Fluking
Generic Name
fluking-500-mg-capsule
Manufacturer
PharmaCorp Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
Variant | Unit Price | Strip Price |
---|---|---|
fluking 500 mg capsule | ৳ 11.00 | ৳ 44.00 |
Description
Overview of the medicine
Fluking 500 mg Capsule is an anthelmintic medication used to treat a variety of parasitic worm infections. It works by preventing the worms from absorbing sugar (glucose), which depletes their energy stores and leads to their death.
Uses & Indications
Dosage
Adults
Typically 400 mg once daily or 500 mg for specific indications, sometimes for 3 to 28 days depending on the infection.
Elderly
No specific dose adjustment required, but monitor renal/hepatic function.
Renal_impairment
No dosage adjustment needed for mild to moderate impairment. Use with caution in severe impairment.
How to Take
Taken orally, preferably with a fatty meal to enhance absorption.
Mechanism of Action
Fluking selectively binds to beta-tubulin, a protein essential for microtubule formation in parasitic worms, but not as effectively in human cells. This disruption of microtubule polymerization impairs glucose uptake, causing depletion of glycogen stores, reduced ATP production, and ultimately the immobilization and death of the parasites.
Pharmacokinetics
Onset
Typically within a few hours for initial action, full effect over several days.
Excretion
Mainly excreted in the urine as metabolites, with some fecal excretion.
Half life
Approximately 8-12 hours for its active metabolite (Fluking sulfoxide).
Absorption
Poorly absorbed from the gastrointestinal tract. Absorption is increased when taken with a fatty meal.
Metabolism
Extensively metabolized in the liver to its primary active metabolite, Fluking sulfoxide.
Side Effects
Contraindications
- Hypersensitivity to Fluking or any component of the formulation
- Pregnancy (especially first trimester)
Drug Interactions
Cimetidine
May increase Fluking sulfoxide levels.
Praziquantel
May increase plasma concentrations of Fluking sulfoxide.
Dexamethasone
May increase Fluking sulfoxide levels.
Storage
Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children.
Overdose
Symptoms may include gastrointestinal disturbances, dizziness, and headache. Treatment is symptomatic and supportive; gastric lavage and activated charcoal may be considered.
Pregnancy & Lactation
Should not be used during pregnancy, especially in the first trimester, unless the potential benefit outweighs the risk. Consult a doctor for use during lactation.
Side Effects
Contraindications
- Hypersensitivity to Fluking or any component of the formulation
- Pregnancy (especially first trimester)
Drug Interactions
Cimetidine
May increase Fluking sulfoxide levels.
Praziquantel
May increase plasma concentrations of Fluking sulfoxide.
Dexamethasone
May increase Fluking sulfoxide levels.
Storage
Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children.
Overdose
Symptoms may include gastrointestinal disturbances, dizziness, and headache. Treatment is symptomatic and supportive; gastric lavage and activated charcoal may be considered.
Pregnancy & Lactation
Should not be used during pregnancy, especially in the first trimester, unless the potential benefit outweighs the risk. Consult a doctor for use during lactation.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
36 months
Availability
Pharmacies nationwide
Approval Status
Approved by DGDA and similar international agencies
Patent Status
Generic available
WHO Essential Medicine
YesClinical Trials
Extensive clinical trials have demonstrated efficacy and safety in various helminthic infections. Ongoing research explores new indications.
Lab Monitoring
- Liver function tests (baseline and periodically during prolonged treatment)
- Complete blood count (periodically during prolonged treatment)
Doctor Notes
- Emphasize importance of adherence to full treatment course.
- Monitor LFTs and CBC in patients on prolonged therapy.
- Advise on high-fat meal for optimal absorption.
Patient Guidelines
- Take with food, preferably a fatty meal.
- Complete the full course of treatment as prescribed.
- Inform your doctor about all other medications you are taking.
- Report any unusual side effects immediately.
Missed Dose Advice
Take the missed dose as soon as you remember. If it's almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose.
Driving Precautions
May cause dizziness; avoid driving or operating heavy machinery if you experience this effect.
Lifestyle Advice
- Maintain good personal hygiene to prevent reinfection.
- Wash hands thoroughly before meals and after using the toilet.
- Ensure proper sanitation and clean drinking water.
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