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Fast or pounding heartbeatsfluttering in your chestshortness of breathand sudden dizzinesslike you might pass out
Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongationThis risk may increase if you use certain drugssuch as diureticswater pillsor if you have conditions such as severe sweatingdiarrheaor vomitingTalk to your doctor about using fluconazole safely.
Read the Patient Information Leaflet if available from your pharmacist before you start taking fluconazole and each time you get a refillIf you have any questionsask your doctor or pharmacist.
BMay be acceptableEither animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.
HMG CoA reductase inhibitorsThe risk of myopathy and rhabdomyolysis increases when fluconazole is coadministered with HMG-CoA reductase inhibitors metabolised through CYP3A4such as atorvastatin and simvastatinor through CYP2C9such as fluvastatinIf concomitant therapy is necessarythe patient should be observed for symptoms of myopathy and rhabdomyolysis and creatine kinase should be monitoredHMG-CoA reductase inhibitors should be discontinued if a marked increase in creatine kinase is observed or myopathy/rhabdomyolysis is diagnosed or suspected.
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for the latter group of travellers, take along some some curative treatment such as diflucan or monistat and take all the probiotics or yoghurt that you want.