Isavuconazonium (isavuconazole)
ایزاووکونازونیوم (کرسمبا)
🦠 Antiinfectives For Systemic UseAzole antifungal
Market / country: 🇺🇸 USA
Cresemba (US)
🧮 Dose calculator
Mucormycosis · Regimen source: FDA Cresemba · 2.2, Table 1
- • Loading: 372 mg every 8 h for 6 doses (48 h), then once daily maintenance starting 12–24 h after the last loading dose. 372 mg isavuconazonium = 200 mg isavuconazole. FDA Cresemba · 2.2, Table 1
Enter age (weight is optional for this regimen).
🛡️ Safety & information
Contraindications
- ⛔ Hypersensitivity to isavuconazole; strong CYP3A4 inhibitors (ketoconazole, high-dose ritonavir); strong CYP3A4 inducers (rifampin, carbamazepine, St John’s wort, long-acting barbiturates); familial short QT syndrome. FDA Cresemba · 4
Warnings
- • Serious hepatic reactions (check liver tests at start and during therapy); infusion reactions; anaphylaxis. FDA Cresemba · 5
Formulations
- 186 mg capsule (= 100 mg isavuconazole) — capsule 🇺🇸 USA FDA Cresemba · 3
- 74.5 mg capsule (= 40 mg isavuconazole) — capsule 🇺🇸 USA FDA Cresemba · 3
- 372 mg vial (= 200 mg isavuconazole) — powder for injection 🇺🇸 USA FDA Cresemba · 3
👥 Special populations
- 🤰 PregnancyDangerous / avoid
Label: can cause fetal harm. Dangerous in pregnancy. FDA Cresemba · 8.1
“Risk Summary Based on findings from animal studies, CRESEMBA may cause fetal harm when administered to a pregnant woman.”
- 🤱 BreastfeedingUse with caution
Label: use with caution while breastfeeding; see the label text. FDA Cresemba · 8.2
“Risk Summary There are no data on the presence of isavuconazole in human milk, the effects on the breastfed infant or the effects on milk production.”
- 👶 ChildrenUse with caution
The label has conditions, age limits or notes for children; the label sentence is quoted below. FDA Cresemba · 8.4
“Invasive Aspergillosis The safety and effectiveness of CRESEMBA for injection for the treatment of invasive aspergillosis have been established in pediatric patients 1 year of age and older.”
- 👴 Older adultsNo specific problem stated
Label: no specific difference or dose adjustment stated for older adults. FDA Cresemba · 8.5
“No dose adjustment of CRESEMBA is needed in elderly patients.”
- ⚥ Females & males of reproductive potentialUse with caution
Label has advice on pregnancy testing, contraception or fertility for females and males. FDA Cresemba · 8.3
“Contraception CRESEMBA may cause embryo-fetal harm when administered to pregnant women [see Warnings and Precautions ( 5.4 ) and Use in Specific Populations ( 8.1 )].”
🔗 Reference links
- FDA (approval record)NDA207500
- DailyMed (FDA label)FDA Cresemba
- MedlinePlus (NIH)IsavuconazoniumIsavuconazonium Injection
- WHO ATC/DDDJ02AC05
- Darooyab (Iran)❌ None
🇮🇷 Not found in Iran list Darooyab · search
Darooyab lists no registered dosage form or brand for this drug. This does not prove it is unavailable.
📚 Reference status for this drug
Shows which sources have references recorded for this drug and which do not.
- FDA label (DailyMed)✅ PresentFDA Cresemba · 3FDA Cresemba · 2.2, Table 1FDA Cresemba · 2.3FDA Cresemba · 4FDA Cresemba · 5FDA Cresemba · SPL approval / marketing categoryFDA Cresemba · 8.1FDA Cresemba · 8.2FDA Cresemba · 8.4FDA Cresemba · 8.5FDA Cresemba · 8.3
- UK SmPC (eMC / MHRA)❌ Not present
- Published guideline❌ Not present
- Licensed reference (medical school)❌ Not present
- Iranian leaflet (IFDA)❌ Not present
- Pharmacy website (secondary, unreliable)✅ PresentDarooyab · search
- Clinical review⚠ Unverified