Formulary Monographs [VORICONAZOLE, 081408]

VORICONAZOLE
AZOLES
Invasive aspergillosis in immunocompromised patients; candidaemia, in non-neutropenic patients, fluconazole-resistant serious invasive candidiasis, oesophageal candidiasis, and serious fungal infections due to Scedosporium and Fusarium spp .
Visual disturbances, fever, rashes, nausea, vomiting, diarrhoea, abdominal pain, headache, sepsis, respiratory disorders, and peripheral oedema.
IV: adults and adolescents: 6 mg/kg every 12 hours for the first 24
hours followed by maintenance dose of 4 mg/kg twice daily ; a lower dose of 3 mg/kg twice daily may be suitable for candidaemia in non- neutropenic patients or for deep tissue C
Because voriconazole can cause fetal harm, it should not be used during pregnancy except when benefits for the mother clearly outweigh potential risks for the fetus.
It is not known whether voriconazole is distributed into milk.