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micafungin

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micafungin

An echinocandin-type antifungal with better pharmacokinetics than amphotericin B and itraconazole.

Indications
Candida species infections: candidemia, acute disseminated candidiasis, Candida peritonitis and abscesses.

Metabolism
Via CYP3A4.
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.

micafungin

An echinocandin antifungal drug active against both Candida and Aspergillus species of fungi. The drug function by inhibiting fungal wall synthesis, an action without relevance for mammalian cells, and is thus of low toxicity. It has been found effective in the management of candidaemia and invasive candidosis.
Collins Dictionary of Medicine © Robert M. Youngson 2004, 2005
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References in periodicals archive
All patients were given micafungin as first-line therapy for an average duration of 22 days.
The difficulty in following this recommendation is illustrated in a randomized trial of treatment of candidemia comparing micafungin with liposomal amphotericin B, (26) in which CVC removal at baseline (before treatment initiation) was required per protocol.
glabrata Isolates with Mutations in fks Genes," combines the results of several in vitro studies of ibrexafungerp against a total of 79 Candida glabrata strains with fks mutations showing that ibrexafungerp maintains potent activity against these echinocandin-resistant strains when compared to caspofungin and micafungin. In five independent studies, the in vitro susceptibility, determined by broth micro-dilution, of C.
Paradoxical growth effects of the echinocandins caspofungin and micafungin. but not of anidulafungin.
The antifungal agents assayed were: amphotericin B (AMB), itraconazole (ITC), voriconazole (VRC), posaconazole (POS), fluconazole (FLU), caspofungin (CAS), micafungin (MFG), anidulafungin (AFG).
Se realizaron 4 busquedas en cada base de datos, utilizando los siguientes terminos MeSH: Echinocandin Candida resistant, Anidulafungin Candida resistance (or resistant), Caspofungin Candida resistance (or resistant), Micafungin Candida Resistance (or resistant).
Echinocandin (caspofungin, anidulafungin, micafungin) or fluconazole is recommended for empirical antifungal therapy.
These include the polyene group that encompasses amphotericin B deoxycholate and its lipid formulations (liposomal amphotericin B, amphotericin B lipid complex, and amphotericin B cholesteryl sulfate complex); the nucleoside analogue flucytosine; the triazoles which include fluconazole and voriconazole; and the most recently developed echinocandin class, which includes caspofungin, micafungin, and anidulafungin.
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