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J Mol Med (Berl). 1995 Mar;73(3):145-7.

Fluconazole is removed by continuous venovenous hemofiltration in a liver transplant patient.

Author information

1
Department of Anesthesiology, University Hospital Eppendorf, Hamburg, Germany.

Abstract

Fluconazole is effective for the treatment of fungal infections. A continuous venovenous hemofiltration (CVVH) was necessary in a liver transplant patient with anuria. Fluconazole treatment was started after the diagnosis of systemic candidiasis. There was no adverse effect on liver function, and the immunosuppression with cyclosporine was not affected. It is shown for the first time that CVVH effectively removes fluconazole from the blood circulation by a clearance into the hemofiltrate of approximately 21 ml/min. These data suggest that the treatment of fungal infections with fluconazole does not necessitate a reduction of the dosage during CVVH.

PMID:
7633952
DOI:
10.1007/bf00198243
[Indexed for MEDLINE]

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