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fluconazole and Abnormalities, Drug-Induced

fluconazole has been researched along with Abnormalities, Drug-Induced in 28 studies

Fluconazole: Triazole antifungal agent that is used to treat oropharyngeal CANDIDIASIS and cryptococcal MENINGITIS in AIDS.
fluconazole : A member of the class of triazoles that is propan-2-ol substituted at position 1 and 3 by 1H-1,2,4-triazol-1-yl groups and at position 2 by a 2,4-difluorophenyl group. It is an antifungal drug used for the treatment of mucosal candidiasis and for systemic infections including systemic candidiasis, coccidioidomycosis, and cryptococcosis.

Abnormalities, Drug-Induced: Congenital abnormalities caused by medicinal substances or drugs of abuse given to or taken by the mother, or to which she is inadvertently exposed during the manufacture of such substances. The concept excludes abnormalities resulting from exposure to non-medicinal chemicals in the environment.

Research Excerpts

ExcerptRelevanceReference
"Oral fluconazole use during the first trimester of pregnancy was marginally associated with an increased risk of congenital malformations (odds ratio [OR] 1."9.01The safety of oral fluconazole during the first trimester of pregnancy: a systematic review and meta-analysis. ( Jiang, CM; Jiang, HY; Zhang, X; Zhang, Z; Zhou, YY, 2019)
" She took a 150-mg dose of fluconazole 2 weeks ago for the treatment of vaginal candidiasis and she is worried about the effect on her child and pregnancy."7.81Fluconazole exposure during pregnancy. ( Bozzo, P; Kaplan, YC; Koren, G, 2015)
"Case reports suggest that long-term, high-dose fluconazole treatment for severe fungal infections during pregnancy causes a pattern of birth defects."7.79Use of oral fluconazole during pregnancy and the risk of birth defects. ( Hviid, A; Mølgaard-Nielsen, D; Pasternak, B, 2013)
"We evaluated pregnancy outcomes in 234 women exposed to fluconazole, 492 exposed to a topically administered azole preparation, 88 exposed to an oral azole preparation other than fluconazole, and 1629 not exposed to any of these agents during the first trimester of pregnancy Relative risks of having a baby with a congenital disorder for women exposed to fluconazole, oral azoles, and topical azoles in the first trimester of pregnancy compared with those who were unexposed were 1."7.70Pregnancy outcomes after maternal exposure to fluconazole. ( Jick, SS, 1999)
"From 1 January 1991 to 31 December 1996 we identified 165 women who had taken fluconazole just before or during pregnancy in the Pregnancy Outcome Section of the North Jutland Pharmacoepidemiological Prescription Database, Denmark, which is linked to the Danish Medical Birth Registry."5.09Risk of malformations and other outcomes in children exposed to fluconazole in utero. ( Czeizel, AE; Larsen, H; Nielsen, GL; Olesen, C; Olsen, J; Schønheyder, HC; Sorensen, HT; Steffensen, FH, 1999)
"Oral fluconazole use during the first trimester of pregnancy was marginally associated with an increased risk of congenital malformations (odds ratio [OR] 1."5.01The safety of oral fluconazole during the first trimester of pregnancy: a systematic review and meta-analysis. ( Jiang, CM; Jiang, HY; Zhang, X; Zhang, Z; Zhou, YY, 2019)
" Because half of all pregnancies are unplanned and pregnant women have an increased risk of VVC recurrence, the likelihood of inadvertently being exposed to fluconazole in pregnancy is increased."4.91Exposure to fluconazole and risk of congenital malformations in the offspring: A systematic review and meta-analysis. ( Alsaad, AM; Kaplan, YC; Koren, G, 2015)
"To examine the risk of congenital malformations associated with exposure to oral fluconazole at commonly used doses in the first trimester of pregnancy for the treatment of vulvovaginal candidiasis."3.96Oral fluconazole use in the first trimester and risk of congenital malformations: population based cohort study. ( Bateman, BT; Gray, KJ; Hernandez-Diaz, S; Huybrechts, KF; Mogun, H; Straub, L; Zhu, Y, 2020)
"Low-dose fluconazole is used commonly to treat vulvovaginal candidiasis, a condition occurring frequently during pregnancy."3.83Fluconazole use and birth defects in the National Birth Defects Prevention Study. ( Browne, ML; Carter, TC; Cunniff, CM; Druschel, CM; Howley, MM; Romitti, PA, 2016)
" She took a 150-mg dose of fluconazole 2 weeks ago for the treatment of vaginal candidiasis and she is worried about the effect on her child and pregnancy."3.81Fluconazole exposure during pregnancy. ( Bozzo, P; Kaplan, YC; Koren, G, 2015)
"Case reports suggest that long-term, high-dose fluconazole treatment for severe fungal infections during pregnancy causes a pattern of birth defects."3.79Use of oral fluconazole during pregnancy and the risk of birth defects. ( Hviid, A; Mølgaard-Nielsen, D; Pasternak, B, 2013)
"Fluconazole is widely used for the treatment of candidiasis."3.74Maternal use of fluconazole and risk of congenital malformations: a Danish population-based cohort study. ( Erichsen, R; Gislum, M; Nørgaard, M; Pedersen, L; Schønheyder, HC; Søgaard, KK; Sørensen, HT, 2008)
"We evaluated pregnancy outcomes in 234 women exposed to fluconazole, 492 exposed to a topically administered azole preparation, 88 exposed to an oral azole preparation other than fluconazole, and 1629 not exposed to any of these agents during the first trimester of pregnancy Relative risks of having a baby with a congenital disorder for women exposed to fluconazole, oral azoles, and topical azoles in the first trimester of pregnancy compared with those who were unexposed were 1."3.70Pregnancy outcomes after maternal exposure to fluconazole. ( Jick, SS, 1999)
" However, patients with this phenotype have been reported with a new dominant mutation at the FGFR2 locus as well as in the offspring of mothers taking the antifungal agent fluconazole during early pregnancy."3.70Evidence for digenic inheritance in some cases of Antley-Bixler syndrome? ( Adès, L; Baraitser, M; Das, D; DeLozier-Blanchet, C; Hindmarsh, P; Honour, JW; Kelly, T; Kumar, D; Malcolm, S; McKee, S; McKeehan, WL; Nelson, I; Reardon, W; Rumsby, G; Sillence, D; Smith, A; Winter, RM, 2000)
"Fluconazole is a bis-triazole agent used in the treatment of superficial and systemic fungal infections, with vaginal candidiasis being one of the commonest indications to fluconazole treatment."2.72Maternal use of fluconazole and congenital malformations in the progeny: A meta-analysis of the literature. ( Budani, MC; Di Marzio, M; Fensore, S; Tiboni, GM, 2021)
"Fluconazole (FCZ) is an antifungal bis-triazole with potent inhibitory effect on the principal CYP-dependent metabolic pathway of PHT."2.69Teratological interaction between the bis-triazole antifungal agent fluconazole and the anticonvulsant drug phenytoin. ( Bellati, U; Di Ilio, C; Giampietro, F; Iammarrone, E; Lamonaca, D; Tiboni, GM, 1999)
"Ketoconazole is a major breakthrough although hepatic side-effects as well as interactions with mammalian steroids might rarely occur during prolonged treatment."2.38Toxicological profile and safety evaluation of antifungal azole derivatives. ( Coussement, W; De Coster, R; Lampo, A; Marsboom, R; Van Cauteren, H; Vandenberghe, J; Vanparys, P, 1989)
" Dose-response relationship was investigated by treating animals with 0 (vehicle), 87."1.33Murine teratology of fluconazole: evaluation of developmental phase specificity and dose dependence. ( Giampietro, F; Tiboni, GM, 2005)
"Fluconazole is a triazole antifungal used to treat mycotic infections."1.33Prenatal exposure to fluconazole: an identifiable dysmorphic phenotype. ( Lopez-Rangel, E; Van Allen, MI, 2005)
"Fluconazole has been associated with various teratisms in animals, including craniofacial ossification defects, thin, wavy ribs, and renal pelvis defects."1.29Fluconazole-induced congenital anomalies in three infants. ( Abraham, J; Andersen, HF; Bartley, JA; Blomquist, IK; Pursley, TJ, 1996)

Research

Studies (28)

TimeframeStudies, this research(%)All Research%
pre-19901 (3.57)18.7374
1990's10 (35.71)18.2507
2000's5 (17.86)29.6817
2010's10 (35.71)24.3611
2020's2 (7.14)2.80

Authors

AuthorsStudies
Zhang, Z1
Zhang, X1
Zhou, YY1
Jiang, CM1
Jiang, HY1
Zhu, Y1
Bateman, BT1
Gray, KJ1
Hernandez-Diaz, S1
Mogun, H1
Straub, L1
Huybrechts, KF1
Budani, MC1
Fensore, S1
Di Marzio, M1
Tiboni, GM4
Mølgaard-Nielsen, D2
Pasternak, B2
Hviid, A2
Vlachadis, N1
Iliodromiti, Z1
Vrachnis, N1
Magee, LA1
Margo, K1
Alsaad, AM1
Kaplan, YC2
Koren, G2
Bozzo, P1
Howley, MM1
Carter, TC1
Browne, ML1
Romitti, PA1
Cunniff, CM1
Druschel, CM1
Cassina, M1
Cagnoli, GA1
Zuccarello, D1
Di Gianantonio, E1
Clementi, M1
Carey, JC1
Martinez, L1
Balken, E1
Leen-Mitchell, M1
Robertson, J1
Giampietro, F2
Lopez-Rangel, E1
Van Allen, MI1
Nørgaard, M1
Pedersen, L1
Gislum, M1
Erichsen, R1
Søgaard, KK1
Schønheyder, HC2
Sørensen, HT1
Pursley, TJ1
Blomquist, IK1
Abraham, J1
Andersen, HF1
Bartley, JA1
Krcmery, V1
Huttova, M1
Masar, O1
Wray, CM1
Sanchez, JM1
Moya, G1
Albukrek, D1
Davidson, S1
Merlob, P1
Jick, SS1
Iammarrone, E1
Lamonaca, D1
Bellati, U1
Di Ilio, C1
Sorensen, HT1
Nielsen, GL1
Olesen, C1
Larsen, H1
Steffensen, FH1
Olsen, J1
Czeizel, AE1
Reardon, W1
Smith, A1
Honour, JW1
Hindmarsh, P1
Das, D1
Rumsby, G1
Nelson, I1
Malcolm, S1
Adès, L1
Sillence, D1
Kumar, D1
DeLozier-Blanchet, C1
McKee, S1
Kelly, T1
McKeehan, WL1
Baraitser, M1
Winter, RM1
Lee, BE1
Feinberg, M1
Abraham, JJ1
Murthy, AR1
Van Cauteren, H1
Lampo, A1
Vandenberghe, J1
Vanparys, P1
Coussement, W1
De Coster, R1
Marsboom, R1

Reviews

6 reviews available for fluconazole and Abnormalities, Drug-Induced

ArticleYear
The safety of oral fluconazole during the first trimester of pregnancy: a systematic review and meta-analysis.
    BJOG : an international journal of obstetrics and gynaecology, 2019, Volume: 126, Issue:13

    Topics: Abnormalities, Drug-Induced; Administration, Oral; Antifungal Agents; Candidiasis, Vulvovaginal; Cra

2019
Maternal use of fluconazole and congenital malformations in the progeny: A meta-analysis of the literature.
    Reproductive toxicology (Elmsford, N.Y.), 2021, Volume: 100

    Topics: Abnormalities, Drug-Induced; Abortion, Spontaneous; Antifungal Agents; Candidiasis, Vulvovaginal; Do

2021
Exposure to fluconazole and risk of congenital malformations in the offspring: A systematic review and meta-analysis.
    Reproductive toxicology (Elmsford, N.Y.), 2015, Volume: 52

    Topics: Abnormalities, Drug-Induced; Antifungal Agents; Candidiasis, Vulvovaginal; Craniofacial Abnormalitie

2015
Determination of human teratogenicity by the astute clinician method: review of illustrative agents and a proposal of guidelines.
    Birth defects research. Part A, Clinical and molecular teratology, 2009, Volume: 85, Issue:1

    Topics: Abnormalities, Drug-Induced; Antifungal Agents; Antirheumatic Agents; Congenital Abnormalities; Evid

2009
[Fluconazole administration during pregnancy].
    Harefuah, 1998, Volume: 135, Issue:5-6

    Topics: Abnormalities, Drug-Induced; Antifungal Agents; Candidiasis; Candidiasis, Vulvovaginal; Female; Fluc

1998
Toxicological profile and safety evaluation of antifungal azole derivatives.
    Mycoses, 1989, Volume: 32 Suppl 1

    Topics: Abnormalities, Drug-Induced; Animals; Antifungal Agents; Endocrine Glands; Fluconazole; Humans; Itra

1989

Trials

2 trials available for fluconazole and Abnormalities, Drug-Induced

ArticleYear
Teratological interaction between the bis-triazole antifungal agent fluconazole and the anticonvulsant drug phenytoin.
    Teratology, 1999, Volume: 59, Issue:2

    Topics: Abnormalities, Drug-Induced; Animals; Anticonvulsants; Antifungal Agents; Body Weight; Cleft Palate;

1999
Risk of malformations and other outcomes in children exposed to fluconazole in utero.
    British journal of clinical pharmacology, 1999, Volume: 48, Issue:2

    Topics: Abnormalities, Drug-Induced; Adolescent; Adult; Antifungal Agents; Denmark; Female; Fluconazole; Fol

1999

Other Studies

20 other studies available for fluconazole and Abnormalities, Drug-Induced

ArticleYear
Oral fluconazole use in the first trimester and risk of congenital malformations: population based cohort study.
    BMJ (Clinical research ed.), 2020, May-20, Volume: 369

    Topics: Abnormalities, Drug-Induced; Administration, Oral; Adult; Antifungal Agents; Candidiasis, Vulvovagin

2020
Use of oral fluconazole during pregnancy and the risk of birth defects.
    The New England journal of medicine, 2013, Aug-29, Volume: 369, Issue:9

    Topics: Abnormalities, Drug-Induced; Administration, Oral; Adult; Antifungal Agents; Cohort Studies; Denmark

2013
Oral fluconazole during pregnancy and risk of birth defects.
    The New England journal of medicine, 2013, 11-21, Volume: 369, Issue:21

    Topics: Abnormalities, Drug-Induced; Antifungal Agents; Female; Fluconazole; Humans; Pregnancy

2013
Oral fluconazole during pregnancy and risk of birth defects.
    The New England journal of medicine, 2013, 11-21, Volume: 369, Issue:21

    Topics: Abnormalities, Drug-Induced; Antifungal Agents; Female; Fluconazole; Humans; Pregnancy

2013
ACP Journal Club. Fluconazole use during the first trimester of pregnancy was not associated with most major birth defects.
    Annals of internal medicine, 2014, Jan-21, Volume: 160, Issue:2

    Topics: Abnormalities, Drug-Induced; Antifungal Agents; Female; Fluconazole; Humans; Pregnancy

2014
Review: some clinical tests performed by specialists identify rotator cuff disease or tears.
    Annals of internal medicine, 2014, Mar-18, Volume: 160, Issue:6

    Topics: Abnormalities, Drug-Induced; Antifungal Agents; Female; Fluconazole; Humans; Pregnancy

2014
Fluconazole exposure during pregnancy.
    Canadian family physician Medecin de famille canadien, 2015, Volume: 61, Issue:8

    Topics: Abnormalities, Drug-Induced; Antifungal Agents; Candidiasis, Vulvovaginal; Female; Fluconazole; Huma

2015
Fluconazole use and birth defects in the National Birth Defects Prevention Study.
    American journal of obstetrics and gynecology, 2016, Volume: 214, Issue:5

    Topics: Abnormalities, Drug-Induced; Adult; Antifungal Agents; Candidiasis; Case-Control Studies; Female; Fl

2016
Human teratogens and genetic phenocopies. Understanding pathogenesis through human genes mutation.
    European journal of medical genetics, 2017, Volume: 60, Issue:1

    Topics: Abnormalities, Drug-Induced; Angiotensin-Converting Enzyme Inhibitors; Animals; Female; Fetal Diseas

2017
Murine teratology of fluconazole: evaluation of developmental phase specificity and dose dependence.
    Pediatric research, 2005, Volume: 58, Issue:1

    Topics: Abnormalities, Drug-Induced; Alcian Blue; Animals; Anthraquinones; Antifungal Agents; Body Weight; C

2005
Prenatal exposure to fluconazole: an identifiable dysmorphic phenotype.
    Birth defects research. Part A, Clinical and molecular teratology, 2005, Volume: 73, Issue:11

    Topics: Abnormalities, Drug-Induced; Abnormalities, Multiple; Antifungal Agents; Female; Fluconazole; HIV In

2005
Maternal use of fluconazole and risk of congenital malformations: a Danish population-based cohort study.
    The Journal of antimicrobial chemotherapy, 2008, Volume: 62, Issue:1

    Topics: Abnormalities, Drug-Induced; Antifungal Agents; Candidiasis; Cohort Studies; Denmark; Female; Flucon

2008
Second branchial arch anomalies induced by fluconazole, a bis-triazole antifungal agent, in cultured mouse embryos.
    Research communications in chemical pathology and pharmacology, 1993, Volume: 79, Issue:3

    Topics: Abnormalities, Drug-Induced; Animals; Branchial Region; Culture Techniques; Embryo, Mammalian; Femal

1993
Fluconazole-induced congenital anomalies in three infants.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 1996, Volume: 22, Issue:2

    Topics: Abnormalities, Drug-Induced; Adult; Antifungal Agents; Bone and Bones; Coccidioidomycosis; Face; Fem

1996
Teratogenicity of fluconazole.
    The Pediatric infectious disease journal, 1996, Volume: 15, Issue:9

    Topics: Abnormalities, Drug-Induced; Adult; Antifungal Agents; Female; Fluconazole; Humans; Pregnancy

1996
Congenital anomalies and fluconazole.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 1997, Jan-01, Volume: 156, Issue:1

    Topics: Abnormalities, Drug-Induced; Abnormalities, Multiple; Animals; Antifungal Agents; Candidiasis, Vulvo

1997
Fluconazole teratogenicity.
    Prenatal diagnosis, 1998, Volume: 18, Issue:8

    Topics: Abnormalities, Drug-Induced; Adult; Female; Fertilization; Fluconazole; Humans; Male; Pregnancy; Pre

1998
Pregnancy outcomes after maternal exposure to fluconazole.
    Pharmacotherapy, 1999, Volume: 19, Issue:2

    Topics: Abnormalities, Drug-Induced; Antifungal Agents; Female; Fluconazole; Humans; Limb Deformities, Conge

1999
Evidence for digenic inheritance in some cases of Antley-Bixler syndrome?
    Journal of medical genetics, 2000, Volume: 37, Issue:1

    Topics: Abnormalities, Drug-Induced; Abnormalities, Multiple; Ankle Joint; Ankylosis; Craniosynostoses; Eye

2000
Congenital malformations in an infant born to a woman treated with fluconazole.
    The Pediatric infectious disease journal, 1992, Volume: 11, Issue:12

    Topics: Abnormalities, Drug-Induced; Coccidioidomycosis; Congenital Abnormalities; Female; Fluconazole; Huma

1992