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(caspofungin acetate, Merck)
An antifungal for treating invasive aspergillosis in people who don't respond to or can't tolerate other antifungal treatments, including amphotericin B. This is the first agent in a new class of antifungals, the echinocandins or glucan synthesis inhibitors, to be approved.
* Recommended Dosage: A loading IV dose of 70 mg, followed by 50 mg IV once a day; duration of treatment depends on response and other factors.
* Special Considerations: In trials of more than 600 patients and healthy volunteers, the most common side effects included fever, infused vein complications, nausea, vomiting, and flushing, each reported in almost 3% of subjects. Not ...