Caspofungin - Side Effects

Side Effects

Compared to amphotericin B, caspofungin seems to have a relatively low incidence of side effects. In clinical studies and postmarketing reports, the side effects seen in 1% or more of the patients were as follows:

  • Gastrointestinal system: nausea, vomiting, abdominal pain, and diarrhea
  • Central nervous system: headache
  • Whole body: fever, phlebitis or thrombophlebitis, complications at the intravenous cannulation site (e.g. induration), unspecified pain, flu-like syndrome, myalgia, chills, and paresthesia
  • Respiratory: dyspnea
  • Renal: increased plasma creatinine
  • Hematological: anemia
  • Electrolytes: hypokalemia
  • Liver: increased liver enzymes (asymptomatic)
  • Hypersensitivity: rash, facial edema, pruritus
  • Other: tachycardia

Additionally, infrequent cases of symptomatic liver damage, peripheral edema and swelling, and hypercalcemia have been seen. One case of anaphylaxis (severe allergic reaction) has also been noted.

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