Fungal Infections? Is Voriconazole the Drug For You?
Our life is ruled by the millions of microorganisms living around us. Microorganisms are present everywhere, on our skin, in the air, on surfaces, and almost anywhere you can think of. Most of these microorganisms are harmless. In fact, some of them are necessary for our livelihood. Having said that, there are some not-so-friendly microorganisms, like some pathogenic fungi which can invade human tissues and cause diseases. These fungi can cause some surface infections on the skin and can also cause invasive infections targeting different organs in the body.
What are fungi? Fungi belong to the Eukaryotic family of organisms, commonly known as mushrooms. Some fungi are often used in delicacies whereas, fungi like Aspergillus, and Candida yeast, can cause life-threatening disorders. Internal fungal infection is caused majorly due to a weakened immune system. Aspergillosis is a serious respiratory disease caused by Aspergillus a type of fungus that results in lung infections and asthma symptoms. Aspergillus spores are found almost anywhere, floating in the air, and can be inhaled. In most cases, they do not cause any problems, but people who have low immunity tend to develop an infection that can spread from the lungs to the bloodstream. Doctors often prescribe antifungal medicines like Voriconazole for treatment.
Understanding Voriconazole
Voriconazole is an antifungal medication that belongs to the class triazoles. It is beneficial to treat infections caused by yeast and other fungi. It works by prohibiting the growth of fungi by stopping the important step of cell membrane ergosterol synthesis. That helps to decrease the harmful fungi in the body.
Voriconazole is beneficial in the treatment of the following:
• Serious fungal infections
• Candidemia (fungal infection in the blood)
• Esophageal candidiasis (candida esophagitis)
• Other fungal infections (in form of wounds, infections of the skin, in the stomach, your bladder or your kidney)
Precautions Before taking Voriconazole
Medicines need to be taken with caution and analyze the risks and benefits. Before taking Voriconazole, inform your doctor about your medical history, especially your personal or family history of porphyria, cardiac disorder, liver disease, kidney disorder, or, skin issues.
Discuss your allergies with your doctor.
Let your doctor know if you have digestion problems with sugar or dairy products.
Let the doctor know if you are family planning or are pregnant or breastfeeding.
Some drugs affect the working of Voriconazole or might cause severe side effects. Let your doctor know of all the medicines you take, even over-the-counter drugs and herbal preparations.
Voriconazole makes you sensitive to the sun, so it is best to avoid harsh sunlight and tanning beds.
How to take Voriconazole and the dosage
Voriconazole can be taken orally or intravenously.
For the oral medicine, in the initial 24 hours, the loading dose should be 400 mg every 12 hours (adults 40 kg and above) for maintenance dose after the first 24 hours, 200 mg twice daily
For intravenous, the dose is 6 mg/kg every 12 hours in the loading phase and 4 mg/kg twice daily in the maintenance phase.
Consult your doctor before stopping the drug
Never alter the dosage without your doctor’s consultation In case you miss any dose, it is advised to take it as soon as possible but avoid double doses.
How is Voriconazole available?
Voriconazole is available in tablet form and powder for suspension (for injection) form. It is sold only as a prescription medicine. Some brands of Voriconazole are listed below.
• Voritek (200mg)
• Vosicaz (200mg)
• Fungixit- V 200 TABLET
• Vorise 50 TABLET
• Voriva 200 mg
• Vonaz (200mg)
• Voritek (50mg)
• Vorise 200 TABLET
• Fungixit -V 50 TABLET
The adverse effects of Voriconazole
All drugs cause a few side effects along with the necessary benefits they give. Doctors always weigh the benefits and the risk factors before prescribing any medicine. Some common side effects that Voriconazole may cause are mild and require no specific medical attention. You can discuss your side effects with your doctor in your appointments. Some allergic reactions may include swelling up of body parts, hives or rashes, and sometimes fever and rash. It is best to call your doctor if you feel you are having an allergic reaction.
The common side effects are listed below
• Black, tarry stools
• Blistering, peeling, loosening of the skin
• Chest pain
• Chills
• Cough
• Difficulty seeing at night
• Amplified sensitivity to sunlight especially of the eyes
• Itching, rash
• Joint or muscle pain
• Painful or difficult urination
• Red irritated eyes
• Red skin lesions
• Ulcers and sores, patches of white colouring on the lips or in the mouth
Some severe side effects may include the following
• Swollen glands
• Trouble breathing
• Unusual bleeding or bruising
• Unusual tiredness or weakness
• Vision changes
• Sunburn
• Dizziness and numbness
• Irregular heartbeats
• A feeling of choking
If you feel uneasy or experience some severe side effects seek your doctor and get medical help immediately.
Is Voriconazole the drug for you?
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