Adult Dosing

Candidemia

• Loading dose: 200 mg IV x 1 on day 1
• Maintenance dose: 100 mg IV q24 hrs thereafter for at least 14 days after the last positive culture

Esophageal Candidiasis

• Loading dose: 100 mg IV x 1 on day 1
• Maintenance dose: 50 mg IV q24 hrs for a minimum of 14 days and at least 7 days after the last positive culture

Other candida infections

• Loading dose: 200 mg IV x 1 on day 1
• Maintenance dose: 100 mg IV q24 hrs thereafter for at least 14 days after the last positive culture

Pediatric Dosing

• Safety and effectiveness in pediatric patients has not been established

• Treatment of esophageal candidiasis, candidemia, and other forms of Candida infections

• Hypersensitivity to anidulafungin or any of the components of the product

• N/A

Renal Dose Adjustment

• Renal impairment: No dose adjustments
• Hemodialysis: No supplement

Hepatic Dose Adjustment

• Hepatic impairment: No dose adjustments

• Isolated cases of hepatic dysfunction, hepatitis, or worsening hepatic failure have been reported in patients receiving anidulafungin
• Monitor patients developing abnormal LFTs during therapy for worsening hepatic function and evaluate need for continued therapy
• Anaphylactic reactions, including shock, may occur with anidulafungin. If such reactions occur, discontinue the treatment and take appropriate measures. Infusion-related adverse reactions, including rash, urticaria, flushing, pruritus, bronchospasm, dyspnea, and hypotension have been reported with therapy. To reduce these events, do not exceed a rate of anidulafungin infusion of 1.1 mg/minute

Pregnancy Category:B

Breastfeeding: Safety unknown. Manufacturer advises caution

• DERM: Rash, urticaria, flushing, pruritus
• RESP: Dyspnea
• CV: Hypotension
• GI: Diarrhea, increased liver enzymes, dyspepsia, nausea, vomiting, abdominal pain
• METAB: Hypokalemia
• HEMA: Neutropenia, leukopenia
• CNS: Headache
• LOCAl: Injection site phlebitis
• MISC: Pyrexia

• Antifungal; inhibits the synthesis of fungal cell wall. Noncompetitive inhibitor of 1,3-beta-D-glucan synthase leading to decreased 1,3-beta-D-glucan, a 30% to 60% component of Candida cell wall (absent in mammalian cells), resulting in osmotic instability and cellular lysis
• Metabolized by chemical degradation at physiologic temperature and pH
• Excreted in feces 30% (< 10% unchanged) and urine < 1%
• Half-Life: 40-50 hrs

US Trade Name(s)

• Eraxis

US Availability

Eraxis

• PWDR for INJ: 50 mg/vial
• PWDR for INJ: 100 mg/vial

Canadian Trade Name(s)

• Eraxis

Canadian Availability

Eraxis

• PWDR for INJ: 100 mg/vial

UK Trade Name(s)

• Ecalta

UK Availability

Ecalta

• PWDR for INJ: 100 mg/vial

Australian Trade Name(s)

• Eraxis

Australian Availability

Eraxis

• PWDR for INJ: 100 mg/vial

Antimicrobials

Antifungals (Systemic)

Echinocandins

Infectious Disease

Antifungals (Systemic)

Echinocandins