In vitro interactions between antifungals and immunosuppressive drugs against zygomycetes

Antimicrob Agents Chemother. 2009 Aug;53(8):3549-51. doi: 10.1128/AAC.00184-09. Epub 2009 May 18.

Abstract

The in vitro interaction of antifungals with immunosuppressive drugs was evaluated against zygomycetes. The combination of amphotericin B with cyclosporine, rapamycin, or tacrolimus was synergistic for 90%, 70%, and 30% of the isolates, respectively. For posaconazole, itraconazole, and ravuconazole, synergy was more frequently observed with cyclosporine than with rapamycin or tacrolimus and antagonistic interactions were rarely noted. In summary, calcineurin inhibitors and rapamycin can be synergistic in vitro with amphotericin B and azoles against zygomycetes.

MeSH terms

  • Amphotericin B / pharmacology
  • Antifungal Agents / pharmacology*
  • Azoles / pharmacology
  • Cyclosporine / pharmacology
  • Drug Interactions
  • Immunosuppressive Agents / pharmacology*
  • Itraconazole / pharmacology
  • Microbial Sensitivity Tests
  • Mucorales / drug effects*
  • Rhizopus / drug effects
  • Sirolimus / pharmacology
  • Tacrolimus / pharmacology
  • Thiazoles / pharmacology
  • Triazoles / pharmacology

Substances

  • Antifungal Agents
  • Azoles
  • Immunosuppressive Agents
  • Thiazoles
  • Triazoles
  • Itraconazole
  • posaconazole
  • Amphotericin B
  • Cyclosporine
  • ER 30346
  • Sirolimus
  • Tacrolimus