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Your pills do not look like the brand name medication. The pills I have received have a different name printed on them. Why?

As we have already mentioned that no manufacturer can take out a patent for a chemical agent. Thus generics can have the exactly same active ingredients as the brand pills. However, names and appearance (shape and color) of medications can be and are always patented and should be treated as the intellectual property. Thus using the name and the shape of the brand pills a manufacturer producing generic medications will be accused of the copyright infringement. This is why generic pills look different, they are of a different color and have a different shape if compared to a brand name pill.

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What is fluconazole?

  • Fluconazole is an antifungal medication. It is used to treat fungal infections.
  • Fluconazole is used to treat yeast infections of the mouth, throat, and esophagus; vaginal yeast infections; fungal urinary tract infections; pneumonia caused by yeast; and fungal infections throughout the whole body and in the blood. Fluconazole is also used to prevent fungal infections from occurring in people with suppressed immune systems such as cancer chemotherapy patients, organ transplant patients, and AIDS patients.
  • Fluconazole may also be used for purposes other than those listed in this medication guide.

What should I discuss with my doctor before taking fluconazole?

  • Do not take fluconazole if you are taking cisapride (Propulsid). Combined with cisapride (Propulsid), fluconazole could cause serious, even fatal, heart problems.
  • Before taking fluconazole, tell your doctor if you have any other medical conditions, especially kidney disease, or if you take other medicines. You may not be able to take fluconazole, or you may require a dosage adjustment or special monitoring during your treatment.
  • Fluconazole is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take fluconazole without first talking to your doctor if you are pregnant or could become pregnant during treatment.
  • Fluconazole passes into breast milk and may be harmful to a nursing baby. For this reason, fluconazole should not be taken by nursing mothers. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

How should I take fluconazole?

  • Take fluconazole exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
  • Take each dose with a full glass of water.
  • A single dose of this medication is often used to treat vaginal yeast infections.
  • In multiple-dose therapy, a double dose of fluconazole is often taken on the first day of treatment to quickly get the proper amount of medicine into the body. Follow your doctor's directions.
  • Shake the suspension well before measuring a dose. To ensure that you get the correct dose, measure the suspension using a dose-measuring spoon, cup, or dropper, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
  • It is important to take fluconazole regularly to get the most benefit.
  • Store the tablets at room temperature away from moisture and heat.
  • The suspension can be stored at room temperature or in the refrigerator. Do not let it freeze. Throw away any unused suspension after 14 days.

What happens if I miss a dose?

  • Take the missed dose as soon as you remember. If it is almost time for the next dose, skip the dose you missed and take only the next regularly scheduled dose as directed. Do not take a double dose of this medication unless otherwise directed by your doctor.

What happens if I overdose?

  • Seek emergency medical attention if an overdose is suspected.
  • Symptoms of a fluconazole overdose include confusion, hallucinations, paranoia, decreased movement, decreased breathing, tearing eyes, drooling, urinary incontinence, seizures, and death.

What should I avoid while taking fluconazole?

  • Avoid alcohol or use it in moderation while taking fluconazole. Alcohol and fluconazole can both affect the liver.
  • Use caution when driving or performing other hazardous activities. Fluconazole may cause dizziness. If you experience dizziness, avoid these activities.

What are the possible side effects of fluconazole?

  • If you experience any of the following serious side effects, stop taking fluconazole and seek emergency medical attention or contact your doctor immediately:
    • an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
    • liver damage (pale stools, yellowing of the skin or eyes, abdominal pain, unusual fatigue, or dark urine); or
    • a rash.
  • Other, less serious side effects may be more likely to occur. If you experience any of the following side effects, continue taking fluconazole and talk to your doctor:
    • nausea, vomiting, or abdominal pain;
    • diarrhea;
    • headache;
    • dizziness;
    • fatigue; or
    • itching.
  • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What drug(s) may interact with ?

  • bosentan
  • cilostazol
  • cisapride
  • cyclosporine
  • dofetilide
  • doxercalciferol
  • certain medicines for anxiety or difficulty sleeping
  • medicines for diabetes that are taken by mouth
  • medicines for high cholesterol such as atorvastatin, fluvastatin, lovastatin, or simvastatin
  • medicines for yeast or fungal infections
  • paricalcitol
  • phenytoin
  • pimozide
  • ramelteon
  • rifabutin
  • rifampin
  • tacrolimus
  • terfenadine
  • warfarin
  • water pills

The drug information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects.  This information is generalized and is not intended as specific medical advice.  If you have questions about the medicines you are taking or would like more information, check with your doctor, pharmacist or other healthcare professional.

A HUNGRY AND HURTING: EMOTIONAL AND PHYSICAL ABUSE (MARTHA’S STORY)

MARTHA: "I didn't have a clue about how to connect with people."

Martha, a thirty-seven-year-old Jewish lesbian mother, links the onset of her compulsive eating to emotional abuse she suffered as a child, abuse that made her feel "disconnected from the world." She never learned the basic lesson of "connecting with other people" that she believes comes from allowing children to be themselves and trust others and nurturing them emotionally and physically. Martha describes herself in terms characteristic of abused children, portraying herself as a lost soul who lacked direction, roots, and a sense of belonging to anyone, including herself.4 She was almost always alone when she was a child. She has almost no memories of the time before she was eleven.

Martha grew up in a home in which she was deprived of basic physical and emotional care. There was no touching; she sometimes pretended to be asleep so her father would pick her up and carry her to bed, providing at least a moment of physical contact. Her father was rarely home because he worked nights. One of Martha's sisters treated her as if she were the family's maid. Another was emotionally cruel to her, keeping Martha from her friends and simultaneously telling Martha that any friends she had were a result of her sister's popularity.

Nor did Martha know how to reach out for attention or friends at school. When she made her first friend, in eighth grade, and told her mother about it, her mother said, "Don't get too excited because as high as you will be is as far as you will fall. These people will hurt you." It was a slap in the face, a punch in the chest. Martha cried as she told me the story: "I opened my heart a little and she pulled it down. A lot of emotional abuse and neglect.

The family labeled Martha overly sensitive and teased her incessantly. She cannot remember ever eating a meal with her family when she did not break down and cry because of the teasing. She watched between ten and twelve hours of television each day, even on school days. She knows she was a bright child because she was able to do well in school even though she never studied. There were no books in the house, and she didn't know how to seek them out. She was mildly dyslexic but no one realized it when she was growing up. She was repeatedly told by the members of her family that she was fat and ugly and had no personality. She had no sense of her body size or whether or not she was attractive.

Her mother controlled what Martha and her sisters ate. Even though her sisters were fat and her mother was obese and a compulsive eater, Martha was the one considered to have the biggest problem with food. She was always served last and castigated for eating. Her mother took her to a diet doctor when Martha was eleven and continued to limit her food. Yet her mother also participated in Martha's bingeing. Martha remembers being told by her mother that she could have three cookies each day when she got home from school. Martha would eat three cookies, want more, think about it, and then have more. Then she would struggle to decide whether' to get more and usually did, typically stopping after finishing a dozen cookies. Her mother would come home and ask her how many she ate. Martha would lie and say three. Her mother never questioned this openly, although she was the one who filled the cookie jar every day. Although Martha was obviously compulsively eating and lying, no one said anything.

Eating compulsively was how Martha comforted herself from the pain of not feeling connected to any person or to the rest of the world. Bingeing calmed her, leaving her feeling drugged and dazed. When I asked her if she thinks she ate compulsively out of fear of her feelings, she said it wasn't as if she had feelings and then ate to get rid of them. That would assume she had feelings to begin with. That would assume some connection. She ate from disconnection. No specific feelings triggered eating. Simply being triggered her desire to eat. She ate, felt numb, and watched television. And no one seemed to care.

 

Thank you for your follow up, I did receive the pills and had an opportunity to try them. I am very happy, so is my girlfriend.
Thanks - DN

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