Evaluation of Intravenous Posaconazole Dosing and Pharmacokinetic Target Attainment in Pediatric Patients

J Pediatric Infect Dis Soc. 2019 Sep 25;8(4):365-367. doi: 10.1093/jpids/piy094.

Abstract

Limited data exist on intravenous (IV) posaconazole dosing and the risk for hepatotoxicity it confers to children. In this study, we evaluated dosing and resulting trough levels in 10 pediatric patients on IV posaconazole. A therapeutic level in these patients was achieved 95% of the time. We found a median minimum effective dose of 6.55 mg/kg of body weight. No correlation was found between the duration or posaconazole trough level and an increased alanine transaminase level.

Keywords: child; hepatotoxicity; intravenous; level; posaconazole.

MeSH terms

  • Administration, Intravenous*
  • Adolescent
  • Alanine Transaminase
  • Antifungal Agents / administration & dosage
  • Antifungal Agents / pharmacokinetics
  • Antifungal Agents / therapeutic use
  • Antifungal Agents / toxicity
  • Child
  • Child, Preschool
  • Drug Monitoring
  • Humans
  • Infant
  • Infant, Newborn
  • Retrospective Studies
  • Triazoles / administration & dosage*
  • Triazoles / pharmacokinetics*
  • Triazoles / therapeutic use
  • Triazoles / toxicity

Substances

  • Antifungal Agents
  • Triazoles
  • posaconazole
  • Alanine Transaminase