Drug

 

 

Typical Dosing

 

 

Griseofulvin (microsize)

Grifulvin V®, Fulvicin U/F®,

Grisactin®

Pregnancy: C; Lactation: Unk

Tabs: 250 mg

500 mg

Caps: 250 mg

Oral Suspension:

125 mg/5 mL

 

Children ≥2 years: 10-20 mg/kg/day in one or two divided doses (max 500 mg/day).

 

125 mg/5 mL @ 10 mg/kg/day

5 kg (11 lb) = 2 mL Q24H

7.5 kg (16 lb) = 3 mL Q24H

10 kg (22 lb) = 4 mL Q24H

12.5 kg (28 lb) = 5 mL (1tsp) Q24H

15 kg (33 lb) = 6 mL Q24H

20 kg (44 lb) = 8 mL Q24H

25 kg (55 lb) = 10 mL (2tsp) Q24H or 250 mg tab/cap Q24H

 

Adult: 500 mg PO once or twice daily.

 

Food: Take with a fatty meal to improve absorption. Avoid alcohol.

 

Important side effects: Nausea, vomiting, diarrhea, photosensitivity, rash, urticaria, confusion, granulocytopenia, dysgeusia, disulfiram-like reaction, hepatotoxicity.

 

May reduce the efficacy of oral contraceptives.

 

Caution: Avoid excessive sun exposure. May cause hypersensitivity in some persons with penicillin allergy, use with caution. May cause birth defects, do not use in pregnancy. Males should wait at least 6 months after therapy before fathering a child. Use with caution in persons with history of liver disease or SLE.

 

Significant drug interactions: Oral contraceptives, anticoagulants, cyclosporine.

 

 

Griseofulvin (ultramicrosize)

Fulvicin P/G®, Gris-PEG®

Generics available

Pregnancy: C; Lactation:

Tabs: 125 mg

165 mg

250 mg

330 mg

 

Griseofulvin ultramicrosize demonstrated better oral absorption than griseofulvin microsize, permitting lower doses. There is no evidence that this effects therapeutic outcome.

 

Children ≥2 years: 5-10 mg/kg/day in one or two divided doses (max 330 mg).

Adult: 330-750 mg/day in one or two divided doses.

 

Food: Take with a fatty meal to improve absorption. Avoid alcohol.

 

Important side effects: Nausea, vomiting, diarrhea, photosensitivity, rash, urticaria, confusion, granulocytopenia, dysgeusia, disulfiram-like reaction, hepatotoxicity.

 

May reduce the efficacy of oral contraceptives.

 

Caution: Avoid excessive sun exposure. My cause hypersensitivity in some persons with penicillin allergy, use with caution. May cause birth defects; do not use in pregnancy. Males should wait at least 6 months after therapy before fathering a child.

 

Use with caution in persons with history of liver disease or SLE.

Significant drug interactions: Oral contraceptives, anticoagulants, cyclosporine.