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. 2018 Aug 19;4(3):98. doi: 10.3390/jof4030098

Table 1.

Pharmacokinetic Characteristics of Broad-Spectrum Triazoles, Liposomal Amphotericin B, and Echinocandins [48,49,50,51,52].

Voriconazole Isavuconazole Posaconazole Liposomal Amphotericin B Caspofungin Anidulafungin
Dosage IV: 6 mg/kg Q12 × 24 h, 4 mg/kg Q12 starting Day 2
PO: 200 mg Q12 h
IV: 200 mg Q8 h × 48 h, 200 mg daily starting Day 3
PO: 200 mg Q8 h for 48 h, 200 mg daily starting Day 3
IV: 300 mg Q12 × 24 h, 300 mg daily starting Day 2
Delayed-release: 300 mg Q12 ×24 h, 300 mg daily starting Day 2
Oral suspension: 200 mg TID
IV: 3 mg/kg/day 70 mg daily on Day 1, 50 mg daily starting Day 2 200 mg daily on Day 1, 100 mg starting Day 2
Formulation PO, IV PO, IV PO, IV IV IV IV
Half-Life (h) 6 110–115 27–35 7–10 9–11 24–26
Bioavailability Oral, 96% Oral, 98% Tablet: 54%Oral suspension: Variable Oral, 9% Oral, <5% Oral, <5%
Linear PK No High IV: NoSuspension/Tablet: High Yes, doses 1–3 mg/kg; No at higher doses Yes (Animal Model) Yes (Animal Model)
Renal Excretion 2% <1% <1% 4.5% 41% <1%
CNS Penetration High High (Animal Model) Low High (Animal Model) Low (Animal Model) Low (Animal Model)
Metabolism CYP2C19, CYP2C9, CYP3A4 CYP3A4/5 UGT Unknown Hydrolysis and N-acetylation Spontaneous biotransformation into inactive peptide