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Significant drug interaction between voriconazole and dexamethasone: A case report
Hamidreza Taghvaye Masoumi1, Molouk Hadjibabaie1,2, Kheirollah Gholami1,2
11 Clinical Pharmacy Department, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.
Dexamethasone may lower voriconazole levels, potentially causing treatment failure. Therapeutic drug monitoring of voriconazole is recommended when patients receive high-dose glucocorticoids like dexamethasone.
Area of Science:
- Pharmacology
- Internal Medicine
- Infectious Diseases
Background:
- Voriconazole is metabolized by CYP450 isoenzymes 2C19, 3A4, and 2C9.
- Medications affecting these enzymes can alter voriconazole plasma concentrations.
- Subtherapeutic voriconazole levels may lead to treatment failure.
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