作者: Douglas Slain , John D. Cleary
DOI: 10.1007/S12281-015-0241-2
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摘要: Isavuconazonium sulfate is an orally or intravenously administered water-soluble prodrug that rapidly converts to the active triazole antifungal agent isavuconazole in systemic circulation. Isavuconazole has broad activity includes Candida, Aspergillus spp., and Mucorales. offers several advantages over previous broad-spectrum antifungals. The drug well-absorbed from oral capsule does not appear be significantly impacted by food intake alterations gastric acidity. intravenous formulation require use of a renally eliminated cyclodextrin carrier molecule. displays linear pharmacokinetics with low interpatient variability patients without hepatic insufficiency. drug’s long half-life allows for once-daily dosing (loading doses are utilized when treating serious infections). generally well-tolerated. Adverse effects experienced clinical trials included gastrointestinal effects, elevated enzymes, headache, hypokalemia. subject interactions, albeit at lower rate than other