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Gynecology & Pregnancy Care
Question #11548
278 days ago
357

How to take medicine or course of medication - #11548

Tania

Can we take fluconazole 150 mg and secdinazole 2gm together. If we are taking this medicines what is its course or time to take it. Could please give a detailed prescription on this medication. Does this medication have any side effects

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Doctors' responses

Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
278 days ago
5

Hello Tania,

Fluconazole 150 mg and Secnidazole 2 g are sometimes prescribed together for mixed vaginal infection.

Course: Take both medicines as a single dose, preferably after food in the evening.

Do not repeat unless advised by a doctor.

Side effects: mild nausea, stomach upset, metallic taste, or headache. Rarely, allergic reaction or liver effects. Usually safe when taken once. Feel free to reach out if you feel any of these.

Avoid alcohol for 24 hours after taking Secnidazole.

If symptoms do not improve in 5–7 days or if you have severe abdominal pain, fever, or abnormal bleeding, please see a gynaecologist in person.

Regards,

Dr. Nirav Jain MBBS, DNB D.Fam.Med

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Taking fluconazole and secnidazole together can be an effective treatment for certain infections, such as those that involve fungal and bacterial components. Fluconazole, an antifungal, is often used in cases of candidiasis, while secnidazole, an antibiotic, might be employed for certain bacterial or parasitic infections. However, before starting any medication, it’s crucial to consult with a healthcare provider to ensure that this combination is appropriate for your specific condition and to avoid any potential interactions with other medications you may be taking.

For fluconazole 150 mg, it is often prescribed as a single dose, especially for conditions like vaginal candidiasis. The time of day it is taken doesn’t typically matter but ensure it’s at the same time each day if on a longer course. Secnidazole 2 gm is generally taken as a single oral dose; make sure to follow the specific instructions of your healthcare provider. These treatments are usually convenient due to the short duration, but again, it’s imperative to have a professional diagnosis and prescription.

Both medications can have side effects. Fluconazole may cause nausea, headache, dizziness, abdominal pain, or diarrhea. Rarely, it may affect liver function. Secnidazole side effects could include gastrointestinal disturbances like stomach pain, nausea, or metallic taste in the mouth. More rarely, dizziness or potential allergic reactions might occur. It’s important to monitor for any unusual symptoms or severe reactions and seek medical attention if they arise.

Remember, self-prescribing without a doctor’s evaluation could lead to improper treatment or harm. Assessments, including lab tests, could be necessary to fully understand the nature of your condition and to ascertain the safety and efficacy of these medications in your specific case. Always prioritize consulting your healthcare provider for guidance tailored to your health needs.

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