Fixed Dosing of Liposomal Amphotericin B in Morbidly Obese Individuals.

Wasmann, Roeland E; Smit, Cornelis; van Dongen, Eric P H; Wiezer, René M J; Adler-Moore, Jill; de Beer, Yvo M; Burger, David M; Knibbe, Catherijne A J et al. · Clin Infect Dis · 2020

prospective_cohort · Level II

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Abstract

In this prospective study, we examined the pharmacokinetics of 1 and 2 mg/kg liposomal amphotericin B in 16 morbidly obese individuals (104-177 kg). Body size had no effect on clearance. We recommend a fixed dose in patients ≥100 kg (ie, 300 or 500 mg rather than the current dose of 3 and 5 mg/kg, respectively). Clinical Trials Registration NCT02320604.

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