Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Isavuconazol

Generic name
Isavuconazol
Brand name
ATC Code
J02AC05

Pharmacokinetics in children

The pediatric dosing regimens were determined using a PopPK model. The predicted exposures with the pediatric dosing regimen were lower than the exposures for adults receiving multiple daily supratherapeutic doses of 600 mg isavuconazole.

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dose recommendation of formulary compared to licensed use (on-label versus off-label)

No information is present at this moment.

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Available formulations

No information is present at this moment.

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Dosages

Invasive aspergillosis; mucormycosis
  • Intravenous
    • ≥ 1 year
      • Initial dose: 16.2 mg/kg/day in 3 doses. Max: 200 mg/dose. (6 administrations in total).
      • Maintenance dose: 12-24 after the last starting dose: 5.4 mg/kg/day in 1 dose. Max: 200 mg/dose.
  • Oral
    • 16 up to 18 kg
      • Initial dose: 240 mg/day in 3 doses. (6 administrations in total).
      • Maintenance dose: 12-24 hours after last starting dose: 80 mg/day in 1 dose
    • 18 up to 25 kg
      • Initial dose: 360 mg/day in 3 doses. (6 administrations in total).
      • Maintenance dose: 12-24 hours after last starting dose: 120 mg/day in 1 dose
    • 25 up to 32 kg
      • Initial dose: 480 mg/day in 3 doses. (6 administrations in total).
      • Maintenance dose: 12-24 hours after last starting dose: 160 mg/day in 1 dose
    • 32 up to 37 kg
      • Initial dose: 540 mg/day in 3 doses. (6 administrations in total).
      • Maintenance dose: 12-24 hours after last starting dose: 180 mg/day in 1 dose
    • ≥ 37 kg
      • Initial dose: 600 mg/day in 3 doses. (6 administrations in total).
      • Maintenance dose: 12-24 hours after last starting dose: 200 mg/day in 1 dose

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Renal impaiment in children > 3 months

GFR ≥10 ml/min/1.73m2: Dose adjustment not required.

GFR <10 ml/min/1.73m2: A general recommendation on dose adjustment cannot be provided.

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The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects in children

Overall, the safety profile of isavuconazole in pediatric patients was similar to that in adults.

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The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications in children

Congenital short QT-time syndrome.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions

No information available on specific warnings and precautions in children.

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Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

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Reference

  1. Basilea Pharmaceutica Deutschland GmbH, SmPC Cresemba (EU/1/15/1036) Rev 19; 11-09-2024, www.ema.europa.eu

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Changes

Changes