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Noxafil vs. Diflucan

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Posaconazole (Noxafil) and Fluconazole (Diflucan) are both antifungal medications, but they have some key differences. Posaconazole is used to prevent and treat serious fungal infections caused by *Candida* and *Aspergillus*.It is known for its many drug interactions and potential for liver and kidney damage. On the other hand, Fluconazole is used to treat various *Candida* infections, such as vaginal yeast infections and oral thrush, and can also treat cryptococcal meningitis. Fluconazole is generally well-tolerated. While both medications can cause liver problems, Posaconazole has a higher risk of serious side effects and drug interactions. Additionally, Posaconazole is not recommended for pregnant women due to potential harm to unborn babies, whereas Fluconazole is generally avoided during pregnancy unless necessary. Both medications are available as a lower-cost generic and available in multiple forms, including oral and intravenous.

Posaconazole

(Noxafil)

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Fluconazole

(Diflucan)

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Summary for Noxafil

Prescription only

Posaconazole (Noxafil) infusion is an azole antifungal injection. It's used to treat serious Aspergillus fungal infections in adults and children ages 2 years and older. It's also used to prevent Candida and Aspergillus infections in adults and children ages 2 years and older with weakened immune systems. Posaconazole (Noxafil) infusion is given as an infusion into the veins, typically twice a day on the first day and then once a day thereafter. Common side effects include diarrhea, nausea, and abnormal liver tests.

Indications for Noxafil

  • Prevention of serious fungal infections caused by Candida and Aspergillus
  • Treatment of serious Aspergillus infection

Pros and Cons for Noxafil

Pros

  • Can be used in adults and children
  • Once-daily dosing after the first day
  • A good option for people who can't take medications by mouth

Cons

  • Many interactions with other medications
  • Might not be a good option for people with moderate or severe kidney problems
  • Might not be safe during pregnancy

Common Side Effects for Noxafil

  • Diarrhea (32%)
  • Low potassium levels (22%)
  • Fever (21%)
  • Nausea (19%)
  • Rash (15%)
  • Nose bleed (14%)
  • Headache (14%)
  • Stomach pain (13%)
  • Vomiting (12%)
  • Chills (12%)
  • Swelling in arms or legs (12%)

Note: The side effects listed above were reported by adults taking posaconazole (Noxafil) infusion for prevention of fungal infections.

Warnings for Noxafil

  • QT prolongation (heart rhythm problem)
  • Changes in electrolytes
  • Liver damage
  • Interaction with transplant medications
  • Interaction with midazolam
  • Interaction with vincristine
  • Interaction with venetoclax

Summary for Diflucan

Prescription only

Fluconazole (Diflucan) is an azole antifungal. It's used to treat different types of Candida infections, such as vaginal yeast infections and oral thrush. It can also treat a serious brain infection called cryptococcal meningitis. Oral fluconazole (Diflucan) is available as a tablet and suspension. It's taken by mouth as a one-time dose for vaginal yeast infections; it's typically taken once daily for other types of infections. Fluconazole (Diflucan) is generally well-tolerated, but some people can experience side effects like headache, nausea, and stomach pain. Fluconazole (Diflucan) can raise the risk of liver problems, so you're recommend to avoiding drinking alcohol while taking this medication.

Indications for Diflucan

Pros and Cons for Diflucan

Pros

  • Taken once daily for most infections
  • Considered acceptable to take while breastfeeding
  • Oral liquid comes flavored for better taste
  • Available as a lower-cost generic

Cons

Common Side Effects for Diflucan

Single dose for vaginal yeast infection:

  • Headache (13%)
  • Nausea (7%)
  • Stomach pain (6%)
  • Diarrhea (3%)

Multiple doses for other infections:

  • Nausea (4%)
  • Headache (2%)
  • Skin rash (2%)
  • Vomiting (2%)
  • Stomach pain (2%)
  • Diarrhea (2%)

Warnings for Diflucan

  • Liver damage
  • Allergic reaction
  • Severe skin reaction
  • Harm to unborn babies

Prices with our coupons for Noxafil vs. Diflucan

Price Card Drug Icon
Posaconazole90 tablets / 100mg
$155.28$5,672.10
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Fluconazole2 tablets / 150mg
$10.16$46.90
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