Voriconazole (VFEND®) is a second-generation azole antifungal that inhibits 14-α-demethylase, causing reduced production of ergosterol, a critical component of the fungal the cell wall. Voriconazole has a broader spectrum of activity than fluconazole and is often used for the treatment of invasive aspergillosis. Voriconazole serum concentrations are difficult to predict because of its saturable metabolism, non-linear pharmacokinetics, and poor correlation to weight-based dosing.1 Continue reading
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