Before taking flucytosine, tell your doctor if you
-
have kidney disease,
-
have a blood or bone marrow disease, or
-
are being treated with radiation or a drug that causes bone marrow suppression.
You may not be able to take flucytosine or you may need a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Flucytosine is in the FDA pregnancy category C. This means that it is not known whether flucytosine will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.
It is not known whether flucytosine passes into breast milk. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.
Take flucytosine exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
Take each dose with a full glass (8 ounces) of water.
Flucytosine may cause nausea and vomiting. You can reduce this side effect by taking the capsules a few at a time over a 15-minute period. Notify your doctor if nausea and vomiting become unbearable.
Take all of the flucytosine that has been prescribed for you even if you begin to feel better. Your symptoms may begin to improve before the infection is completely treated.
It is important to take flucytosine regularly to get the most benefit.
Your doctor may want you to have blood tests or other medical evaluations during treatment with flucytosine to monitor progress and side effects.
Store this medication at room temperature away from moisture and heat.
Take the missed dose as soon as you remember. However, if it is almost time for the next
regularly scheduled dose, skip the missed dose and take the next one as directed.
If you experience any of the following serious side effects, stop taking flucytosine and seek emergency medical attention or contact your doctor immediately:
-
an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
-
chest pain;
-
yellowing of the skin or eyes;
-
little or no urine;
-
confusion or hallucinations;
-
numbness or tingling; or
-
hearing loss.
Other, less serious side effects may be more likely to occur. Continue to take flucytosine and talk to your doctor if you experience
-
nausea, vomiting, decreased appetite, or diarrhea;
-
a dry mouth;
-
headache;
-
sedation; or
-
weakness or poor coordination.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
Take all of the flucytosine that has been prescribed for you even if you begin to feel better. Your symptoms may begin to improve before the infection is completely treated.
Flucytosine may cause nausea and vomiting. You can reduce this side effect by taking the capsules a few at a time over a 15-minute period.
There are no restrictions on foods, beverages, or activities during treatment with flucytosine unless your doctor directs otherwise.
Before taking flucytosine, tell your doctor if you are taking any of the following medicines:
-
amphoterecin B (another antifungal medication). This drug may decrease the effects of flucytosine.
-
cytosine (Cytosar-U), a chemotherapy medication. This drug may inactivate flucytosine.
Drugs other than those listed here may also interact with flucytosine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.
Seek emergency medical attention if an overdose is suspected.
Symptoms of a flucytosine overdose are not well known but might include nausea, vomiting, diarrhea, and abdominal pain.
