Farmacología de los azoles

Azole antifungals have different pharmacokinetic characteristics: complete oral absorption for Voriconazole, and to a lesser extent for fluconazole. The absorption of posaconazole and itraconazole increases with food intake. All of them have high tissue distribution with low plasma concentrations...

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Main Authors: Azanza, J.R. (José Ramón), Garcia-Quetglas, E. (Emilio), Sadaba, B. (Belén)
Format: info:eu-repo/semantics/article
Language:spa
Published: Elsevier España 2012
Subjects:
Online Access:https://hdl.handle.net/10171/22724
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author Azanza, J.R. (José Ramón)
Garcia-Quetglas, E. (Emilio)
Sadaba, B. (Belén)
author_facet Azanza, J.R. (José Ramón)
Garcia-Quetglas, E. (Emilio)
Sadaba, B. (Belén)
author_sort Azanza, J.R. (José Ramón)
collection DSpace
description Azole antifungals have different pharmacokinetic characteristics: complete oral absorption for Voriconazole, and to a lesser extent for fluconazole. The absorption of posaconazole and itraconazole increases with food intake. All of them have high tissue distribution with low plasma concentrations, especially low in the case of posaconazole and itraconazole. Posaconazole and itraconazole have high plasmatic protein binding and consequently both have a very low free fraction. Elimination of azole antifungals is through a metabolic pathway with CYP450 isoenzymes, and has a non linear pharmacokinetics with a high risk of interation with other drugs since azoles have the ability of CYP450 isoenzymes inhibition. Possibly the parameter that defines more precisely their efficacy is AUIC with an optimum value near 20, although cut-off values must be defined since some azoles may have difficulty to reach this value.
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spelling oai:dadun.unav.edu:10171-227242020-03-03T22:22:38Z Farmacología de los azoles Azanza, J.R. (José Ramón) Garcia-Quetglas, E. (Emilio) Sadaba, B. (Belén) Pharmacology Posaconazole Itraconazole Azole antifungals have different pharmacokinetic characteristics: complete oral absorption for Voriconazole, and to a lesser extent for fluconazole. The absorption of posaconazole and itraconazole increases with food intake. All of them have high tissue distribution with low plasma concentrations, especially low in the case of posaconazole and itraconazole. Posaconazole and itraconazole have high plasmatic protein binding and consequently both have a very low free fraction. Elimination of azole antifungals is through a metabolic pathway with CYP450 isoenzymes, and has a non linear pharmacokinetics with a high risk of interation with other drugs since azoles have the ability of CYP450 isoenzymes inhibition. Possibly the parameter that defines more precisely their efficacy is AUIC with an optimum value near 20, although cut-off values must be defined since some azoles may have difficulty to reach this value. 2012-06-27T12:03:33Z 2012-06-27T12:03:33Z 2007 info:eu-repo/semantics/article https://hdl.handle.net/10171/22724 spa http://www.reviberoammicol.com/2007-24/223227.pdf info:eu-repo/semantics/openAccess application/pdf Elsevier España
spellingShingle Pharmacology
Posaconazole
Itraconazole
Azanza, J.R. (José Ramón)
Garcia-Quetglas, E. (Emilio)
Sadaba, B. (Belén)
Farmacología de los azoles
title Farmacología de los azoles
title_full Farmacología de los azoles
title_fullStr Farmacología de los azoles
title_full_unstemmed Farmacología de los azoles
title_short Farmacología de los azoles
title_sort farmacología de los azoles
topic Pharmacology
Posaconazole
Itraconazole
url https://hdl.handle.net/10171/22724
work_keys_str_mv AT azanzajrjoseramon farmacologiadelosazoles
AT garciaquetglaseemilio farmacologiadelosazoles
AT sadababbelen farmacologiadelosazoles