Effect of oral fluconazole 1200 mg/day on QT interval in African adults with HIV-associated cryptococcal meningitis.

Síle F Molloy; John Bradley ORCID logo; Natasha Karunaharan; Muhammad Mputu; Neil Stone; Jacob Phulusa; Chimwemwe Chawinga; Kate Gaskell ORCID logo; Dalitso Segula; Damien Ming; +7 more... Mary Peirse; Duncan Chanda; Shabir Lakhi; Angela Loyse; Cecilia Kanyama; Robert S Heyderman; Thomas S Harrison; (2018) Effect of oral fluconazole 1200 mg/day on QT interval in African adults with HIV-associated cryptococcal meningitis. AIDS (London, England), 32 (15). pp. 2259-2261. ISSN 0269-9370 DOI: 10.1097/QAD.0000000000001961
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: We assessed the effect of fluconazole 1200 mg/day on the QT interval in cryptococcal meningitis patients. Mean corrected QT (QTc) change from baseline to day 7 was 10.1 ms (IQR: -28 to 46 ms) in the fluconazole treatment group and -12.6 ms (IQR: -39 to 13.5 ms) in those not taking fluconazole (P = 0.04). No significant increase in QTc measurements over 500 ms was observed with fluconazole. Nevertheless, it remains important to correct any electrolyte imbalance and avoid concomitant drugs that may increase QTc.


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