micafungin

Brand: Mycamine

Prototype: caspofungin
Drug Class: echinocandin antifungal
Drug Family: antifungal
Subclass: echinocandin (prophylaxis and treatment)
Organ Systems: infectious-disease

Mechanism of Action

Inhibits 1,3-beta-D-glucan synthase; similar mechanism to caspofungin; preferred for antifungal prophylaxis in HSCT due to once-daily dosing without loading dose and minimal drug interactions.

fungal 1,3-beta-D-glucan synthase

Indications

  • invasive candidiasis/candidemia
  • esophageal candidiasis
  • antifungal prophylaxis in HSCT recipients

Contraindications

  • echinocandin hypersensitivity

Adverse Effects

Common

  • nausea
  • headache
  • elevated liver enzymes
  • rash

Serious

  • hepatotoxicity
  • anaphylaxis
  • hemolysis
  • histamine-related infusion reactions

Pharmacokinetics (ADME)

Absorption IV only
Distribution widely distributed; high protein binding
Metabolism arylsulfatase and catechol-O-methyltransferase; minimal CYP involvement
Excretion primarily fecal (71%); renal (15%)
Half-life 14–17 hours
Onset immediate (IV)
Peak end of infusion
Duration 24 hours
Protein Binding >99%
Vd moderate

Drug Interactions

Drug / Agent Mechanism Severity
sirolimus micafungin increases sirolimus AUC ~21%; monitor sirolimus levels moderate
itraconazole micafungin increases itraconazole AUC ~22% minor

Nursing Considerations

  1. No loading dose required; simpler dosing than caspofungin.
  2. Administer IV over 1 hour; protect from light and incompatible with many drugs — use separate IV line.
  3. Monitor LFTs weekly with extended therapy.
  4. Micafungin is the preferred echinocandin for antifungal prophylaxis in allogeneic HSCT per many institutional protocols.

Clinical Pearls

  • Micafungin has the most minimal drug interactions of all echinocandins and does not require loading dose adjustments, making dosing simpler in the HSCT setting where patients are on multiple medications.
  • All three echinocandins (caspofungin, micafungin, anidulafungin) are considered clinically equivalent for invasive candidiasis, with agent selection based on drug interactions, cost, and local formulary.

Safety Profile

Pregnancy use-with-caution
Lactation use-with-caution
Renal Adjustment Not required
Hepatic Adjustment Required
TDM Not required

Concordance Terms

Cross-referenced clinical concepts — click any term to see all content where it appears.