Concerns About Medication for Skin Conditions: What You Need to Know - Pharmacology

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Regarding medication for skin diseases?


I used the medication Sporanox (Itraconazole 100mg capsules) on February 13, 2009, taking 2 capsules each time until I finished the 28 capsules.
This morning, I was unable to return for my follow-up appointment.
During my initial consultation, the doctor mentioned that I should not discontinue the medication on my own.
Tonight, I went to the hospital pharmacy to ask if I could get more of this medication, but the pharmacist informed me that I need a prescription from a doctor before I can obtain it.
However, the dermatologist's next appointment is on March 3, and since so much time has passed, could this affect my health? Additionally, this medication is not available at regular pharmacies.
Can I take my prescription bag to another hospital to obtain the same medication? If I go to another hospital, will I need to have blood drawn again before getting the medication?

FKH, 20~29 year old female. Ask Date: 2009/02/27

Dr. Liu Huijun reply Pharmacology


Dear FKH,
I apologize for the delay in responding due to changes in my email address.
This medication is an antifungal agent, and the reason your physician emphasized the importance of not interrupting the treatment is to maintain the drug concentration and to prevent the development of drug resistance.
Therefore, it should be taken continuously.

This medication is prescription-only and must be prescribed by a physician in order to be obtained.
Blood tests are primarily conducted to assess liver function.
In theory, since you have been using this medication, it indicates that your liver function is within the normal range.
Whether further blood tests are necessary should be evaluated by your physician.
Best wishes,
Pharmacist, Taoyuan Rehabilitation Hospital

Reply Date: 2009/02/27

More Info


When it comes to managing skin conditions and the medications associated with them, it’s essential to understand both the importance of adherence to prescribed treatments and the potential implications of discontinuing medication without medical guidance. In your case, you mentioned using Sporanox (Itraconazole), an antifungal medication often prescribed for various fungal infections.
Firstly, it’s crucial to recognize that medications like Sporanox are typically prescribed for a specific duration to ensure the infection is fully treated. Stopping the medication prematurely can lead to incomplete treatment, which may result in the infection returning or worsening. This is particularly important with antifungal medications, as they need to be taken for the full course to effectively eliminate the fungal organisms from your body.

Regarding your concern about not being able to return to your dermatologist until March 3rd, it’s understandable to feel anxious about the potential impact on your health. If you have completed a significant portion of your treatment but are unable to continue due to the lack of a prescription, it’s advisable to contact your healthcare provider as soon as possible. They may be able to provide guidance on how to proceed, which could include an earlier appointment or a telehealth consultation.

As for obtaining the medication from another pharmacy or hospital, it’s generally not advisable to attempt to get a refill without a new prescription from a healthcare provider. Each pharmacy has protocols in place to ensure patient safety, and they typically require a valid prescription for controlled medications or those that require monitoring, such as Sporanox. If you visit another hospital or pharmacy, they may require you to undergo blood tests again, especially if the medication requires monitoring for liver function or other potential side effects.

In terms of side effects, Itraconazole can have several, including liver toxicity, gastrointestinal disturbances, and potential interactions with other medications. Regular monitoring through blood tests is often recommended to ensure that your liver function remains stable while on this medication. If you experience any unusual symptoms, such as jaundice (yellowing of the skin or eyes), severe fatigue, or abdominal pain, you should seek medical attention immediately.

To summarize, here are some key points to consider regarding your situation:
1. Do Not Discontinue Medication Without Guidance: It’s essential to follow your doctor’s advice regarding the duration of treatment with Sporanox. If you cannot see your dermatologist soon, reach out to them for advice.

2. Avoid Seeking Medication from Other Pharmacies: It’s best to obtain your medication from the prescribing doctor or their office to ensure safety and proper monitoring.

3. Monitor for Side Effects: Be aware of potential side effects and report any concerning symptoms to your healthcare provider.

4. Consider Telehealth Options: If you cannot see your dermatologist in person, inquire about telehealth options for a consultation.

5. Follow-Up Testing: Be prepared for the possibility of needing follow-up blood tests if you switch healthcare providers or pharmacies.

In conclusion, maintaining open communication with your healthcare provider is vital in managing your skin condition effectively. They can provide the best guidance tailored to your specific situation and ensure that you receive the appropriate care and medication.

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