藥品參考
Isavuconazole
Isavuconazole is a medicine in the class anti fungals. It is used for aspergillosis.
- 藥物類別: Anti Fungals
- 用途: aspergillosis
最後更新 來源: EMA SmPC
僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。
本頁的臨床內容僅提供英文版。
重點資訊
- 藥物類別
- Anti Fungals
- ATC 代碼
- J02AC05
- 常見規格
- 100 mg
- 已知交互作用
- 15 (禁忌併用: 8 · 嚴重: 1 · 中度: 5 · 輕微: 1)
- 商品名
- 2
- 國家與市場
- 2
用途
作用方式
Fungicidal triazole that blocks ergosterol synthesis by inhibiting lanosterol 14-alpha-demethylase, causing methylated sterol precursors to accumulate and ergosterol to deplete, which weakens the fungal cell membrane.
成人常用劑量(仿單摘要)
Invasive aspergillosis or mucormycosis (adults): loading dose 200 mg isavuconazole IV every 8 hours for the first 48 hours (six administrations); then maintenance 200 mg once daily, starting 12 to 24 hours after the last loading dose.
懷孕與哺乳
- 懷孕
- Unsafe No human data; animal reproductive toxicity. Must not be used in pregnancy except in severe or life-threatening fungal infections where benefit outweighs risk. Not recommended in women of childbearing potential not using contraception.
- 哺乳
- Unsafe Animal data show excretion in milk; risk to infants cannot be excluded. Breast-feeding should be discontinued during treatment.
已通報的副作用
- Elevated liver chemistry tests
- Nausea
- Vomiting
- Dyspnoea
- Abdominal pain
- Diarrhoea
禁忌症
- Hypersensitivity to the active substance or excipients.
- Co-administration with ketoconazole.
- Co-administration with high-dose ritonavir (>200 mg every 12 hours).
哪些人需要特別留意
- Hypersensitivity including anaphylaxis may occur; discontinue immediately if anaphylaxis occurs. Caution in patients hypersensitive to other azoles.
- Infusion-related reactions (hypotension, dyspnoea, dizziness, paraesthesia, nausea, headache) occur; stop the infusion if they occur.
- Severe cutaneous adverse reactions such as Stevens-Johnson syndrome have been reported with azoles; discontinue if they occur.
請告知藥師或醫師您是否懷孕或哺乳、是否患有腎臟或肝臟疾病、是否有過敏,以及您正在使用的所有其他藥物或保健品。
重要交互作用 (15)
- Carbamazepine + Isavuconazole Contraindicated
- Efavirenz + Isavuconazole Contraindicated
- Etravirine + Isavuconazole Contraindicated
- Isavuconazole + Ketoconazole Contraindicated
- Isavuconazole + Phenobarbitone Contraindicated
- Isavuconazole + Phenytoin Contraindicated
- Isavuconazole + Rifampicin Contraindicated
- Isavuconazole + Ritonavir Contraindicated
- Isavuconazole + Sirolimus Major
- Aprepitant + Isavuconazole Moderate
Pro+ 會員專屬
解鎖完整頁面
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- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- Paediatric dosing
- Dosing in older adults
- How to give it
- Pharmacokinetics
- Patient counselling points
- Food interactions
- IV preparation and dilution
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同類別的其他藥品
常見問題
What is Isavuconazole used for?
Isavuconazole is a medicine in the class anti fungals. It is used for Aspergillosis, Fungal infections.
What side effects have been reported with Isavuconazole?
Elevated liver chemistry tests, Nausea, Vomiting, Dyspnoea, Abdominal pain, Diarrhoea.
Can Isavuconazole be taken in pregnancy or while breastfeeding?
Pregnancy: Unsafe. No human data; animal reproductive toxicity. Must not be used in pregnancy except in severe or life-threatening fungal infections where benefit outweighs risk. Not recommended in women of childbearing potential not using contraception. Breastfeeding: Unsafe. Animal data show excretion in milk; risk to infants cannot be excluded. Breast-feeding should be discontinued during treatment.
What does Isavuconazole interact with?
MediHelp lists 15 known interactions for Isavuconazole. Contraindicated: 8 · Major: 1 · Moderate: 5 · Minor: 1. The most serious include Carbamazepine, Efavirenz, Etravirine.
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