Posaconazole

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Therapeutic Drug Monitoring

  • Measure trough 7 days after starting or adjusting dose, or adjusting interacting medications, or concerns of poor adherence or absorption
  • For prophylaxis, target trough >0.7 mg/L, or random level 0.35 mg/L 48 h after starting therapy
  • For treatment, target trough >1 mg/L

Epidemiologic Cutoff Values

Species ECV (mcg/mL)
C. albicans 0.06
C. glabrata 2
C. parapsilosis 0.25
C. tropicalis 0.12
C. krusei 0.5
C. lusitaniae 0.12
C. guilliermondii 0.5
C. kefyr 0.25