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Updated: Jun 13, 2026

07:58
Formulation and Characterization of Bioactive Agent Containing Nanodisks
Published on: March 17, 2023
[Liposomal-amphotericin B efficacy and safety].
Yukihiro Hamada1, Toshiaki Komatsu, Yoshinori Seto
1Department of Pharmacy, Kitasato University Hospital.
Summary
Liposomal amphotericin B (L-AMB) effectively treats fungal infections, but requires careful monitoring. Patients on L-AMB may experience decreased serum potassium, particularly around days 5-6, necessitating regular monitoring for safe and effective use.
Area of Science:
- Mycology
- Pharmacology
- Clinical Medicine
Context:
- Liposomal amphotericin B (L-AMB) is a key antifungal agent used in Japan since 2006.
- Limited post-marketing data exists on L-AMB's real-world efficacy and safety.
- This study addresses the need for updated information on L-AMB's clinical status.
Purpose:
- To retrospectively evaluate the efficacy and safety of L-AMB in treating fungal infections.
- To identify potential adverse events associated with L-AMB treatment.
- To analyze the relationship between L-AMB dosage and specific adverse events.
Summary:
- The study reviewed 25 patients treated with L-AMB for fungal infections.
- 16 patients (64%) demonstrated clinical improvement.
- Adverse events included elevated creatinine (1 patient) and decreased serum potassium (6 patients), with a dose-dependent relationship observed for hypokalemia.
Impact:
- L-AMB demonstrates significant efficacy in treating fungal infections.
- Hypokalemia is a notable adverse effect, often occurring around days 5-6 of treatment.
- Routine serum potassium monitoring is crucial for safe L-AMB administration.
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