Table 1. Antifungal Agents and Dosages for Primary Treatment of Mucormycosis (Mucormycosis)

Antifungal Agent Dosage Range in Adult Patients* (mg/kg/day) Dosage in Pediatric Patients* (mg/kg/day) Toxicity Comments
Amphotericin B deoxycholate .75-1.0 .75-1.0 -Severe nephrotoxicity Infusion-related toxicity Anemia Higher dosages are more toxic and not necessarily more effective
Liposomal amphotericin B (AmBisome®) 5-10 5-10 -Reduced nephrotoxicity Infusion-related toxicity -Uncommon but severe acute infusion-related toxicity   Higher dosages are more toxic and not necessarily more effective
Amphotericin B Lipid Complex (Abele®) 5.0 5.0 -Reduced nephrotoxicity -Infusion-related toxicity   Higher dosages are more toxic and not necessarily more effective
Amphotericin B Colloidal Dispersion (ABCD®) 5.0 5.0 -Reduced nephrotoxicity -Infusion-related toxicity -Infusion-related respiratory distress   Higher dosages are more toxic and not necessarily more effective

*Optimal dosage and duration of antifungal therapy for mucormycosis is not well defined. Dosage and duration of therapy outside of a clinical trial are best assessed individually for each patient.