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Flucloxacillin results in suboptimal plasma voriconazole concentrations

  • Eline W. Muilwijk
  • , Bart G.J. Dekkers
  • , Stefanie S.V. Henriet
  • , Paul E. Verweij
  • , Bregje Witjes
  • , Astrid M.L. Oude Lashof
  • , Geert H. Groeneveld
  • , Johannes Van Der Hoeven
  • , Jan Willem C. Alffenaar
  • , Frans G.M. Russel
  • , Frank Van De Veerdonk
  • , Roger J.M. Brüggemann

Research output: Contribution to journalArticlepeer-review

27 Citations (Scopus)

Abstract

Combining voriconazole and flucloxacillin is indicated in patient cohorts experiencing both invasive aspergillosis and Gram-positive infections (e.g., patients with chronic granulomatous disease or postinfluenza pulmonary aspergillosis). We report a highly relevant interaction between voriconazole and flucloxacillin, resulting in subtherapeutic plasma voriconazole concentrations in more than 50% of patients, that poses a severe threat if not managed properly.

Original languageEnglish
Article numbere00915-17
JournalAntimicrobial agents and chemotherapy
Volume61
Issue number9
DOIs
Publication statusPublished - Sept 2017
Externally publishedYes

Keywords

  • Aspergillosis
  • Drug interactions
  • Exposure
  • Influenza
  • Pharmacokinetics

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