TABLE 5.
Patients with voriconazole dose reduced or discontinued due to AE or laboratory abnormalities
Change in voriconazole | Underlying diseasea | Day of dose reduction or discontinuation | Reason | Outcome |
---|---|---|---|---|
Discontinued | AML | 13 | Subdural hematoma | Died 4 days later |
Discontinued | ALL | 6 | Fever and viral enteritis | Resolved in 3 days |
Discontinued | ALL | 3 | Fever | Resolved in 33 days |
Dose reduced then discontinued | Relapsed ALL BMT | Dose reduced on day 8, discontinued on day 11 | Elevated serum creatinine (1.2 × ULN) | Died 6 days later due to bacterial sepsis and meningitisb |
Discontinued | Fanconi's anemia; autoimmune hepatitis | 7 | Elevated AST and ALT (10 × ULN) | AST and ALT normalized in 34 days |
Dose reduced | ALL; BMT | 14 | Abnormal renal function and elevated serum creatinine | Resolved in 27 days |
ALL, acute lymphoblastic leukemia; AML, acute myelogenous leukemia; BMT, blood and marrow transplantation.
Stomatococcus mucilaginosus.