Voriconazole Dosage and Administration

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Questions and Answers

A patient weighing 65kg is prescribed voriconazole for aspergillosis. What is the maximum oral dose that is FDA approved?

  • 800mg/day
  • 12mg/kg/day
  • 300mg/day
  • 600mg/day (correct)

A 35kg patient is prescribed voriconazole. What is the appropriate maximum FDA approved daily oral dosage?

  • 300mg (correct)
  • 800mg
  • 12mg/kg
  • 600mg

Voriconazole should be administered at which of the following times in relation to meals?

  • It does not matter in relation to meals
  • At least one hour before or after meals (correct)
  • Immediately after meals
  • With meals

Which route of administration is available for Voriconazole?

<p>IV, PO tablets, PO capsules, and PO liquid suspension (C)</p> Signup and view all the answers

Which of the following best describes voriconazole's role in treating aspergillosis?

<p>First-line treatment (A)</p> Signup and view all the answers

What is a crucial instruction to provide a patient regarding the timing of oral voriconazole administration in relation to meals?

<p>Take voriconazole at least one hour before or after meals. (C)</p> Signup and view all the answers

A patient with aspergillosis has a body weight of 35 kg. What is the maximum FDA-approved daily oral dosage of voriconazole for this patient?

<p>300mg/day (C)</p> Signup and view all the answers

A geriatric patient weighing 50kg is prescribed voriconazole. Which of the following is the most important consideration when determining the appropriate dosage?

<p>The prescribing guidelines for geriatric patients, ensuring the dose does not exceed the maximum limit. (A)</p> Signup and view all the answers

What is the significance of a patient's CrCl when administering voriconazole, and what adjustments should be made based on it?

<p>No dose adjustment is generally necessary based on CrCl, unless otherwise specified. (A)</p> Signup and view all the answers

Besides tablets and IV, which of the following is another available formulation of voriconazole?

<p>Liquid suspension (A)</p> Signup and view all the answers

Flashcards

Voriconazole forms

Available as IV, PO tablets, capsules, and liquid suspension.

Voriconazole indications

First-line treatment for Aspergillosis.

Dosage for 40kg+ patients

12mg/kg/day IV, 600mg/day PO FDA approved, up to 800mg off-label.

Dosage for 40kg- patients

12mg/kg/day IV, 300mg/day PO FDA approved, up to 800mg off-label.

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PO administration advice

Give PO formulations at least 1 hour before or after meals.

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Voriconazole maximum dosage for 40kg+

FDA approved maximum is 600mg/day PO, off-label doses may reach 800mg/day.

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Voriconazole maximum dosage for 40kg-

FDA approved maximum is 300mg/day PO, off-label doses may reach 800mg/day.

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IV dosage for all patients

Constant dosage of 12mg/kg/day IV regardless of weight.

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PO administration timing

PO formulations should be taken at least 1 hour before or after meals.

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Renal dose adjustment for Voriconazole

No renal dose adjustment is necessary for Voriconazole.

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Study Notes

Voriconazole (Vfend) Dosage and Administration

  • Voriconazole is available as intravenous (IV), oral tablets, oral capsules, and oral liquid suspension.

  • It's a first-line treatment for aspergillosis.

  • Maximum dosages vary based on patient weight:

    • For patients weighing 40 kg or more:
      • IV dosage: 12 mg/kg/day
      • Oral dosage: FDA-approved maximum is 600 mg/day, but doses up to 800 mg/day have been used off-label.
    • For patients weighing 40 kg or less:
      • IV dosage: 12 mg/kg/day
      • Oral dosage: FDA-approved maximum is 300 mg/day, but doses up to 800 mg/day have been used off-label.
  • Oral formulations should be given at least one hour before or after meals.

  • No renal dose adjustment is typically necessary; however, further consideration is needed if creatinine clearance (CrCl) is affected.

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