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Recommendations

≥ 18 years

Indications: Cryptococcal meningitis

Дозування Ремарки
1st choice
liposomal amphotericin B (Ambisome) IV 3 mg/kg once daily for at least 2 weeks

+

flucytosine IV 25 mg/kg four times daily for at least 2 weeks

Induction therapy

≥ 18 years

Indications: Cryptococcal meningitis

Дозування Ремарки
2nd choice
liposomal amphotericin B (Ambisome) IV 3 mg/kg once daily for at least 2 weeks

+

fluconazole oral loading dose 800 mg, then 400 mg twice daily for at least 2 weeks

Induction therapy in case of intolerance to or contraindication for flucytosine

≥ 18 years

Indications: Cryptococcal meningitis

Дозування Ремарки
fluconazole oral loading dose 800 mg, then 400 mg once daily for at least 8 weeks

Consolidation therapy. In a stable patient with a good clinical response after 2 weeks

≥ 18 years

Indications: Extrameningeal cryptococcosis (severe infections)

Дозування Ремарки

As for cryptococcal meningitis

 

≥ 18 years

Indications: Extrameningeal cryptococcosis (mild infections)

Дозування Ремарки
oral loading dose 800 mg, then 400 mg once daily

Treatment duration 6 weeks–6 months guided by resolution of infection.
NB Cryptococcal meningitis must always be excluded by lumbar puncture.

Comments

Secondary prophylaxis: in HIV, continue until CD4 is >100 cells/mm3 for ≥3 months and the HIV viral load is undetectable.

NB. Therapeutic drug monitoring is required during treatment with flucytosine.

Flucytosine is contraindicated in patients with dihydropyrimidine dehydrogenase (DPD) deficiency. However, pre-testing is not necessary given the rarity of this deficiency.