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Mycamine Generic Name & Formulations
Legal Class
Rx
General Description
Micafungin sodium 50mg/vial, 100mg/vial; pwd for IV infusion after reconstitution and dilution; preservative-free.
Pharmacological Class
Glucan synthesis inhibitor (echinocandin).
How Supplied
Single-use vials—10
Manufacturer
Generic Availability
YES
Mycamine Indications
Indications
Treatment of candidemia, acute disseminated candidiasis, Candida peritonitis and abscesses, and esophageal candidiasis in patients aged ≥4 months. Treatment of candidemia, acute disseminated candidiasis, Candida peritonitis and abscesses without meningoencephalitis and/or ocular dissemination in children aged <4 months. Prophylaxis of Candida infections in patients aged ≥4 months undergoing hematopoietic stem cell transplantation (HSCT).
Mycamine Dosage and Administration
Adult
Give by slow IV infusion over 1hr. Candidemia, acute disseminated, peritonitis, abscesses: 100mg/day (usual range 10–47 days). Esophageal: 150mg/day (usual range 10–30 days). Prophylaxis in HSCT: 50mg/day (usual range 6–51 days).
Children
See full labeling. Give by slow IV infusion over 1hr. Candidemia, acute disseminated, peritonitis, abscesses: <4months (without meningoencephalitis and/or ocular dissemination only): 4mg/kg once daily; ≥4months: 2mg/kg once daily; max 100mg/day. Esophageal: <4months: not established. ≥4months (≤30kg): 3mg/kg once daily; (>30kg): 2.5mg/kg once daily; max: 150mg/day. Prophylaxis in HSCT: <4months: not established. ≥4months: 1mg/kg once daily; max 50mg/day.
Mycamine Contraindications
Not Applicable
Mycamine Boxed Warnings
Not Applicable
Mycamine Warnings/Precautions
Warnings/Precautions
Monitor for evidence of worsening hepatic or renal function, hemolysis or hemolytic anemia. Pregnancy. Nursing mothers.
Mycamine Pharmacokinetics
See Literature
Mycamine Interactions
Interactions
Potentiates sirolimus, itraconazole, nifedipine; monitor and reduce doses.
Mycamine Adverse Reactions
Adverse Reactions
Diarrhea, nausea, vomiting, abdominal pain, pyrexia, thrombocytopenia, neutropenia, headache; inj site/infusion reactions, hematological effects, abnormal liver function tests, acute renal failure, hypersensitivity reactions (discontinue if occur). Also in infants: sepsis, acidosis, anemia, oxygen saturation decreased, hypokalemia.
Mycamine Clinical Trials
See Literature
Mycamine Note
Not Applicable
Mycamine Patient Counseling
See Literature
