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Antifungal (pyrimidine analogue)

Flucytosine

Brand names: Ancotil

Adult dose

Dose: 50mg/kg every 6h IV (or PO equivalent); duration per indication. Reduce in renal impairment
Route: IV/PO
Frequency: q6h

Dose adjustments

Renal

Mandatory dose adjustment by CrCl — refer to BNF

Clinical pearls

  • Combined with amphotericin B for cryptococcal meningitis induction
  • Always combination therapy — monotherapy resistance

Contraindications

  • Severe renal impairment without monitoring

Side effects

  • Bone marrow suppression (dose-related)
  • Hepatotoxicity
  • GI upset
  • Confusion
  • Cardiotoxicity

Interactions

  • Cytarabine (antagonism)
  • Amphotericin (synergy but additive nephrotoxicity)
  • Nephrotoxic drugs

Monitoring

  • Plasma levels (target 25–50 mg/L peak; trough <25)
  • FBC
  • LFTs
  • U&E

Reference: BNF; BHIVA opportunistic infection guidance; SmPC; https://bnf.nice.org.uk/drugs/flucytosine/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.