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. 2022 Feb 26;67(3):363–387. doi: 10.1007/s12223-021-00934-5

Table 3.

Antifungal drugs used to treat mucormycosis: a summary of recommendations

Antifungal agent Dose Duration Source
Posaconazole

• Posaconazole IV/tablet: 1 × 300 mg from day 2, 2 × 300 mg day 1

• Oral suspension: 2 × 400 mg/day or 4 × 200 mg/day

6 months (Greenberg et al. 2006; Graves et al. 2016; A. Skiada et al. 2011)
Amphotericin B (ABCL, AMB, LAMB)

CNS participation: 1 mg/100 g per day LAMB

No CNS participation: 0.5 mg/100 g per day LAMB

Usually 6–12 weeks (Shoham et al. 2010; Walsh et al. 2012)
Combination

• Isavuconazole or posaconazole and LAMB

• LAMB + echinocandin

(Kyvernitakis et al. 2016; Rodriguez et al. 2018; Vujanovic et al. 2017)
Isavuconazole IV or PO: 3 × 200 mg day 1, 1 × 200 mg/day from day 3 3 months (oral/iv/both) (DiPippo et al. 2019; Maertens et al. 2016; Mellinghoff et al. 2018)