Voriconazole: Difference between revisions
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= Voriconazole = |
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== Dose Adjustment Guidelines == |
== Dose Adjustment Guidelines == |
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* [https://doi.org/10.1093/ofid/ofv133.527 Voriconazole Dose Modification Guideline to Optimize Therapeutic Levels in Patients With Hematologic Malignancies]. ''Open Forum Infect Dis''. 2015(2)S1:810. |
* [https://doi.org/10.1093/ofid/ofv133.527 Voriconazole Dose Modification Guideline to Optimize Therapeutic Levels in Patients With Hematologic Malignancies]. ''Open Forum Infect Dis''. 2015(2)S1:810. |
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[[Category:Antifungals]] |
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Revision as of 19:37, 15 August 2019
Dose Adjustment Guidelines
| Trough (mcg/mL) | Recommendation |
|---|---|
| 0.0 to 0.6 | Increase dose by 100 mg and recheck trough on day 5 of new regimen |
| 0.7 to 0.9 | Increase dose by 50 mg and recheck trough on day 5 of new regimen |
| 1.0 to 4.0 | At target, no dose adjustment needed |
| 4.1 to 5.5 | Decrease dose by 50 mg and recheck trough on day 5 of new regimen |
| 5.6 to 7.9 | Hold dose. Follow daily trough levels, then restart when trough is ≤2.5 at a dose decreased by 100 mg. Recheck trough on day 5 of new regimen. |
| ≥8.0 | Hold dose. Follow daily trough levels, then restart when trough is ≤2.5 at a dose decreased by 50%. Recheck trough level on day 5 of new regimen. |
Further Reading
- Voriconazole Dose Modification Guideline to Optimize Therapeutic Levels in Patients With Hematologic Malignancies. Open Forum Infect Dis. 2015(2)S1:810.
