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Jaep

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I finally got around to looking into the fungal angle some, and

really appreciate your web site.

I've read several of the papers on the antifungal properties of

amiodarone. They are fascinating.

This paper:

http://tinyurl.com/a8zyb

PMID: 12754197

shows impressive synergy of 2 to 4 uM amiodarone when

combined with azoles. It says that this is " low, micromolar

doses " . That's important because this drug is, frankly, a bit

scary. Can have serious side-effects, interactions with

antimycotics and antibiotics (and ARBs?) and has a very long

half-life.

But this paper:

http://tinyurl.com/bvkzw

PMID: 11752116

says, " The plasma concentration of amiodarone that are used

clinically for treatment of arrhythmia can be in the range of 1 to 4

uM during loading periods. "

That makes me think that 2 to 4 uM isn't so low.

What is your take on this? Have you come across any testimony

on the use of amiodarone to potentiate the azoles? Was it

successful and were there adverse reactions? Are there any

forums out there where people are discussing this?

Thanks,

Matt

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