Therapeutic Drug Monitoring of Posaconazole in Hematology Patients: Experience with a New High-Performance Liquid Chromatography-Based Method

Author:

Neubauer Werner Christian12,Engelhardt Monika1,König Armin3,Hieke Stefanie4,Jung Manfred5,Bertz Hartmut1,Kümmerer Klaus3

Affiliation:

1. Department of Hematology & Oncology

2. Hospital Pharmacy

3. Department of Environmental Health Sciences

4. Institute of Medical Biometry and Medical Informatics, University Medical Center Freiburg

5. Institute of Pharmaceutical Sciences, University of Freiburg, Freiburg, Germany

Abstract

ABSTRACT Parallel administration of the proton pump inhibitor (PPI) esomeprazole has been shown to decrease oral bioavailability of posaconazole in healthy volunteers. We prospectively analyzed serum samples ( n = 59) obtained from hematology patients ( n = 27) under posaconazole prophylaxis. Patients treated concomitantly with pantoprazole had significantly lower posaconazole levels than patients without PPI treatment (median levels of 630 μg/liter versus 1,125 μg/liter, respectively). These results suggest that drug monitoring is relevant when posaconazole and pantoprazole are administered concomitantly.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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