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Primary prophylaxis not routinely recommended. For suppression of relapse of cryptococcal fluconazole fluconazole meningitis in children with aids, the fluconazole recommended dose of diflucan is 6 mg/kg dosage once daily. Last updated on Feb 26, 2019. Cerebral cryptococcoma : -Consolidation and dosage maintenance therapy (after induction therapy 400 to 800 mg dosage orally dosage once a dosage day for 6 to 18 months Usual Adult Dose for Cryptococcal Meningitis - Immunosuppressed dosage Host Acute infection: 400. For the treatment of acute cryptococcal meningitis, the recommended dosage is 12 mg/kg on the first day, followed by 6 mg/kg once daily. Cryptococcal meningitis, the recommended dosage for treatment of acute cryptococcal meningitis is 400 mg fluconazole on the first day, followed by 200 mg once daily. Esophageal candidiasis, fluconazole the recommended dosage of diflucan for esophageal candidiasis is 200 mg on the first day, followed by 100 mg once daily. Oropharyngeal candidiasis, the recommended dosage of diflucan for oropharyngeal candidiasis is 200 mg on the first day, followed by 100 mg once daily. Patients who are anticipated to have dosage severe granulocytopenia (less than 500 neutrophils cells/mm3) should start diflucan prophylaxis several days before the anticipated onset of neutropenia, and continue for 7 days after the neutrophil count rises above 1000 cells/mm3. Usual Pediatric Dose for Fungal dosage Infection - Disseminated 2 weeks or dosage younger (gestational age dosage 26 to 29 weeks 6 to 12 mg/kg IV or dosage orally every 72 hours Older than 2 weeks: 6 to 12 mg/kg/day IV or dosage orally. Usual Adult Dose for Cryptococcal Meningitis - Immunocompetent Host Acute infection: 400 mg IV or orally on the first day followed by 200 mg IV or orally once a day Duration of therapy: 10 to 12 weeks after. Oropharyngeal candidiasis: 200 mg IV or orally on the first day followed by 100 mg IV or orally once a day. Store reconstituted suspension between 86F (30C) and 41F (5C) and discard unused portion after 2 weeks. Usual Adult Dose for Oral Thrush. Suspected candidiasis in neutropenic patients: Recommended as alternative therapy; should start empiric therapy after 4 days persistent fever despite antibiotics; serodiagnostic and computed tomography (CT) imaging may help; should not use in patients with prior azole prophylaxis. Comments: Further adjustment may be needed depending on clinical condition. Y-site: Acyclovir, aldesleukin, allopurinol, amifostine, amikacin, aminophylline, amiodarone, ampicillin-sulbactam, aztreonam, benztropine, bivalirudin, cefazolin, cefepime, cefotetan, cefoxitin, cefpirome, chlorpromazine, cimetidine, cisatracurium, dexamethasone sodium phosphate, dexmedetomidine, diltiazem, diphenhydramine, dobutamine, docetaxel, dopamine, doxorubicin liposomal, droperidol, etoposide PO4, famotidine, fenoldopam, filgrastim, fludarabine, foscarnet, ganciclovir, gatifloxacin, gemcitabine. Idsa Recommendations: 200 to 400 mg IV or orally once a day for 14 to 21 days Comments : -Recommended as primary therapy; oral fluconazole is preferred. US CDC, NIH, and idsa Recommendations for HIV-infected Adolescents dosage : -Meningeal infection: 400 to 800 mg IV or orally once a day -Chronic suppressive therapy: 400 mg orally once a day Comments : -Recommended as preferred therapy for meningeal infection. Usual Adult Dose for Fungal Peritonitis 50 to 200 mg IV or orally once a day Use: For the treatment of Candida urinary tract infections and peritonitis idsa Recommendations : -Asymptomatic cystitis in patients undergoing urologic. A dosage of 12 mg/kg once daily may be used, based on medical judgment of the patient's response to therapy. Pericarditis or myocarditis: Often several months -Suppurative thrombophlebitis: At least 2 weeks after candidemia cleared -Infected pacemaker, implantable cardioverter defibrillator (ICD or ventricular assist device (VAD 4 to 6 weeks after device removed; chronic suppressive therapy if VAD not removed Comments. Each bottle will deliver 35 mL of suspension. Use: For systemic Candida infections including candidemia, disseminated candidiasis, and pneumonia idsa Recommendations : Candidemia in nonneutropenic or neutropenic patients: 800 mg IV or orally on the first day followed by 400 mg IV or orally once a day Duration. Applies to the following strengths: 200 mg/100 mL-0.9; 400 mg/200 mL-0.9; 50 mg; 100 mg; 200 mg; 200 mg/100 mL-5; 400 mg/200 mL-5; 10 mg/mL; 40 mg/mL; 150 mg; 100 mg/50 mL-NaCl.9. Initial therapy with oral azole antifungals is recommended for chronic progressive fibrocavitary pneumonia. Usual Pediatric Dose for Vaginal Candidiasis US CDC, NIH, and idsa Recommendations for HIV-infected Adolescents : -Uncomplicated vulvovaginal candidiasis: 150 mg orally as a single dose -Severe or recurrent vulvovaginal candidiasis: 100 to 200 mg orally once. Idsa Recommendations : -Moderate to severe oropharyngeal candidiasis: 100 to 200 mg IV or orally once a day for 7 to 14 days. Dosage and Administration in Adults, single Dose, vaginal candidiasis. Further adjustment may be needed depending on clinical condition. Usual Pediatric Dose for Systemic Candidiasis 2 weeks or younger (gestational age 26 to 29 weeks 6 to 12 mg/kg IV or orally every 72 hours Older than 2 weeks: 6 to 12 mg/kg/day IV or orally Use: For the treatment. Usual Pediatric Dose for Cryptococcal Meningitis - Immunosuppressed Host Acute infection : 2 weeks or younger (gestational age 26 to 29 weeks 6 mg/kg IV or orally every 72 hours Older than 2 weeks: 12 mg/kg. There is no need to adjust single dose therapy for vaginal candidiasis because of impaired renal function. Infectious Diseases Society of America (idsa) Recommendations : -Uncomplicated vaginitis: 150 mg orally as a single dose -Management of recurrent vulvovaginal candidiasis (after 10 to 14 days induction therapy 150 mg orally once a week for 6 months -Complicated vulvovaginal. Suppression of relapse in patients with aids: 200 mg IV or orally once a day idsa Recommendations : HIV-infected patients : -Induction therapy: 800 to 2000 mg orally once a day for 6 to 12 weeks, depending on regimen -Consolidation. Medically reviewed.
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