Voriconazole (Vfend) Dosing and Administration

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Questions and Answers

A geriatric patient weighing 38kg is prescribed voriconazole for aspergillosis. What is the maximum FDA-approved daily oral dose?

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

Voriconazole is administered to a patient. Which instruction should be included when counseling the patient about the medication?

  • Administer the medication without regard to food.
  • Take with food to increase absorption.
  • Decrease water intake when taking this medication.
  • Take the oral formulation at least one hour before or after meals. (correct)

A 65-year-old patient weighing 60 kg is prescribed IV voriconazole for a confirmed aspergillosis infection. What is the appropriate daily IV dosage?

  • 720mg daily (correct)
  • 800mg daily
  • 600mg daily
  • 300mg daily

A patient with normal renal function is prescribed voriconazole. Which of the following is correct?

<p>A dose adjustment is not necessary. (C)</p> Signup and view all the answers

Which of the following is the primary indication for voriconazole?

<p>Aspergillosis (B)</p> Signup and view all the answers

Why is it important to administer oral voriconazole at least one hour before or after meals?

<p>To enhance the drug's absorption and bioavailability, as food can interfere with its uptake. (A)</p> Signup and view all the answers

A patient with a confirmed aspergillosis infection weighs 50kg. What is the appropriate maximum FDA-approved oral dosage of voriconazole per day?

<p>600mg (A)</p> Signup and view all the answers

Which of the following dosage adjustments is necessary for voriconazole?

<p>No renal dose adjustment is generally required, but monitor for elevated creatinine. (B)</p> Signup and view all the answers

A 70-year-old patient weighing 35 kg is prescribed voriconazole. What is the maximum FDA-approved oral daily dosage?

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

A patient is prescribed voriconazole. Which route of administration allows for the highest dose?

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

Flashcards

Voriconazole

An antifungal medication used primarily for treating Aspergillosis.

Aspergillosis

A fungal infection caused by Aspergillus species, often treated with Voriconazole.

Dosage for patients 40kg or more

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

Dosage for patients 40kg or less

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

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Administration guidelines

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

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Voriconazole formulation types

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

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Voriconazole first-line use

It's the first line treatment for Aspergillosis.

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Dosage for patients over 40kg

Maximum of 12mg/kg/day IV and 600mg/day PO (up to 800mg off-label).

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Dosage for patients under 40kg

Maximum of 12mg/kg/day IV and 300mg/day PO (up to 800mg off-label).

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Administration timing for PO

PO formulations should be given 1 hour before or after meals.

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Study Notes

Voriconazole (Vfend) Administration

  • Voriconazole is available as intravenous (IV), oral tablets, oral capsules, and oral liquid suspension.
  • It's a first-line treatment for aspergillosis.
  • Maximum recommended doses vary based on patient weight.
  • Maximum Geriatric doses are possible.

Dosing for Adults (40kg or More)

  • Intravenous (IV): 12mg/kg/day
  • Oral (PO): FDA-approved maximum dose is 600mg/day, but doses up to 800mg/day have been used off-label.

Dosing for Adults (40kg or Less)

  • Intravenous (IV): 12mg/kg/day
  • Oral (PO): FDA-approved maximum dose is 300mg/day, but doses up to 800mg/day have been used off-label.

Administration Considerations

  • Oral formulations should be given at least one hour before or after meals.
  • No renal dose adjustment is typically needed, but CrCl should be considered for patients with certain kidney conditions.

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