|
| U.S. Brand
Names |
|
| Terazol®
Vaginal |

|
|
| Generic
Available |
|
|
No |

|
|
| Synonyms |
|
|
Triaconazole |

|
|
| Pharmacological Index |
|
|
Antifungal Agent, Vaginal |

|
|
| Use |
|
|
Local treatment of vulvovaginal candidiasis |

|
|
| Pregnancy Risk
Factor |
|
|
C |

|
|
| Contraindications |
|
|
Known hypersensitivity to terconazole or components of the vaginal cream or
suppository |

|
|
| Warnings/Precautions |
|
|
Should be discontinued if sensitization or irritation occurs. Microbiological
studies (KOH smear and/or cultures) should be repeated in patients not
responding to terconazole in order to confirm the diagnosis and rule out other
other pathogens. |

|
|
| Adverse
Reactions |
|
|
1% to 10%: Genitourinary: Vulvar/vaginal burning |

|
|
| Drug
Interactions |
|
|
No data reported |

|
|
| Stability |
|
|
Room temperature (13°C to
30°C/59°F to
86°F) |

|
|
| Mechanism of
Action |
|
|
Triazole ketal antifungal agent; involves inhibition of fungal cytochrome
P-450. Specifically, terconazole inhibits cytochrome P-450-dependent
14-alpha-demethylase which results in accumulation of membrane disturbing
14-alpha-demethylsterols and ergosterol depletion. |

|
|
| Pharmacodynamics/Kinetics |
|
|
Absorption: Extent of systemic absorption after vaginal administration may be
dependent on the presence of a uterus; 5% to 8% in women who had a hysterectomy
versus 12% to 16% in nonhysterectomy women |

|
|
| Usual Dosage |
|
|
Adults: Female: Insert 1 applicatorful intravaginally at bedtime for 7
consecutive days |

|
|
| Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
|
|
No information available to require special precautions |

|
|
| Dental Health:
Effects on Dental Treatment |
|
|
No effects or complications reported |

|
|
| Patient
Information |
|
|
Complete full course of therapy as directed. Insert vaginally as directed by
prescriber or see package insert. Sexual partner may experience irritation of
penis; best to refrain from intercourse during period of treatment. Report
persistent vaginal burning, itching, irritation, or discharge.
Pregnancy/breast-feeding precautions: Inform prescriber if you are or intend
to be pregnant. Consult prescriber if breast-feeding. |

|
|
| Nursing
Implications |
|
|
Watch for local irritation; assist patient in administration, if necessary;
assess patient's ability to self-administer, may be difficult in patients with
arthritis or limited range of motion |

|
|
| Dosage Forms |
|
|
Cream, vaginal: 0.4% (45 g); 0.8% (20 g)
Suppository, vaginal: 80 mg (3s) |

|
|
| References |
|
|
Drug Facts and Comparisons, St Louis, MO: 1989, 528-9.
|

|
|
Copyright © 2007 Drugs Area
|