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amphotericin B vs anidulafungin

Side-by-side comparison of amphotericin B and anidulafungin. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

minor Known Drug Interaction

7.5 Amphotericin B Liposome for Injection Administration of multiple doses of anidulafungin and liposomal amphotericin B to patients resulted in no significant alteration in the steady state pharmacokinetics of anidulafungin. No dosage adjustment of anidulafungin is needed when it is co-administered with liposomal amphotericin B [see Clinical Pharmacology (12.3) ] .

Recommendation: No dose adjustment is required when taking these two medications together.

Drug Class
amphotericin B Polyene Antifungal
anidulafungin Echinocandin Antifungal
Type
amphotericin B Prescription
anidulafungin Prescription
Summary
amphotericin B

Amphotericin B liposome is an antifungal medicine. It fights serious fungal infections in your body.

anidulafungin

Eraxis is an antifungal medicine. It treats certain Candida infections in your body.

What It Treats
amphotericin B

This medicine treats fungal infections like aspergillosis, candidiasis, and cryptococcosis. It can also treat cryptococcal meningitis in people with HIV. It may also be used for visceral leishmaniasis, but this infection can return, especially in those with weak immune systems.

anidulafungin

Eraxis treats candidemia and other Candida infections, like intra-abdominal abscesses and peritonitis. It can be used in adults and children 1 month and older. Eraxis also treats esophageal candidiasis (a Candida infection in the esophagus) in adults. However, Eraxis may not work as well for esophageal candidiasis, and the infection may come back.

How It Works
amphotericin B

Amphotericin B liposome belongs to a class of drugs called polyene antifungals. It works by binding to the membrane of the fungal cells. This binding disrupts the fungal cell membrane, causing the cell to die.

anidulafungin

Eraxis belongs to a class of drugs called echinocandins. It works by stopping the growth of the fungus Candida. It does this by blocking a key part of the fungal cell wall.

Common Side Effects
amphotericin B
  • Abdominal pain
  • Weakness
  • Back pain
  • Chills
  • Pain
anidulafungin
  • Low potassium levels
  • Nausea
  • Diarrhea
  • Vomiting
  • Fever
FAERS Reports
amphotericin B
  • Fever 974
  • Condition got worse 842
  • Fever with low white blood cell count 650
  • Sudden kidney damage 625
  • Blood infection 612
anidulafungin
  • Many organs stop working right 171
  • Dangerous drop in blood pressure due to infection 127
  • Blood infection 115
  • Lung infection 94
  • Fever 90
Serious Warnings
amphotericin B

This medicine is not interchangeable with other amphotericin B products. Different versions of amphotericin B act differently in the body. Make sure you always get the correct medicine.

anidulafungin

Eraxis can cause liver problems. Your doctor should check your liver function while you are taking Eraxis. Allergic reactions, including shock, can happen. Tell your doctor right away if you have any signs of an allergic reaction, like rash, hives, flushing, itching, trouble breathing, or low blood pressure. Eraxis contains fructose. If you have hereditary fructose intolerance, you should not take Eraxis.

Pregnancy
amphotericin B

Tell your doctor if you are pregnant or plan to become pregnant. It is not known if this medicine will harm your unborn baby. Talk to your doctor about the risks and benefits of using this medicine during pregnancy or while breastfeeding.

anidulafungin

Eraxis may harm your unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It is not known if Eraxis passes into breast milk. Talk to your doctor about the risks and benefits of breastfeeding while taking Eraxis.

Also Compare, Nearby Drugs

How to Read This amphotericin B vs anidulafungin Comparison

amphotericin B is classified in the Polyene Antifungal drug class, while anidulafungin sits within the Echinocandin Antifungal class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, amphotericin B has 3,703 submissions while anidulafungin has 597. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known minor interaction flagged in FDA labeling, attributed to these medications do not interfere with each other's levels in the body. they do not change how the body processes the medicine.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot substitute for clinical judgment. Effectiveness, tolerability, drug-drug interactions with your other medications, kidney and liver function, pregnancy status, insurance formulary, and price all feed into a decision that only a licensed prescriber can make responsibly. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This page is for educational purposes only, is not medical advice, and should not be used to self-switch between amphotericin B and anidulafungin - always consult your physician or pharmacist first.

Important: This comparison is for informational purposes only. Drug effects vary between individuals. Always consult your doctor or pharmacist for personalized medical advice.