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Twice-Weekly Tacrolimus Can Overcome Pharmacologic Interaction and Help in the Successful Treatment of Pulmonary Aspergillosis in a Liver Transplant Recipient
Ist Teil von
Experimental and clinical transplantation, 2019-12, Vol.17 (6), p.838-840
Ort / Verlag
Başkent Üniversitesi
Erscheinungsjahr
2019
Quelle
EZB Electronic Journals Library
Beschreibungen/Notizen
Drug-drug interactions between azoles and calcineurin
inhibitors can cause issues for organ transplant
specialists. Clinical practice guidelines for the treatment
of solid-organ transplant recipients with invasive
aspergillosis infection are lacking. Here, we present a
patient who developed pulmonary aspergillosis after
liver transplant. The patient had prolonged treatment
with echinocandin that was not effective. A drug-drug
interaction between azoles and tacrolimus caused
issues for the clinical physician. We adjusted the
doses, and the patient was successfully treated.
A reduction in the tacrolimus dose, intensive
monitoring of associated parameters, and elimination
of risk exposures are important for a favorable
outcome.