ANS!!
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16
Definition
-CYP2C9 PM or IM: higher systemic conc skin reactions
-HLA-B positive: increased risk for stevens johnson sysndrome
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Fospheytoin Voriconazole
Carbamazepine Phenytoin
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2 of 16
Definition
-CYP2C19 active drug
-Recommendation: Choose an alternative agent that is not
dependent on CYP2C19 metabolism as primary therapy in
lieu of voriconazole. Such agents include isavuconazole,
liposomal
amphotericin B, and posaconazole. (poor metabolizer)
-concern: increase risk of
toxicity Includes pediatric
dosing
Non-linear kinetics:dosing changes not
recommended No FDA recommendation
PM means avoid this drug b/c toxicity
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Voriconazole Carbamazepine
Phenytoin Clopidogrel
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