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Vol. 29. Issue S2.
Micafungina: nuevos retos y nuevas posibilidades en el tratamiento de la infección fúngica invasora
Pages 29-32 (March 2011)
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Vol. 29. Issue S2.
Micafungina: nuevos retos y nuevas posibilidades en el tratamiento de la infección fúngica invasora
Pages 29-32 (March 2011)
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Toxicidad hepática de micafungina. ¿Es micafungina un fármaco seguro?
Liver toxicity of micafungin. Is this drug safe?
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Maricela Valerioa, Patricia Muñoza,b,
Corresponding author
pmunoz@micro.hggm.es

Autor para correspondencia.
, Emilio Bouzaa,b
a Servicio de Microbiología Clínica y Enfermedades Infecciosas, Hospital General Universitario Gregorio Marañón, Universidad Complutense, Madrid, España
b CIBER de Enfermedades Respiratorias, CIBERES y REIPI
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Resumen

Micafungina fue comercializada en Japón en 2002 y cuenta con experiencia en > 750.000 pacientes. Como miembro de la familia de las candinas, su tolerancia clínica y analítica es muy buena, tanto en adultos como en niños, incluyendo neonatos, población ésta en que es la candina con más pacientes acumulados. Los efectos adversos más frecuentes son las náuseas y la elevación de las transaminasas. Durante los estudios preclínicos se demostró la aparición de tumores hepáticos benignos en ratas que habían sido tratadas con dosis muy elevadas del fármaco durante períodos prolongados. Estos datos no se reprodujeron en otras especies ni hay casos comunicados en seres humanos.

Palabras clave:
Micafungina
Efectos adversos
Hepatotoxicidad
Abstract

Micafungin was commercialized in Japan in 2002 and has been used in more than 750,000 patients. As a member of the candin family, the drug’s clinical and analytical tolerability is very good, both in adults and in children, including neonates. In this latter population, micafungin is the most frequently used candin. The most common adverse effects are nausea and elevated transaminase levels. Preclinical studies showed the development of benign liver tumors in rats treated with extremely high doses of the drug for prolonged periods. These data were not reproduced in other species and no cases have been reported in humans.

Keywords:
Micafungin
Adverse effects
Hepatotoxicity
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Copyright © 2011. Elsevier España S.L.. Todos los derechos reservados
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