User:Mr. Ibrahem/Isavuconazonium

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Isavuconazonium
Clinical data
Trade namesCresemba
Other namesIsavuconazonium sulfate
AHFS/Drugs.comMonograph
Pregnancy
category
Routes of
administration
By mouth, intravenous (IV)
Drug classAntifungal (triazole)[2]
Legal status
Legal status
  • AU: S4 (Prescription only)
  • US: ℞-only[3]
  • In general: ℞ (Prescription only)
Chemical and physical data
FormulaC35H35F2N8O5S
Molar mass717.77 g·mol−1
3D model (JSmol)
  • C[C@@H](c1nc(cs1)c2ccc(cc2)C#N)[C@](Cn3c[n+](cn3)C(C)OC(=O)N(C)c4c(cccn4)COC(=O)CNC)(c5cc(ccc5F)F)O.OS(=O)(=O)[O-]
  • InChI=1S/C35H35F2N8O5S.H2O4S/c1-22(33-42-30(18-51-33)25-9-7-24(15-38)8-10-25)35(48,28-14-27(36)11-12-29(28)37)19-45-21-44(20-41-45)23(2)50-34(47)43(4)32-26(6-5-13-40-32)17-49-31(46)16-39-3;1-5(2,3)4/h5-14,18,20-23,39,48H,16-17,19H2,1-4H3;(H2,1,2,3,4)/q+1;/p-1/t22-,23?,35+;/m0./s1
  • Key:LWXUIUUOMSMZKJ-KLFWAVJMSA-M
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Isavuconazonium, sold under the brand name Cresemba, is a medication used to treat invasive aspergillosis and mucormycosis.[4][3] For mucormycosis, it is used when amphotericin B is not suitable.[5] It may be taken by mouth or given by gradual injection into a vein.[3]

Common side effects include liver problems, nausea, shortness of breath, abdominal pain, diarrhea, headache, low potassium and rash.[4] Other side effects may include anaphylaxis and short QT.[3][6] Use in pregnancy may harm the baby.[3] It is a antifungal medication of the triazole class and works after being converted into isavuconazole in the body.[2]

Isavuconazonium was approved for medical use in the United States and Europe in 2015.[6][4] In the United Kingdom a vial of 200 mg cost the NHS about £300 as of 2021.[5] This amount in the United States costs about 350 USD.[7]

References[edit]

  1. ^ a b "Isavuconazonium (Cresemba) Use During Pregnancy". Drugs.com. 31 January 2020. Archived from the original on 2 December 2020. Retrieved 26 August 2020.
  2. ^ a b Wilkes, Gail M.; Barton-Burke, Margaret (2019). 2020-2021 Oncology Nursing Drug Handbook. Jones & Bartlett Learning. pp. 1874–1876. ISBN 978-1-284-17132-7. Archived from the original on 2021-09-05. Retrieved 2021-09-05.
  3. ^ a b c d e f "Cresemba- isavuconazonium sulfate capsule Cresemba- isavuconazonium sulfate injection, powder, lyophilized, for solution". DailyMed. 2 December 2019. Archived from the original on 30 March 2021. Retrieved 26 August 2020.
  4. ^ a b c d e "Cresemba". Archived from the original on 10 August 2020. Retrieved 28 November 2021.
  5. ^ a b BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 635. ISBN 978-0857114105.
  6. ^ a b "Isavuconazonium Monograph for Professionals". Drugs.com. Archived from the original on 25 January 2021. Retrieved 26 November 2021.
  7. ^ "Cresemba Prices, Coupons & Patient Assistance Programs". Drugs.com. Archived from the original on 10 April 2020. Retrieved 28 November 2021.