amphotericin B vs fluconazole

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Side-by-side comparison of amphotericin B and fluconazole. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

minor Known Drug Interaction

Amphotericin B : Concurrent administration of fluconazole and amphotericin B in infected normal and immunosuppressed mice showed the following results: a small additive antifungal effect in systemic infection with Candida albicans , no interaction in intracranial infection with Cryptococcus neoformans , and antagonism of the two drugs in systemic infection with A.

Drug Class
amphotericin B Polyene Antifungal
fluconazole Azole Antifungal
Type
amphotericin B Prescription
fluconazole Prescription
Summary
amphotericin B

Amphotericin B liposome is an antifungal medicine. It fights serious fungal infections in your body.

fluconazole

Fluconazole is an antifungal medicine. It is used to treat infections caused by fungus.

What It Treats
amphotericin B

This medicine treats fungal infections like aspergillosis, candidiasis, and cryptococcosis. It can also treat cryptococcal meningitis in people with HIV. It may also be used for visceral leishmaniasis, but this infection can return, especially in those with weak immune systems.

fluconazole

Fluconazole treats vaginal yeast infections. It also treats yeast infections in the mouth and esophagus. Fluconazole can also treat urinary tract infections, peritonitis, systemic Candida infections, and pneumonia. It can also treat cryptococcal meningitis. Fluconazole can also prevent candidiasis in patients undergoing bone marrow transplantation.

How It Works
amphotericin B

Amphotericin B liposome belongs to a class of drugs called polyene antifungals. It works by binding to the membrane of the fungal cells. This binding disrupts the fungal cell membrane, causing the cell to die.

fluconazole

Fluconazole works by stopping the growth of fungi. It blocks the fungus from producing a substance it needs to grow. This helps to clear up the infection.

Common Side Effects
amphotericin B
  • Abdominal pain
  • Weakness
  • Back pain
  • Chills
  • Pain
fluconazole
  • Headache
  • Nausea
  • Abdominal pain
FAERS Reports
amphotericin B
  • Pyrexia 972
  • Condition Aggravated 841
  • Febrile Neutropenia 650
  • Acute Kidney Injury 625
  • Sepsis 613
fluconazole
  • Pyrexia 4,121
  • Nausea 3,697
  • Diarrhoea 3,538
  • Fatigue 3,151
  • Pain 3,123
Serious Warnings
amphotericin B

This medicine is not interchangeable with other amphotericin B products. Different versions of amphotericin B act differently in the body. Make sure you always get the correct medicine.

fluconazole

Coadministration of other drugs known to prolong the QT interval and which are metabolized via the enzyme CYP3A4 such as erythromycin, pimozide, and quinidine are contraindicated in patients receiving fluconazole.

Pregnancy
amphotericin B

Tell your doctor if you are pregnant or plan to become pregnant. It is not known if this medicine will harm your unborn baby. Talk to your doctor about the risks and benefits of using this medicine during pregnancy or while breastfeeding.

fluconazole

Tell your doctor if you are pregnant or plan to become pregnant. Fluconazole may not be safe for your baby. Talk to your doctor about breastfeeding while taking fluconazole.

Also Compare, Nearby Drugs

How to Read This amphotericin B vs fluconazole Comparison

amphotericin B is classified in the Polyene Antifungal drug class, while fluconazole sits within the Azole Antifungal class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, amphotericin B has 3,701 submissions while fluconazole has 17,630. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known minor interaction flagged in FDA labeling, attributed to these two drugs can sometimes work against each other depending on the type of fungus being treated. this means they might be less effective when used together than when used alone.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for amphotericin B or fluconazole.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.