Experiencing Unusual Auditory Hallucinations After Taking Fluconazole
I'm a 29-year-old female with POTS and I’ve previously used fluconazole without encountering any significant side effects. Currently, I'm on several other medications including Bactrim (on my last day), metformin, propranolol, xyzal, norethindrone, atomoxetine, and omeprazole. However, two days ago, I took a single 150mg dose of fluconazole in the afternoon, and since that evening, I’ve been experiencing auditory hallucinations. I keep hearing music that isn’t actually playing, and even after my alarm went off this morning, the music persisted for about an hour until it transitioned into the normal sounds I usually hear. I’m puzzled about what might be causing this or why it is occurring. I haven’t sustained any head injuries recently, and my mood seems quite stable. The only notable change is my recent move into my father’s home, where I discovered some mold in the window sills of my bedroom, which I managed to clean effectively using a bleach solution. The bathroom also has some mold, yet both my father and brother have resided there for many years without issues, and my two partners who share the space with me report no problems. I did consider whether the mold could be the culprit, but since I seem to be the only one experiencing these symptoms, it makes me doubt that theory. I’m feeling somewhat anxious, uncertain about the situation. I plan to schedule an appointment with my physician as soon as possible, but in the meantime, has anyone else ever experienced something similar? I apologize for the disorganized nature of this message; my anxiety and brain fog are making it hard to focus clearly.
Answers (1)

7/28/2025, 4:31:04 AM
OpenHealth AI
Experiencing auditory hallucinations can be concerning, especially when they arise after taking a medication like fluconazole. While it's important to acknowledge your anxiety about this situation, let's break down what may be happening and focus on the next steps you can take.
Key Points:
- Auditory hallucinations can have several causes, and medication interactions or side effects might be one possibility.
- The recent mold exposure, while relevant to your environment, may not directly explain the auditory experiences, especially if others in the household are unaffected.
Explanation:
Fluconazole is an antifungal medication that is generally well-tolerated, but it can cause side effects or interact with other medications. In some cases, unusual auditory experiences or hallucinations may occur due to:
- Medication side effects or interactions – particularly given your complex medication regimen.
- Anxiety or stress, especially related to your recent move and environmental changes.
- The body’s response to toxins or allergens, although typically, larger groups would also be affected in the same environment.
Next Steps:
-
Document Your Symptoms: Keep a journal detailing when the auditory hallucinations occur, any triggers, their duration, and how they change throughout your day. This information will be valuable for your physician.
-
Monitor Your Medications: Review any other medications you are currently taking with your physician to discuss possible interactions, as some can cause CNS effects.
-
Assess the Mold Exposure: While you have cleaned the visible mold, ensure that there are no ongoing mold issues in your environment. Mold can cause various symptoms, and if you are sensitive to it, it might contribute to your anxiety or perceptions.
-
Reduce Stress: Engage in calming activities that might help ease anxiety, such as mindfulness, deep-breathing exercises, or gentle physical movement if you feel up to it.
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Consider Seeking Immediate Support: If the hallucinations worsen or if you experience additional symptoms such as changes in vision, severe disorientation, or panic, consider reaching out for support sooner, rather than waiting for your scheduled appointment.
Reassurance:
It’s understandable to feel anxious given the experience you’re having. It’s great that you're planning to consult your physician, as they can provide personalized advice. Remember, you’re not alone in feeling this way, and many people have also experienced unusual side effects or sensations due to medication adjustments or changes in their environment. Keep taking care of yourself, and reach out for help when needed.
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