety profile support its widespread use.
- Its significant market success has spurred further antifungal research.
Conclusions:
- Fluconazole remains a cornerstone therapy for many Candida infections.
- Understanding its limitations is crucial for optimizing treatment strategies.
- Its historical significance lies in both therapeutic success and driving innovation.
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