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Terconazole
Pronunciation
U.S. Brand Names
Generic Available
Synonyms
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Warnings/Precautions
Adverse Reactions
Drug Interactions
Stability
Mechanism of Action
Pharmacodynamics/Kinetics
Usual Dosage
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Nursing Implications
Dosage Forms
References

Pronunciation
(ter KONE a zole)

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.


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