nuforce plus 150 mg/6 mg tablet - Fluconazole (150mg) + Ivermectin (6mg) medicine

Nuforce Plus 150 Mg/6 Mg Tablet: Complete Medicine Guide

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🏭 Mankind Pharma Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 28, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category Fluconazole: Use in pregnancy only if clearly needed; high doses may be teratogenic. Ivermectin: Use only if clearly needed; potential risk to fetus. Consult your doctor. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Limited for combination; well-established for individual components.
Reviewed by
SaathiMed Expert Panel | Oct 28, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in stool or vomit
  • Severe abdominal pain
  • Chest pain or difficulty breathing
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output
  • Confusion, tremors, or seizures

If experiencing severe symptoms, call emergency services immediately.

What is nuforce plus 150 mg/6 mg tablet used for?

This medicine is a prescription combination of fluconazole (an antifungal) and ivermectin (an antiparasitic) used for specific mixed infections. It should only be taken under medical supervision.

  • Generic Name: Fluconazole (150mg) + Ivermectin (6mg)
  • Manufacturer: Mankind Pharma Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 nuforce plus 150 mg/6 mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा फ्लुकोनाज़ोल और आइवरमेक्टिन का संयोजन है, जिसका उपयोग कुछ विशेष फंगल और परजीवी संक्रमणों के इलाज के लिए किया जाता है। यह डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए।

साइड इफेक्ट्स: सामान्य दुष्प्रभावों में सिरदर्द, चक्कर आना, मतली, पेट दर्द, दस्त और दाने शामिल हो सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें एलर्जी, लीवर की समस्या, त्वचा की गंभीर प्रतिक्रियाएं और तंत्रिका संबंधी लक्षण शामिल हो सकते हैं। किसी भी गंभीर लक्षण पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। शराब का सेवन न करें। गर्भावस्था और स्तनपान के दौरान डॉक्टर से सलाह लें। दवा को रूम टेम्परेचर पर सूखी जगह पर रखें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 nuforce plus 150 mg/6 mg tablet Uses & Benefits

[{"condition":"Mixed fungal and parasitic infections","description":"Used in specific cases where both fungal and parasitic infections are present, such as in immunocompromised patients.","evidence":"Limited"},{"condition":"Fungal infections (fluconazole component)","description":"Fluconazole is used to treat candidiasis, cryptococcosis, and other fungal infections.","evidence":"Well-established for fluconazole alone"},{"condition":"Parasitic infections (ivermectin component)","description":"Ivermectin is used to treat strongyloidiasis, onchocerciasis, scabies, and other parasitic infestations.","evidence":"Well-established for ivermectin alone"}]

Off-label uses: [{"condition":"COVID-19","description":"Ivermectin has been investigated for COVID-19 but is not approved for this use.","evidence":"Insufficient"},{"condition":"Rosacea","description":"Ivermectin topical is used for rosacea, but oral use is not standard.","evidence":"Limited"}]

Primary treatment for: Mixed fungal and parasitic infections

Also treats: Candidiasis, Strongyloidiasis, Onchocerciasis, Scabies

📋 Drug Information

Generic Name(s)Fluconazole (150mg) + Ivermectin (6mg)
Brand Namenuforce plus 150 mg/6 mg tablet
ManufacturerMankind Pharma Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information for the combination product. Fluconazole and ivermectin are individually recommended by WHO for specific infections.
ICMR GuidelineNot established from the available information for the combination product.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce stomach upset.
2
Stay well hydrated throughout the day.
3
Avoid alcohol while taking this medicine.
4
Do not take more than the prescribed dose.
5
Consult your doctor if symptoms persist beyond 7 days.
6
Report any unusual bleeding or bruising immediately.
7
Use effective contraception during treatment.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Fungal infection symptoms (itching, discharge)
This medicine contains fluconazole, which is used for fungal infections.
Likely Use
✅
Parasitic infection symptoms (skin lesions, GI symptoms)
This medicine contains ivermectin, which is used for parasitic infections.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionFluconazole is well absorbed from the gastrointestinal tract, with oral bioavailability over 90%. Ivermectin is also well absorbed, but bioavailability may be affected by food. Not established from the available information for the combination product.
DistributionFluconazole distributes widely into body tissues and fluids, including cerebrospinal fluid, and is about 11-12% protein-bound. Ivermectin is highly protein-bound (about 93%) and distributes into tissues, but does not readily cross the blood-brain barrier. Not established from the available information for the combination product.
Protein BindingFluconazole: 11-12%. Ivermectin: ~93%. Not established from the available information for the combination product.
MetabolismFluconazole is minimally metabolized in the liver. Ivermectin is extensively metabolized in the liver, primarily by CYP3A4. Not established from the available information for the combination product.
Half-LifeFluconazole: approximately 30 hours (may be prolonged in renal impairment). Ivermectin: approximately 18 hours. Not established from the available information for the combination product.
ExcretionFluconazole is primarily excreted unchanged in the urine (about 80%). Ivermectin is excreted mainly in feces, with less than 1% in urine. Not established from the available information for the combination product.
BioavailabilityFluconazole: >90%. Ivermectin: not well established, but oral bioavailability is significant. Not established from the available information for the combination product.
Onset of ActionFluconazole: onset of action depends on indication; may take several days for clinical improvement. Ivermectin: onset for parasitic infections varies; for scabies, improvement may be seen within days. Not established from the available information for the combination product.
Peak Plasma TimeFluconazole: 1-2 hours. Ivermectin: about 4 hours. Not established from the available information for the combination product.
Duration of ActionFluconazole: prolonged due to long half-life; duration depends on indication. Ivermectin: duration varies with indication. Not established from the available information for the combination product.

How It Works

This medicine combines two active ingredients with distinct mechanisms. Fluconazole selectively inhibits fungal cytochrome P450 enzymes, particularly lanosterol 14-alpha-demethylase, which converts lanosterol to ergosterol. This leads to a defective fungal cell membrane and accumulation of toxic sterols. Ivermectin binds to glutamate-gated chloride channels and GABA receptors in parasites, causing hyperpolarization of nerve and muscle cells, leading to paralysis and death of the parasite. In humans, ivermectin does not readily cross the blood-brain barrier at therapeutic doses, but can cause central nervous system effects if the barrier is compromised.

Mechanism Steps

1
Fluconazole uptake: Fluconazole enters fungal cells and inhibits lanosterol 14-alpha-demethylase, blocking ergosterol synthesis.
2
Fungal cell membrane disruption: Depletion of ergosterol and accumulation of 14-alpha-methyl sterols weaken the fungal cell membrane, leading to cell death.
3
Ivermectin binding: Ivermectin binds to glutamate-gated chloride channels in parasites, increasing chloride permeability.
4
Parasite paralysis: Hyperpolarization of nerve and muscle cells causes paralysis and death of the parasite.

💡 How to Take nuforce plus 150 mg/6 mg tablet

Strength: Tablet containing fluconazole 150 mg and ivermectin 6 mg.

1Take this medicine orally with a glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take with food to reduce stomach upset.
4Follow your doctor's instructions regarding timing and duration.
5Do not take more than the prescribed dose.

Dosage Information

Adult DosageThe dosage of this medicine is individualized by a qualified clinician based on the specific infection, its severity, patient's age, weight, renal and hepatic function, and other medications. It is typically taken as a single dose or as a short course. Do not self-medicate. Follow your doctor's prescription exactly.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may require dose adjustment based on renal and hepatic function. Use with caution and monitor closely.
Renal ImpairmentFluconazole dose should be reduced in patients with renal impairment. Ivermectin does not require renal dose adjustment, but use with caution. Consult your doctor for individualized dosing.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Monitor liver function.
Maximum Daily DoseNot established from the available information. Follow your doctor's prescription.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
Avoid
May increase drug levels.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of nuforce plus 150 mg/6 mg tablet

✅ Common Side Effects

Headache (Common (5-10%))
Usually resolves on its own. Consult doctor if persistent.
Nausea (Common (5-10%))
Take with food to reduce nausea. Consult doctor if severe.
Dizziness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you.
Abdominal pain (Common (5-10%))
Take with food. Consult doctor if persistent.
Diarrhea (Common (5-10%))
Stay hydrated. Consult doctor if severe or persistent.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of face, lips, throat, difficulty breathing, or severe rash.
Liver toxicity (Rare (<0.1%))
Seek medical attention if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
Severe skin reactions (Stevens-Johnson syndrome, toxic epidermal necrolysis) (Rare (<0.1%))
Seek immediate medical attention if you develop a painful rash with blisters or peeling skin.
Neurological effects (confusion, tremors, seizures) (Rare (<0.1%))
Seek immediate medical attention if you experience confusion, tremors, or seizures.

⚠️ Rare Side Effects

Blood disorders (agranulocytosis, thrombocytopenia)
Report any unusual bleeding, bruising, or signs of infection to your doctor immediately.
QT prolongation
Inform your doctor if you have a history of heart rhythm problems.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
CYP3A4 inhibitors Major
CYP3A4 inducers Major
Statins Moderate
Sulfonylureas Moderate
Phenytoin Moderate
Antacids Minor

🚨 Major Interactions

  • Warfarin
  • CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
  • CYP3A4 inducers (e.g., rifampin, carbamazepine)

⚡ Moderate Interactions

  • Statins (e.g., atorvastatin, simvastatin)
  • Sulfonylureas (e.g., glipizide, glyburide)
  • Phenytoin

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol may increase the risk of liver toxicity, especially with fluconazole, and may worsen side effects such as dizziness and nausea.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to fluconazole, ivermectin, or any component of the formulation","Concurrent use with certain drugs that prolong QT interval","Severe liver disease","Pregnancy (unless clearly needed)","Breastfeeding (unless clearly needed)"]

⚠️ Warnings & Precautions

["Use with caution in patients with liver or kidney disease.","Avoid alcohol during treatment.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Use effective contraception during treatment and for at least one week after.","Do not use in patients with a history of severe allergic reactions to azoles or avermectins.","Monitor for signs of liver toxicity.","Use with caution in patients with neurological disorders."]

🤱 Lactation Safety

Fluconazole and ivermectin are excreted in breast milk. Consult your doctor before breastfeeding. Breastfeeding is not recommended while taking this medicine.

💊 Overdose Management

Overdose may cause nausea, vomiting, diarrhea, and neurological symptoms. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Hemodialysis may be considered for fluconazole overdose.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not self-medicate or share this medicine with others. Inform your doctor about all your medical conditions, especially liver or kidney problems, and any allergies. Avoid alcohol while taking this medicine as it may increase the risk of liver damage. Use effective contraception during treatment and for at least one week after the last dose if you are of childbearing age. Do not breastfeed while taking this medicine without consulting your doctor. If you miss a dose, take it as soon as you remember, but skip it if it is almost time for the next dose. Do not double the dose. Store this medicine at room temperature away from moisture and heat. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to side effects, especially liver and kidney toxicity. Dose adjustment may be needed based on renal and hepatic function. Monitor closely.

🤰 Pregnancy Planning (TTC)

This medicine should be avoided during pregnancy unless clearly needed. Use effective contraception during treatment and for at least one week after. Consult your doctor if you are planning pregnancy.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist if you are taking this medicine before surgery. It may interact with other medications used during surgery.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It may interact with medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce the risk of infections.
🥗
Practice good hygiene to prevent reinfection.
😴
Eat a balanced diet to support your immune system.
💧
Get adequate sleep to help your body fight infections.
🧘
Avoid sharing personal items to prevent the spread of infections.

🏋️ Exercise Considerations

If you experience dizziness or fatigue, avoid strenuous exercise until you know how the medicine affects you. Consult your doctor before starting any exercise program.

🥗 Diet Recommendations

Include probiotic-rich foods to support gut health.
Stay well hydrated.
Avoid alcohol and grapefruit.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. Take rest if needed.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. Complete the full course as prescribed, even if you feel better. If you experience severe side effects, contact your doctor immediately.

📅 Long-Term Use Effects

Long-term use of this medicine may increase the risk of liver toxicity, especially with fluconazole. Regular monitoring of liver function is recommended. Ivermectin long-term use may lead to neurological side effects. Use only as prescribed and for the recommended duration.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Topical antifungal

For localized fungal infections, topical treatments may be sufficient.

Evidence: Well-established
Topical antiparasitic

For scabies, topical permethrin is an alternative.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are established. However, consult your doctor before receiving any vaccine while on this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from moisture. If traveling across time zones, consult your doctor about dose timing. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 45-year-old man with a mixed fungal and parasitic infection
He was prescribed this medicine by his doctor after diagnosis. He took it as directed with food and completed the course. He experienced mild nausea initially, which subsided. His symptoms improved significantly within a week.
💡 Lesson: Taking the medicine with food and completing the full course as prescribed leads to better outcomes.
👤 A 60-year-old woman with diabetes and a fungal infection
She was prescribed this medicine but forgot to inform her doctor about her diabetes medication. She experienced hypoglycemia and had to be monitored. After adjusting her diabetes medication, she completed the treatment successfully.
💡 Lesson: Always inform your doctor about all medications you are taking to avoid interactions.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The onset of action depends on the type of infection. Improvement may be seen within a few days, but complete treatment may take longer. Follow your doctor's instructions.

Q: Can I take this medicine with other medications?

A: Inform your doctor about all medications you are taking, as this medicine can interact with several drugs. Do not start any new medication without consulting your doctor.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for nuforce plus 150 mg/6 mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure all types of infections.
    Fact: It is only effective against susceptible fungal and parasitic infections, not bacterial or viral infections.
  • Myth: It is safe to take without a prescription.
    Fact: It is a prescription medicine and should only be taken under medical supervision.

🔄 Alternative Options

Generic Alternatives

  • Fluconazole 150 mg + Ivermectin 6 mg tablet (generic)

Brand Alternatives

  • Nuforce Plus 150 mg/6 mg tablet

📊 Comparison with Similar Medicines

[{"medicine":"Fluconazole alone","difference":"Only antifungal, no antiparasitic action."},{"medicine":"Ivermectin alone","difference":"Only antiparasitic, no antifungal action."}]

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