Echinocandins (caspofungin micafungin anidulafungin)

• ATC Code
• Indication
• NEMLC Recommendation
• Review Indicators
• Date Ratified

ATC CODE

• J02AX04/J02AX05/J02AX06

INDICATION

• Invasive candidiasis (resistant to fluconazole/amphotericin B and/or where renal dysfunction is present and amphotericin B cannot be used).

NEMLC RECOMMENDATION

• Approved – Special Access
  • Echinocandins approved as a class, with the most affordable agent to be procured.
  • The use of echinocandins should be managed through motivation/ appropriate restrictions at facilities, as part of Antimicrobial Stewardship activities. (See addendum – clinical criteria for use)

REVIEW INDICATORS

• Availability of amphotericin B
• Changing resistance patterns
• New evidence

DATE RATIFIED

• 12 April 2018