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Argentyn 23 1/2 1 tsp daily Nystatin tabs or liquid 500,000 units 1/4 to 1/2 tsp or tab daily, increasing to 1 tsp or tab 4x/day (if gliotoxin or candida present) Itraconazole (Sporanox) 100mg every week or two, increasing to daily or even 1-2 tabs 2x/day Fluconazole (Diflucan) 100mg every week or two, increasing to daily or even 2x/day N-acetyl-cysteine 500mg 1-2 caps 2x/day (especially with Gliotoxins from Aspergillus or Candida) Special considerations Very sensitive or toxic patients may need pretreatment prior to using the above measures

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Research protocols that extend a single vial beyond 28 days risk administering biologically inert compound, rendering later doses ineffective without any indication that potency has collapsed

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