TABLE 3.

Venetoclax Dosing With Azole Antifungals

Standard Dose	Moderate CYP3A4 or P-Gp Inhibitor, e.g., Isavuconazole	Strong CYP3A4 Inhibitor, e.g., Voriconazole, Posaconazole	Echinocandin
100 mg	50 mg	10 mg	No dose reduction needed
200 mg	100 mg	20 mg
400 mg	≤200 mg	50–70 mg (50 mg with posaconazole)
600 mg*	≤300 mg	50–70 mg

*For venetoclax with LDAC or 5 + 2 regimen of cytarabine with Ida.