Voriconazole
Therapeutic Group
Anti-mycotics Systemic UseIndication Dosage
Invasive Aspergillosis, Serious Infections Caused By Scedosporium Spp., Fusarium Spp., Or Invasive Fluconazole-resistant Candida Spp. (including C. Krusei):
Oral:
- Adult (body-weight Up To 40 Kg): Initially 200 Mg Every 12 Hours For 2 Doses, Then 100 Mg Every 12 Hours, Increased If Necessary To 150 Mg Every 12 Hours;
- Adult (body weight 40 Kg And Above): Initially 400 Mg Every 12 Hours For 2 Doses, Then 200 Mg Every 12 Hours, Increased If Necessary To 300 Mg Every 12 Hours. Tab Should Be Taken 1 Hr Before Or 1 Hr After Food; Susp Should Be Taken 1 Hr Before Or 2 Hr After Food.
- Children 2-12 Yrs: 9 Mg/kg Twice Daily (preferred As Susp < 12 Yr), Increase If Necessary In 1 Mg/kg Increments (50 Mg Increments If Initial Dose Was 350 Mg); Max 350 Mg Twice Daily;
- 12-14 Yr And Body Wt < 50 Kg: Same As Adults. Tab Should Be Taken 1 Hr Before Or 1 Hr After Food; Susp Should Be Taken 1 Hr Before Or 2 Hr After Food.
By IV Infusion:
- Adult: Initially 6 Mg/kg Every 12 Hours For 2 Doses, Then 4 Mg/kg Every 12 Hours; Reduced If Not Tolerated To 3 Mg/kg Every 12 Hours; For Max 6 Months
- Children 2-14 Yrs: And Less Than 50 Kg, Loading Dose: For First Hrs, 9 Mg/kg By Iv Inf Every 12 Hrs. Maintenance; 8 Mg/kg By IV Inf Twice Daily.
- Above 14 Yrs: Same As Adults. If the Response is Inadequate, the Maintenance Dose May Be Increased In 1 Mg/kg Steps. If Not Tolerated, It May Be Reduced To 1 Mg/kg Steps. Max Inf. Rate 3 Mg/kg/hr Over 1-3 Hr.
Content
- Inf 200mg: Voriconazole 200mg.
- Tab 50mg /200mg: Voriconazole 50mg /200mg.
Pregnancy
Caution Advised, Avoid
Stability
- Triazole Antifungal
Contra Indications
- Acute Porphyrias
Precautions
- Acute Porphyrias
Lactation
- Contraindicated
Side Effects
- Abdominal Pain
- Acute Renal Failure
- Agitation
- Alopecia
- Altered Perception
- Anaemia
- Anxiety
- Asthenia
- Blood Disorders
- Blurred Vision
- Cheilitis
- Chest Pain
- Confusion
- Depression
- Diarrhoea
- Dizziness
- Haematuria
- Hallucinations
- Headache
- Hypoglycaemia
- Hypokalaemia
- Hypotension
- Influenza-like Symptoms
- Jaundice
- Leucopenia
- Nausea
- Oedema
- Pancytopenia
- Paraesthesia
- Photophobia
- Photo Sensitivity
- Pruritus
- Rash
- Respiratory Distress Syndrome
- Sinusitis
- Thrombocytopenia
- Tremor
- Visual Disturbances
- Vomiting