Ketoconazole: Difference between revisions

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==Special Populations==
==Special Populations==
*[[Drug Ratings in Pregnancy|Pregnancy Rating]]:
*[[Drug Ratings in Pregnancy|Pregnancy Rating]]: C
*[[Lactation risk categories|Lactation risk]]:
*[[Lactation risk categories|Lactation risk]]: Safety Unknown
===Renal Dosing===
===Renal Dosing===
*Adult: no adjustment
*Adult: no adjustment

Revision as of 01:16, 17 September 2015

Administration

  • Type: Antifungal [1]
  • Dosage Forms:
  • Routes of Administration: PO, topical
  • Common Trade Names:

Adult Dosing

  • Fungal infxns
    • 200-400 mg PO qday
  • Prostate cancer
    • 400 mg PO q8h

Pediatric Dosing

  • Fungal infxns (2 years and up)
    • 3.3-6.6 mg/kg PO qday

Special Populations

Renal Dosing

  • Adult: no adjustment
  • Pediatric: no adjustment

Hepatic Dosing

  • Adult: contraindicated in liver disease
  • Pediatric: contraindicated in liver disease

Contraindications

  • Allergy to class/drug

Adverse Reactions

Serious

  • Hepatotoxicity
  • Adrenal insufficiency
  • Hypersensitivity reaction
  • Anaphylaxis
  • Thrombocytopenia
  • Leukopenia
  • Hemolytic Anemia

Common

  • Nausea
  • Abdominal Pain
  • Dizziness
  • Diarrhea
  • Headache
  • Pruritis
  • Lethargy
  • Gynecomastia

Pharmacology

  • Half-life: 8 h
  • Metabolism: Liver (CYP450)
  • Excretion: feces > urine

Mechanism of Action

  • Inhibits synthesis of cell membrane ergosterol

Comments

See Also

References

  1. Epocrates, 2015.