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Wheeless' Textbook of Orthopaedics
www.wmt.com
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Fluconazole





- Dosing Regimens for Patients w/ Renal Insufficiency:
  (Dose for 70 kg Adult (gm/dosing interval in hours)
    CrCl:>80: 0.1-0.2/24; CrCl: 50-79: 0.1-0.2/24; CrCl: 30-49: 0.05-0.1/24;
    CrCl:10-29: 0.025-0.05/24;
    - 80 % of dose will be excreted in urine (w/ nl R F(x))
- Will increase effect of warfarin;
- Will falsely incr Serum Cr;
- Ratio of CSF to Blood Level (%): Nl Meninges: 70-80; Inflammed: > 70-80;
Ref for Fluconazole:
Original Articles: A Randomized Trial Comparing Fluconazole With
      Amphotericin B For The Treatment Of Candidemia In Patients Without
      Neutropenia.




Original Text by Clifford R. Wheeless, III, MD.