[Pharmacokinetics and pharmacodynamics: interactions and adverse effects. Comparison with other echinocandins].

Abstract:

:New drugs will soon be incorporated into the echinocandin class of antifungals. The first to be released on to the market will be anidulafungin. The pharmacokinetic characteristics of this drug clearly distinguish it from the only representative of this family of antifungal agents available to date: caspofungin. Specifically, this new drug has a greater volume of distribution, a higher elimination half-life and, moreover, an elimination system -- spontaneous degradation --, thus avoiding interactions with other drugs and allowing its use without dosage adjustments in patients with renal or liver impairment. These are the main pharmacological differences between anidulafungin and caspofungin, since the latter requires dosage adjustments in patients with hepatic insufficiency, in patients under treatment with inducers of cytochrome P450 activity and in obese patients. Moreover, plasma concentration monitoring is recommended in patients requiring caspofungin who are also under treatment with cyclosporin A or tacrolimus. Clinical experience suggests that there are few differences in the tolerability profiles of the two drugs, both of which are excellent.

authors

Azanza JR,Montejo M

doi

10.1016/s0213-005x(08)76588-1

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

14-20

eissn

0213-005X

issn

1578-1852

pii

S0213-005X(08)76588-1

journal_volume

26 Suppl 14

pub_type

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  • [How proviral DNA is integrated into the host cell DNA and how this process can be inhibited].

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    pub_type: 杂志文章,评审

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  • [Bronchiolitis caused by influenza type A virus. An emerging infectious disease].

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  • [Dental implant-related infections].

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    authors: López-Cerero L

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  • [Diagnosis of HIV-1 non-B subtypes and HIV-2].

    abstract::The high genetic diversity of human immunodeficiency virus (HIV) poses a significant challenge to the diagnosis and microbiological characterization of HIV infection. Because of the continual emergence of new variants and the global spread of HIV groups, subtypes and recombinant forms, accurate diagnostic tools are of...

    journal_title:Enfermedades infecciosas y microbiologia clinica

    pub_type: 杂志文章,评审

    doi:10.1157/13128783

    authors: Toro C,Amor A,Soriano V

    更新日期:2008-11-01 00:00:00