How Toxicity to Amphotericin-B Is Mitigated

Adverse Effects

  • About 80% of the patients will develop infusion-related adverse effects or nephrotoxicity.
  • Hypokalemia
  • Hypomagnesemia
  • Anaphylaxis
  • Nephrotoxicity: Renal toxicity correlates with conventional amphotericin B use.  But the azotemia often stabilizes with therapy, and renal damage is reversible after discontinuation of amphotericin B. Avoid concomitant use of other nephrotoxic agents
  • Long-term administration is associated with normochromic, normocytic anemia due to low erythropoietin concentrations.
  • Fever, headache, chills, hypotension, tachypnea, and vomiting typically occur within 1 to 3 hours after initiating an intravenous infusion of amphotericin . . .

    Please Subscribe to continue reading