Buy Voriconazole
Voriconazole

31.2
Generic Voriconazole is a broad-spectrum antifungal medication designed to treat serious fungal infections, such as invasive aspergillosis or candidemia. It works by stopping the growth of fungi within the body. This treatment is vital for patients with compromised immune systems facing complex fungal pathogens.


Ingredient
Category
Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Voriconazole
Reference Brand
Vfend
Manufacturer
Pfizer Ltd
Product Form
Tablet, Powder for oral suspension, Injection
Regulatory Classification
Rx
Primary Category
Antifungal
Product Category
Antimycotics for systemic use, Triazole derivatives
Pharmacological Class
Triazole antifungal
Manufacturer Description
A powerful antifungal used to treat serious, life-threatening fungal infections.
Mechanism of Action
Voriconazole is a broad-spectrum antifungal. It works by inhibiting the fungal cytochrome P450-dependent enzyme, which is essential for making ergonomically stable fungal cell walls. This inhibits fungal growth and spread in the body.
Route of Administration
Oral
Onset Time
1 to 2 hours
Duration
Lasts around 6 to 12 hours depending on dose
Contraindications
Co-administration with CYP3A4 substrates (e.g., Terfenadine), Hypersensitivity to voriconazole
Severe Adverse Events
Liver toxicity, Severe skin reactions (Stevens-Johnson syndrome), Visual hallucinations, Kidney failure
Common Side Effects
Blurred vision, Fever, Chills
Uncommon Side Effects
Nausea, Vomiting, Peripheral oedema, Liver enzyme changes
Drug Interactions
Rifampicin, Ritonavir, St John's Wort, Carbamazepine
Pregnancy Safety Warnings
Must not be used during pregnancy unless the benefit to the mother outweighs the risk to the fetus.
Age Restrictions
Adults and children over 2 years
Storage Guidelines
Store at room temperature
Related Products
Fluconazole, Itraconazole, Amphotericin B

Voriconazole FAQ

Can I travel internationally with voriconazole tablets?

Yes, you may travel with voriconazole, but keep the medication in its original packaging with a copy of the prescription. Some countries require a physician’s letter for controlled or prescription medicines; check the destination’s import regulations before you travel.

What do voriconazole tablets look like?

In the UK, the 200 mg voriconazole tablet is typically round, film-coated, and may be white or off-white with a debossed imprint identifying the brand and strength. Specific appearance can vary between manufacturers.

Will voriconazole show up on a drug test for work or sport?

Voriconazole is not screened for in standard workplace or sports drug panels because it is not a performance-enhancing or illicit substance. However, specialized testing could detect it if specifically requested.

Are there any known differences between UK-approved voriconazole and versions sold elsewhere?

All voriconazole tablets approved by the MHRA must meet the same quality, safety, and efficacy standards as those approved by other major regulators (e.g., FDA, EMA). Formulation differences are limited to excipients, which may vary slightly between manufacturers but do not affect therapeutic activity.

How long can I store voriconazole once opened?

Unopened tablets remain stable until the printed expiry date when stored correctly. Once the bottle is opened, keep the lid tightly sealed and protect the tablets from moisture; they should be used within the shelf-life indicated on the label.

What is the history behind the development of voriconazole?

Voriconazole was developed in the 1990s as a second-generation triazole to improve the spectrum of activity and pharmacokinetic profile over earlier agents like fluconazole. It received MHRA approval in 2002 for invasive aspergillosis.

How does voriconazole compare to itraconazole for fungal infections?

Voriconazole generally offers broader activity against Aspergillus species and has more predictable oral absorption. Itraconazole may be preferred for certain Candida infections and has a different side-effect profile, but the choice depends on the specific pathogen and patient factors.

Can I take voriconazole with my antihistamine for allergies?

Most antihistamines (e.g., cetirizine, loratadine) have no significant interaction with voriconazole and can be taken together. However, always verify with a pharmacist, especially if you use newer, less-studied antihistamines.

Is it safe to use voriconazole while breastfeeding?

Voriconazole passes into breast milk and may cause hepatic or visual side effects in the infant. Breastfeeding is generally discouraged while on therapy unless the benefit to the mother outweighs the potential risk to the child.

What should I do if I notice a rash while on voriconazole?

A mild rash may be managed with antihistamines and close monitoring, but any sign of a severe skin reaction (e.g., blistering, widespread redness) warrants immediate medical evaluation and discontinuation of the drug.

Voriconazole: Generic Medication Overview

Voriconazole is an antifungal medication belonging to the triazole class. It is supplied as a 200 mg oral pill and is prescribed in the United Kingdom under the supervision of a qualified healthcare professional. Voriconazole is a prescription-only medicine (POM) regulated by the Medicines and Healthcare products Regulatory Agency (MHRA).

How Voriconazole Works in the Body

Voriconazole inhibits the fungal enzyme lanosterol 14α-demethylase, a key component of the ergosterol synthesis pathway. By blocking this enzyme, the drug disrupts the production of ergosterol, an essential sterol for fungal cell membrane integrity. The resulting membrane instability leads to inhibited growth and eventual death of susceptible fungi.

  • Onset of action: Clinical effect is usually observed within a few days of therapy.
  • Peak plasma concentration: Occurs roughly 1-2 hours after oral administration of a 200 mg tablet.
  • Duration of effect: The drug’s half-life averages 6 hours but can be longer in patients with hepatic impairment, requiring dose adjustments.

Conditions Treated by Voriconazole

Voriconazole is approved by the MHRA for the treatment of serious invasive fungal infections, including:

  • Invasive aspergillosis in immunocompromised patients
  • Infections caused by Scedosporium species and Fusarium species when other therapies are unsuitable
  • Primary treatment of serious infections due to Candida species that are resistant to fluconazole

These indications are based on clinical trial data demonstrating efficacy in reducing fungal burden and improving survival in high-risk patient groups.

Patient Suitability and Contraindications

Who Should Use Voriconazole?

  • Adults with confirmed invasive fungal infection where voriconazole is the recommended first-line agent
  • Patients with adequate liver function (baseline transaminases ≤ 3 × upper limit of normal)

Absolute Contraindications

  • Known hypersensitivity to voriconazole or any other triazole antifungal
  • Pregnancy (Category D): teratogenic risk outweighs benefit; use only if no alternative exists and benefits justify the risk
  • Severe hepatic impairment (Child-Pugh C) where dose reduction cannot achieve safe exposure

Relative Contraindications

  • Moderate hepatic dysfunction (Child-Pugh B) - dose may need reduction and close monitoring
  • Concomitant use of drugs that strongly inhibit CYP2C19, CYP2C9, or CYP3A4 (e.g., fluconazole, ketoconazole, ritonavir) - may increase voriconazole levels and toxicity
  • Renal impairment requiring dialysis - dosage adjustment is not required, but dialysis may remove a small fraction of the drug

Special Populations

  • Pregnancy & Lactation: Voriconazole crosses the placenta and is excreted in breast milk; avoid unless absolutely necessary.
  • Elderly: May have reduced hepatic clearance; monitor liver enzymes and consider lower initial dose.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Visual disturbances (e.g., altered color perception, photopsia) - usually transient and resolve after discontinuation
  • Elevated liver enzymes (ALT, AST) - monitor weekly during the first two weeks
  • Skin rash or mild itching - treat symptomatically and assess for allergic reaction

Serious Adverse Events

  • Hepatotoxicity leading to jaundice or hepatic failure - requires immediate cessation and medical review
  • Severe photosensitivity and risk of squamous cell carcinoma with long-term therapy - advise sun protection measures
  • Cardiac arrhythmias associated with QT prolongation - avoid in patients with known prolonged QT interval

Drug Interactions

  • Major interactions: Strong CYP3A4 inhibitors (e.g., itraconazole, clarithromycin) can raise voriconazole concentrations to toxic levels.
  • Moderate interactions: CYP2C19 inhibitors (e.g., omeprazole) may increase exposure modestly; dose adjustment or therapeutic drug monitoring (TDM) is recommended.
  • Inducers: Rifampicin, carbamazepine, phenytoin decrease voriconazole levels, potentially leading to therapeutic failure.

Patients should disclose all prescription medicines, over-the-counter products, herbal supplements, and vitamins to their prescriber before starting voriconazole.

Food and Lifestyle Interactions

  • Take voriconazole with food to improve absorption; high-fat meals modestly increase bioavailability.
  • Alcohol consumption does not have a direct interaction, but both alcohol and voriconazole can stress the liver; limit intake.
  • Avoid prolonged exposure to bright light or UV sources; wear protective clothing and sunscreen (SPF 30+) when outdoors.

How to Take Voriconazole

  • Standard dosing: The usual adult regimen begins with a loading dose of 400 mg (two 200 mg tablets) taken orally every 12 hours for the first 24 hours, followed by a maintenance dose of 200 mg orally every 12 hours. The 200 mg tablet is the only strength commercially available in the UK.
  • Renal considerations: No routine dose reduction is required for patients with renal impairment, but dialysis may remove a small proportion of the drug.
  • Hepatic adjustment: In moderate hepatic impairment, reduce the maintenance dose to 100 mg every 12 hours; avoid use in severe hepatic failure.
  • Administration tips: Swallow tablets whole with a full glass of water; crushing or splitting is not recommended as it may affect absorption.
  • Missed dose: Take the missed tablet as soon as remembered unless it is near the time of the next scheduled dose; do not double-dose.
  • Overdose: Symptoms may include severe nausea, vomiting, visual changes, and hepatic dysfunction. Seek emergency medical attention; activated charcoal may be considered if presentation is early.
  • Discontinuation: Do not stop abruptly if therapy has exceeded two weeks; tapering is not required for voriconazole, but monitoring for rebound infection is advised.

Monitoring and Follow-Up

  • Liver function tests: Baseline, then at least weekly for the first two weeks, and periodically thereafter.
  • Therapeutic drug monitoring (TDM): Recommended for patients with hepatic dysfunction, drug interactions, or when treating difficult infections; target trough concentration 1-5 µg/mL.
  • Electrolytes and renal function: Periodic checks are advisable, especially when co-administered with nephrotoxic agents.
  • Clinical assessment: Evaluate for resolution of infection signs, emergence of visual symptoms, and skin changes at each visit.

Storage and Handling

  • Store tablets at room temperature (15-30 °C) in a dry place, protected from light and moisture.
  • Keep the container tightly closed and out of reach of children.
  • Do not use tablets after the expiry date printed on the packaging.
  • For disposal, return unused medication to a pharmacy-based take-back service or follow local hazardous waste guidelines.

Medication-Specific Glossary

Therapeutic drug monitoring (TDM)
Measurement of drug concentrations in blood to ensure they remain within a target therapeutic range, optimizing efficacy while minimizing toxicity.
Lanosterol 14α-demethylase
The fungal enzyme inhibited by voriconazole, essential for converting lanosterol to ergosterol, a critical component of fungal cell membranes.
QT prolongation
An extension of the heart’s electrical repolarization phase that can predispose to dangerous arrhythmias; certain drugs, including voriconazole at high levels, may cause this effect.

Medical Disclaimer

This article provides educational information about voriconazole and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Voriconazole is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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