ANIDULAFUNGIN

Background and Date of Approval

Anidulafungin is an antifungal medication developed by the U.S. Food And Drug Administration and initially approved on 21 Feb 2006 for treating serious fungal infections.

Uses

Anidulafungin helps to treat certain invasive fungal infections. It is effective against various types of invasive candidiasis, such as candidemia (Candida bloodstream infection) and esophageal candidiasis (fungal infection affecting the esophagus). Invasive candidiasis occurs when candida yeasts enter the bloodstream or other internal organs and cause systemic infections.

How is it administered?

Anidulafungin is administered directly into the vein intravenously (IV). It is available as a powder for reconstitution, and a physician will prepare and administer the medication through a vein. The IV infusion is usually given over a period of one to two hours.

Side Effects

The side effects known to occur commonly during the treatment with Anidulafungin are low blood potassium (hypokalaemia), diarrhea, nausea, headache, and vomiting. Some serious side effects also include convulsion (seizure), flushing, rash, pruritus (itching), hot flush, hives, wheezing , coughing, and difficulty of breathing.

Warnings

This drug is contraindicated in individuals with known hypersensitivity or allergy to it or its component. If you develop liver problems during your treatment with this drug, your doctor may decide to monitor your liver function more closely. Anidulafungin is primarily metabolized in the liver, so it's important to assess liver function regularly, especially in patients with pre-existing liver conditions. Inform your physician, including anesthesiologists, about your treatment with this drug, especially before undergoing surgery or receiving anesthesia. The combination of certain anesthetics with this medication could interact, so it's necessary for medical professionals to be aware of your medication history.

Precautions

Pay attention to any unusual symptoms like shortness of breath, breathing difficulties, lightheadedness, or dizziness during your treatment with this drug. If you experience any of these symptoms, contact your physician immediatley. It is unknown whether Anidulafungin is safe for pregnant women, so it is not recommended during pregnancy due to limited data. If a woman of childbearing age is prescribed this drug, it is essential to use effective contraception during the treatment period to avoid pregnancy. The effect of this drug on breastfeeding women is not known. Breastfeeding women should contact their doctor for more advice before taking this medicine.

Word of Advice

Anidulafungin is given through intravenous infusion. Some individuals may experience infusion-related reactions, including a rash, hives, itching, or redness at the infusion site. If you notice any of these symptoms during or after the infusion, notify your physician immediately.

References

Pfizer Limited, Electronic medicines compendium (EMC), [Revised on April 2022] [ Accessed on 26th July 2023], https://www.medicines.org.uk/emc/files/pil.454.pdf Roerig, US Food and Drug Administration, [Revised date Feb 2006], [Accessed on 26th July 2023], https://www.accessdata.fda.gov/drugsatfda_docs/label/2006/021632s002lbl.pdf KD Tripathi, Essentials of Medical Pharmacology, 7th edition, Antifungal drugs, 2013, 790.

Frequently Asked Questions

How is Anidulafungin administered?

Anidulafungin is administered intravenously (IV). The medication comes in the form of a powder that needs to be reconstituted before administration. The physician will prepare and administer the IV infusion through a vein. The infusion typically takes one to two hours.

What are the common side effects of Anidulafungin?

Common side effects of Anidulafungin may include fever, diarrhea, nausea, vomiting, headache, and mild changes in liver function tests. You should contact your physician immediately if you experience any severe side effects.

How often is Anidulafungin given?

The dosing frequency of Anidulafungin may vary based on the severity of the infection and the individual's response to treatment. It is usually given once daily.

Can Anidulafungin be used in children?

Anidulafungin is approved for use in pediatric patients aged one month and older to treat invasive candidiasis. The dosing in children is based on their weight and medical condition.

Who should avoid taking Anidulafungin?

People with known allergies to echinocandins should avoid this medication. Also, individuals with severe liver problems or a history of hypersensitivity to Anidulafungin should not take it.

Available Brands 8

Written By: P. Thirumal Reddy

Reviewed By: Dr. Tejashwin Adiga