Anidulafungin

CLINICAL USE


Antifungal agent:
Invasive candidiasis

DOSE IN NORMAL RENAL FUNCTION


200 mg loading dose then 100 mg daily
Oesophageal candidiasis: 100 mg loading
dose then 50 mg daily

PHARMACOKINETICS


  • Molecular weight &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp :
    1140.2
  • %Protein binding &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp :
    >99
  • %Excreted unchanged in urine &nbsp &nbsp :
    <1
  • Volume of distribution (L/kg) &nbsp &nbsp &nbsp :
    30–50 litres
  • half-life – normal/ESRD (hrs)&nbsp &nbsp &nbsp :
    40–50/Unchanged

    DOSE IN RENAL IMPAIRMENT


    GFR (mL/MIN)


  • 20 to 50 &nbsp &nbsp : Dose as in normal renal function
  • 10 to 20 &nbsp &nbsp : Dose as in normal renal function
  • <10 &nbsp &nbsp &nbsp &nbsp &nbsp : Dose as in normal renal function

    DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES


  • CAPD &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp:
    Not dialysed. Dose as in normal renal function

  • HD &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp &nbsp :
    Not dialysed. Dose as in normal renal function
  • HDF/high flux &nbsp :
    Unlikely to be dialysed. Dose as in
    normal renal function
  • CAV/VVHD &nbsp &nbsp &nbsp:
    Unlikely to be dialysed. Dose as in
    normal renal function

    IMPORTANT DRUG INTERACTIONS


    Potentially hazardous interactions with other drugs
    None known

    ADMINISTRATION


    Reconstition


    With diluent provided

    Route


    IV infusion

    Rate of Administration


    1.1 mg/minute (3 mL/minute)

    Comments


    Can be further diluted in sodium chloride

    0.9% or glucose 5%.
    Add 100 mg to 250 mL or 200 mg to

    500 mL of fluid

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