Article
Modulators of very low voriconazole concentrations in routine therapeutic drug monitoring.
Therapeutic drug monitoring - 1 Feb 2011
Hassan Arwa, Burhenne Jürgen, Riedel Klaus-Dieter, Weiss Johanna, Mikus Gerd, Haefeli Walter E, Czock David
Abstract excerpt
Very low voriconazole concentrations are commonly observed during therapeutic drug monitoring. Possible mechanisms include inappropriate dose selection, rapid metabolism (as a result of genetic polymorphisms or enzyme induction), and also nonadherence. We aimed to develop a method to distinguish between rapid metabolism of and nonadherence to voriconazole by quantification of voriconazole metabolites. In...
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