Intravenous posaconazole: key features of clinical pharmacology and practical applications

Invasive fungal infections in various categories of patients remain one of the most urgent problems of modern medicine. This is complicated by the imperfection of diagnostic methods, as well as a small range of antimycotics for systemic use. The market launch in 2005 of posaconazole, a second-genera...

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Main Authors: A. V. Veselov, N. N. Klimko
Format: Article
Language:Russian
Published: ABV-press 2022-04-01
Series:Онкогематология
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Online Access:https://oncohematology.abvpress.ru/ongm/article/view/544
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author A. V. Veselov
N. N. Klimko
author_facet A. V. Veselov
N. N. Klimko
author_sort A. V. Veselov
collection DOAJ
description Invasive fungal infections in various categories of patients remain one of the most urgent problems of modern medicine. This is complicated by the imperfection of diagnostic methods, as well as a small range of antimycotics for systemic use. The market launch in 2005 of posaconazole, a second-generation systemic antimycotic from the group of triazoles with a wide spectrum of activity in the form of an oral suspension, was an event in medical mycology. However, pharmacokinetic features of suspension have caused certain problems with its use. The suspension was replaced by a tablet form, largely devoid of these shortcomings, and then a solution for intravenous administration, which was registered in Russia at the end of 2021 (significantly later than in other countries of the world). Registration of an intravenous form of the drug with the possibility of using both for a stepdown approach and in patients who, for different reasons, cannot take posaconazole orally, had a positive impact on the problem of choosing antimycotics for the prophylaxis and treatment of invasive fungal infections. In this article, we will consider the features of the clinical pharmacology of the intravenous form and its place in the prophylaxis and treatment of invasive mycoses.
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series Онкогематология
spelling doaj-art-7c7cbd2c87ea48928a3bc1ae7501630d2025-08-20T03:35:33ZrusABV-pressОнкогематология1818-83462413-40232022-04-0117212113310.17650/1818-8346-2022-17-2-121-133443Intravenous posaconazole: key features of clinical pharmacology and practical applicationsA. V. Veselov0N. N. Klimko1Institute of Antimicrobial Chemotherapy, Smolensk State Medical University, Ministry of Health of RussiaI.I. Mechnikov North-Western State Medical University, Ministry of Health of RussiaInvasive fungal infections in various categories of patients remain one of the most urgent problems of modern medicine. This is complicated by the imperfection of diagnostic methods, as well as a small range of antimycotics for systemic use. The market launch in 2005 of posaconazole, a second-generation systemic antimycotic from the group of triazoles with a wide spectrum of activity in the form of an oral suspension, was an event in medical mycology. However, pharmacokinetic features of suspension have caused certain problems with its use. The suspension was replaced by a tablet form, largely devoid of these shortcomings, and then a solution for intravenous administration, which was registered in Russia at the end of 2021 (significantly later than in other countries of the world). Registration of an intravenous form of the drug with the possibility of using both for a stepdown approach and in patients who, for different reasons, cannot take posaconazole orally, had a positive impact on the problem of choosing antimycotics for the prophylaxis and treatment of invasive fungal infections. In this article, we will consider the features of the clinical pharmacology of the intravenous form and its place in the prophylaxis and treatment of invasive mycoses.https://oncohematology.abvpress.ru/ongm/article/view/544azolesantifungalinvasive fungal infectionpharmacokineticsposaconazole
spellingShingle A. V. Veselov
N. N. Klimko
Intravenous posaconazole: key features of clinical pharmacology and practical applications
Онкогематология
azoles
antifungal
invasive fungal infection
pharmacokinetics
posaconazole
title Intravenous posaconazole: key features of clinical pharmacology and practical applications
title_full Intravenous posaconazole: key features of clinical pharmacology and practical applications
title_fullStr Intravenous posaconazole: key features of clinical pharmacology and practical applications
title_full_unstemmed Intravenous posaconazole: key features of clinical pharmacology and practical applications
title_short Intravenous posaconazole: key features of clinical pharmacology and practical applications
title_sort intravenous posaconazole key features of clinical pharmacology and practical applications
topic azoles
antifungal
invasive fungal infection
pharmacokinetics
posaconazole
url https://oncohematology.abvpress.ru/ongm/article/view/544
work_keys_str_mv AT avveselov intravenousposaconazolekeyfeaturesofclinicalpharmacologyandpracticalapplications
AT nnklimko intravenousposaconazolekeyfeaturesofclinicalpharmacologyandpracticalapplications