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SUBA-itraconazole in the treatment of systemic fungal infections.
Liu, Jennifer; Vanderwyk, Kees A; Donnelley, Monica A; Thompson Iii, George R.
Afiliación
  • Liu J; Department of Pharmacy, UC-Davis Medical Center, Sacramento, CA 95816, USA.
  • Vanderwyk KA; Department of Pharmacy, UC-Davis Medical Center, Sacramento, CA 95816, USA.
  • Donnelley MA; Department of Pharmacy, UC-Davis Medical Center, Sacramento, CA 95816, USA.
  • Thompson Iii GR; Department of Internal Medicine, Division of Infectious Diseases, UC-Davis Medical Center, Sacramento, CA 95816, USA.
Future Microbiol ; 19(13): 1171-1175, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39011995
ABSTRACT
Conventional itraconazole (c-ITZ) can be used for a variety of fungal infections although variable absorption has been a significant limitation. Super-bioavailable itraconazole (SUBA-ITZ) is a novel formulation that overcomes absorption concerns by utilizing a polymer-matrix to disperse active drug and facilitate dissolution. The pH-driven matrix allows concurrent proton pump inhibitor administration without significant effects on drug concentrations. The enhanced bioavailability of SUBA-ITZ allows for lower dosing, while achieving similar serum concentrations as c-ITZ and SUBA-ITZ is now US FDA approved in the treatment of blastomycosis, histoplasmosis and aspergillosis. Common side effects of SUBA-ITZ include gastrointestinal disorders, peripheral edema and drug-induced hypertension. Given the significant differences in pharmacokinetics between the formulations, c-ITZ and SUBA-ITZ capsules are not considered interchangeable. It is important to note that drug errors may occur when transitioning a patient from one formulation to another.
Itraconazole is an antifungal agent used in the treatment of a number of mycoses. Prior formulations (versions) of itraconazole required strict dietary requirements and often had poor absorption. A new itraconazole formulation has since been developed ­ super bioavailable itraconazole (SUBA-itraconazole). This has no food requirements, has superior absorption and maintains effectiveness against a number of fungal infections.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Itraconazol / Antifúngicos Límite: Humans Idioma: En Revista: Future Microbiol Asunto de la revista: MICROBIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Itraconazol / Antifúngicos Límite: Humans Idioma: En Revista: Future Microbiol Asunto de la revista: MICROBIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido