Utilization of Omeprazole To Augment Subtherapeutic Voriconazole Concentrations for Treatment of Aspergillus Infections

被引:30
作者
Boyd, Natalie K. [1 ]
Zoellner, Cindy L. [1 ,2 ]
Swancutt, Mark A. [1 ,2 ]
Bhavan, Kavita P. [1 ,2 ]
机构
[1] Parkland Hlth & Hosp Syst, Dallas, TX USA
[2] Univ Texas SW Med Ctr Dallas, Dallas, TX 75390 USA
关键词
PHARMACOKINETICS; EFFICACY; THERAPY; SAFETY;
D O I
10.1128/AAC.00700-12
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Voriconazole is the preferred antifungal agent for Aspergillus infections. Therapeutic drug monitoring is recommended to achieve target concentrations and prevent toxicity. However, variable pharmacokinetics, cytochrome P450 polymorphisms, and extensive drug-drug interactions can contribute to subtherapeutic concentrations. We report a voriconazole "boosting" effect of omeprazole to achieve target concentrations for the treatment of Aspergillus in a patient who had persistently subtherapeutic trough concentrations.
引用
收藏
页码:6001 / 6002
页数:2
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