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Cryoptococcal meningitis

January 2007     View PDF     En español

Do the drugs cause any serious side effects?

Nearly all prescribed medication can cause at least some minor side effects in some people. Some side effects can be eliminated or treated. The chart below describes the most common side effects associated with the drugs used to treat cryptococcal meningitis.

Drug Name

   

Side Effects

 

Notes

Amphotericin B
(Fungizone)
or
Liposomal AmB
(Amphotec, Ambisome, Abelcet)

   

Mild-to-Moderate:
Fever, chills, nausea, vomiting, diarrhea, headache and muscle pains
Severe: Immediate and severe allergic reaction, kidney toxicity, anemia

 

Acetaminophen* (Tylenol) and diphenhydramine (IV Benadryl) given one half hour before taking Amphotericin B can reduce minor side effects. Amphotericin B should be given only with extreme caution to people with kidney problems.

Flucytosine
(Ancobon)

   

Mild-to-Moderate:
Nausea, headache, skin rash, vomiting, abdominal pain, diarrhea, increased triglycerides

 

Dosage reduction necessary in people with kidney problems. May cause birth defects if used in pregnant women.

Fluconazole
(Diflucan)

   

Mild-to-Moderate:
Nausea, headache, skin rash, vomiting, abdominal pain, diarrhea, increased triglycerides

 

Pregnant women are advised not to use fluconazole or any of the ‘azole’ drugs during pregnancy, as they may lead to severe birth defects.

* Acetaminophen (Tylenol) can be toxic to the liver and other alternatives are available like ibuprofen (Advil) and Naproxen (Aleve)

 
     
 

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