We have retrospectively analyzed the safety of 4 hours administration of
liposomal amphotericin B (
L-AMB) compared to less than or equal to 3 hours administration in patients with
chronic necrotizing pulmonary aspergillosis (CNPA). The elevation of serum
creatinine in the group with 4 hours administration of
L-AMB in patients with CNPA was equal to the group with shorter administration time (less than or equal to three hours). During the administration of
L-AMB, the group with 4 hours administration of LAMB had significantly a safer profile in relation to
hypokalemia during
L-AMB treatment than the group with shorter administration time. Additionally, white cell counts, platelet counts, serum
creatinine, AST, ALT were not significantly different between
L-AMB 4 hours administration group and less than or equal to 3 hours administration group. As the group with 4 hours administration of
L-AMB had significantly a safer profile in relation to
hypokalemia during
L-AMB treatment, this modality can be one of the safer ways in the treatment of CNPA. As
L-AMB is one of the fungicidal agents, 4 hours administration of
L-AMB can be an optimal way of treating CNPA.