Please read this leaflet carefully before you start taking this medicine.
Keep this leaflet. You may need to read it again. If you have further questions, please ask your doctor or pharmacist. You must contact a doctor if your symptoms worsen or do not improve within one week. If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
In this leaflet
1. What AZOCAN-P is and what it is used for
2. What you need to know before you take AZOCAN-P
3. How to take AZOCAN-P
4. Possible side-effects
5. How to Store AZOCAN-P
6. Contents of the pack and other information
1. WHAT AZOCAN-P IS AND WHAT IT IS USED FOR
Fluconazole, the active ingredient, belongs to a group of medicines called anti-fungal agents and is used to treat infections caused by fungi and yeasts. The most common cause of fungal infections is yeast called Candida.
Azocan-P is used to treat a fungal infection called vaginal thrush (in women) and associated candidal balanitis (in men).
What Is vaginal thrush?
Vaginal thrush is caused by tiny yeast called Candida. Many women have the yeast living quite happily and problem-free within their bodies. However, the natural balance that keeps Candida under control can be upset by other factors, e.g. antibiotics, diabetes, poor general health, the Pill, or damage to vaginal tissues. Then the levels of yeast become too high and thrush develops. The most common symptoms are:
• Itching around the outside of the vagina.
• Soreness which becomes worse with rubbing and scratching. Also the salt in urine can sting the sore tissue.
• A white, non-smelling discharge from the vagina.
Not every woman who has thrush will have all of these symptoms.
Some general advice to help stop thrush coming back:
• Wash regularly, but do not wash and dry yourself too harshly.
• Avoid tight clothing.
• Wear cotton underwear and stockings rather than tights.
• Avoid perfumed soaps, bath additives and vaginal deodorants.
• Change your tampon frequently as a blood-soaked tampon can provide ideal conditions for yeast growth.
Sexual intercourse can damage delicate tissue and aggravate thrush. Vaginal thrush is not 'VD”, but may be passed on to your partner through intercourse. If your attack of thrush was successfully treated, but keeps coming back, your partner may need to take Azocan- P himself. If you are unsure why your thrush keeps coming back, or are unsure if your partner has thrush, you or your partner should see a doctor.
What Is candidal balanitis?
Candidal balanitis (penile thrush) is caused by yeast called Candida. Balanitis is the medical term used to describe inflammation of the end of the penis. The foreskin may also be inflamed.
Thrush can be passed on from your partner through sexual intercourse.
(Thrush is not 'VD” - see “What is vaginal thrush?”). The most common symptoms are:
• Soreness, redness and irritation of the penis.
• Tightness of the foreskin.
• A white, non-smelling discharge from the penis.
• Not every man who has candidal balanitis will have all of these symptoms.
2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE AZOCAN-P Do not take AZOCAN-P If:
• You are allergic to fluconazole or to any of the other ingredients (See section 6), or to a similar medicine you have taken to treat a fungal infection or thrush. The symptoms may include itching, reddening of the skin or difficulty in breathing.
• You are taking terfenadine or astemizole (antihistamine medicines for allergies), cisapride (used for stomach upsets), pimozide (used for treating mental illness) or quinidine (used for treating hea rt a rrythmia) or erythromycin (an antibiotic for treating infections).
Warnings and precautions
Talk to your doctor or pharmacist before taking Azocan-P
• if have had thrush more than twice in the last six months
• if have any disease or illness affecting your liver or kidneys or have had unexplained jaundice (yellowing of the skin and whites of the eyes)
• if you sufferfrom heart disease including heart rhythm problems
• if you have abnormal levels of potassium, calcium or magnesium in your blood
• if you develop severe skin reactions (itching, reddening of the skin or difficulty in breathing)
• if you develop signs of'adrenal insufficiency1 where the adrenal glands do not produce adequate amounts of certain steroid hormones such as cortisol (chronic, or long lasting fatigue, muscle weakness, loss of appetite, weight loss, abdominal pain)
• if you or your partner have had exposure to a sexually transmitted disease
• if you are unsure about the cause of your symptoms Women only:
• You have any abnormal or irregular vaginal bleeding or a blood stained discharge.
• You have vulval or vaginal sores, ulcers or blisters.
• You are experiencing lower abdominal pain or burning on passing urine.
• Your sexual partner does not have vaginal thrush.
• You have penile sores, ulcers or blisters.
• You have an abnormal penile discharge (leakage).
• Your penis has started to smell.
• You have pain on passing urine.
Other medicines and Azocan-P
Tell your doctor or pharmacist Immediately if you are taking astemizole, terfenadine (an antihistamine for treating allergies) or cisapride (used for stomach upsets) or pimozide (used for treating mental illness) or quinidine (used for treating heart arrhythmia) or erythromycin (an antibiotic for treating infections) as these should not be taken with Azocan-P (see section: “Do not take Azocan-P if you”).
There are some medicines that may interact with Azocan-P. Make sure your doctor knows if you are taking any of the following medicines:
• nifedipine, isradipine, amlodipine, felodipine and losartan (for hypertension-high blood pressure)
• rifampicin, rifabutine (antibiotics for infections)
• medicines that thin the blood to prevent blood clots (Warfarin or similar medicines)
• benzodiazepines (midazolam, triazolam or similar medicines) used to help you sleep or for anxiety
• chlorpropamide, glibenclamide, glipizide or tolbutamide (used to control diabetes)
• phenytoin, carbamazepine (used for treating fits)
• ciclosporin, everolimus, sirolimus or tacrolimus (to prevent transplant rejection)
• theophylline (used to control asthma)
• zidovudine, also known as AZT, or saquinavir (used in HIV-infected patients)
• prednisone (steroid)
• oral contraceptives
alfentanil, fentanyl (used as anaesthesia)
celecoxib, flurbiprofen, naproxen, ibuprofen, lornoxicam, meloxicam, diclofenac (Non-Steroidal Anti-Inflammatory Drugs (NSAID)) amitriptyline and nortriptyline (used as anti-depressant) amphotericin B, voriconazole (anti-fungal)
cyclophosphamide and vinca alkaloids (vincristine, vinblastine or similar medicines) used for treating cancer
halofantrine (used for treating malaria)
statins (atorvastatin, simvastatin and fluvastatin or similar medicines) used for reducing
high cholesterol levels
vitamin A (nutritional supplement)
methadone (used for pain)
ivacaftor (used for treating cystic fibrosis)
amiodarone (used for treating uneven heartbeats ’arrhythmias')
hydrochlorothiazide (a diuretic)
You should also tell your doctor or pharmacist about any other medicines that you are taking, including medicines obtained without a prescription.
Azocan-P with food and drink
You may take the capsule with or without a meal.
Pregnancy, breast-feeding and fertility
Askyour doctor or pharmacist for advice before taking any medicine.
You should not take Azocan-P if you are pregnant, think you may be pregnant, are trying to become pregnant or breast-feeding.
Driving and using machines
Azocan-P may cause dizziness or seizures. If affects do not drive or use machines.
Azocan-P contains lactose (milk sugar)
This medicine contains a small amount of lactose (milk sugar). If your doctor has told you that you have an intolerance to some sugars, such as lactose, please contact your doctor before taking this medicine.
3. HOWTO TAKE AZOCAN-P
Adults aged 16-60 years: The dose is one capsule. Swallow the capsule whole with a drink of water.
Not recommended for use in children under 16 years or adults over 60 years.
Consult your doctor if symptoms have not been relieved within 1 week of taking this medicine.
If symptoms worsen at anytime talk to your doctor.
If you take more capsules than you should: Contact your doctor or the nearest hospital as soon as possible.
4. POSSIBLE SIDE-EFFECTS
Like all medicines Azocan-P may sometimes cause side-effects, although not everybody gets them. If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tel I your doctor or pharmacist.
If you experience any of the following serious allergic reaction (sudden wheeziness, difficulty breathing or tightness in the chest, swelling of the eyelids, face or lips, blisters or red itchy spots on the skin, itch all over the body, sores around the mouth, eyes, nose or genitals, liver disease) to Azocan-P, you should STOP taking the medication and contact your doctor IMMEDIATELY.
Azocan-P may affect your liver. The signs of liver problems include: tiredness, loss of appetite, vomiting, yellowing of your skin or the whites of your eyes (jaundice).
Azocan-P may affect your adrenal glands and the levels of steroid hormones produced. The signs of adrenal problems include: tiredness, muscle weakness, loss of appetite, weight loss, abdominal pain.
If any of these happen, stop taking Azocan-P and tell your doctor immediately.
Other side effects:
Additionally, if any of the following side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Common side effects (may affect up to 1 in 10 people) are:
• stomach discomfort, diarrhoea, feeling sick, vomiting
• increases in blood tests of liver function
Uncommon side effects (may affect up to 1 in 100 people) are:
• reduction in red blood cells which can make skin pale and cause weakness or breathlessness
• decreased appetite
• inability to sleep, fee ling drowsy
• fit, dizziness, sensation of spinning, tingling, pricking or numbness, changes in sense of taste
• constipation, difficult digestion, wind, dry mouth
• muscle pain
• liver damage and yellowing of the skin and eyes (jaundice)
• wheals, blistering (hives), itching, increased sweating
• tiredness, general feeling of being unwell, fever Rare side effects (may affect up to 1 in 1000 people) are:
• lower than normal white blood cells that help defend against infections and blood cells that help to stop bleeding
• red or purple discoloration of the skin which may be caused by low platelet count, other blood cell changes
• blood chemistry changes (high blood levels of cholesterol, fats)
• low blood potassium
• abnormal electrocardiogram (ECG), change in heart rate or rhythm
• liver failure
• allergic reactions (sometimes severe), including widespread blistering rash and skin peeling, severe skin reactions, swelling of the lips or face
• hair loss
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on the safety of this medicine.
5. HOWTO STORE AZOCAN-P
Keep out of the sight and reach of children. Do not store above 25°C.
Do not use your medicine after the expiry date shown on the carton.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
6. FURTHER INFORMATION What AZOCAN-P contains
The capsule contains 150mg fluconazole as the active ingredient. The capsule also contains lactose, pregelatinised maize starch, sodium laurilsulfate, colloidal anhydrous silica, magnesium stearate, purified talc and the capsule shell also contains gelatin, sodium laurilsulfate, water and the colours brilliant blue (E133) and titanium dioxide (E171).
What AZOCAN-P looks like and contents of pack This medicine is supplied as a pack of single blue capsule.
Marketing Authorisation Holder and Manufacturer
H Pantone BLACK C ■ PANTONE Reflex Blue C
Version : 05
FDC International Ltd. Unit 6, Fulcrum 1, Solent Way, Whiteley, Fareham, Hampshire, P015 7FE Hard to see or read the leaflet? Call+ 44(0) 1489 565222 for help.
This leaflet was last revised in May 2016.