Voriconazole induced bradycardia

Pediatr Hematol Oncol. 2013 Oct;30(7):674-6. doi: 10.3109/08880018.2013.775616. Epub 2013 Mar 13.

Abstract

Voriconazole is a triazole antifungal drug that is used to treat invasive fungal infections, especially aspergillus. Here, we report two children who had severe bradycardia associated with voriconazole at a dose of 12 mg/kg per day. Bradycardia resolved in 24 hours in both after decreasing the dose to 10 mg/kg per day. Heart rates were in normal limits on follow-up. Bradycardia may be a side effect of voriconazole treatment in children under immunosuppressive treatment. Heart rate should be monitored in patients receiving voriconazole and other triazole treatments.

Publication types

  • Case Reports

MeSH terms

  • Antifungal Agents / administration & dosage
  • Antifungal Agents / adverse effects*
  • Aspergillosis / drug therapy*
  • Bradycardia / congenital*
  • Bradycardia / therapy
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Male
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / therapy
  • Pyrimidines / administration & dosage
  • Pyrimidines / adverse effects*
  • Time Factors
  • Triazoles / administration & dosage
  • Triazoles / adverse effects*
  • Voriconazole

Substances

  • Antifungal Agents
  • Pyrimidines
  • Triazoles
  • Voriconazole