Oesophageal candidiasis

Active Ingredient: Micafungin

Indication for Micafungin

Population group: only adolescents (12 years - 18 years old) , adults (18 years old or older)

Treatment of oesophageal candidiasis in patients for whom intravenous therapy is appropriate.

For this indication, competent medicine agencies globally authorize below treatments:

150 mg once daily

Route of admnistration

Intravenous

Defined daily dose

150 - 150 mg

Dosage regimen

From 150 To 150 mg once every day

Detailed description

Specimens for fungal culture and other relevant laboratory studies (including histopathology) should be obtained prior to therapy to isolate and identify causative organism(s). Therapy may be instituted before the results of the cultures and other laboratory studies are known. However, once these results become available, antifungal therapy should be adjusted accordingly.

The dose regimen of micafungin depends on the body weight of the patient as given in the following table.

Use in adults, adolescents ≥16 years of age and elderly:

IndicationBody weight >40 kgBody weight ≤40 kg
Treatment of oesophageal candidiasis150 mg/day3 mg/kg/day

* If the patient’s response is inadequate, e.g. persistence of cultures or if clinical condition does not improve, the dose may be increased to 200 mg/day in patients weighing >40 kg or 4 mg/kg/day in patients ≤ 40 kg.

Treatment duration

Micafungin should be administered for at least one week after resolution of clinical signs and symptoms.

Dosage considerations

After reconstitution and dilution, the solution should be administered by intravenous infusion over approximately 1 hour.

Active ingredient

Micafungin

Micafungin non-competitively inhibits the synthesis of 1,3-β-D-glucan, an essential component of the fungal cell wall. 1,3-β-D-glucan is not present in mammalian cells. Micafungin exhibits fungicidal activity against most Candida species and prominently inhibits actively growing hyphae of Aspergillus species.

Read more about Micafungin

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