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Molecule

Fidaxomicin

Macrolide Antibacterial
Available on requestOrphanGastroenterology
Presentations
3
Brands
1
Manufacturers
1
Available from stock
0

Fidaxomicin is a macrolide antibacterial indicated in adult and pediatric patients 6 months of age and older for the treatment of C. difficile -associated diarrhea, among other approved uses. It is available as tablets and oral suspension. MedsAcross supplies Fidaxomicin for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Macrolide Antibacterial
ATC classification
A07AA12 Fidaxomicin · Diarrhoea treatments and intestinal anti-inflammatories, subgroup A07A, subgroup A07AA
US FDA first approval
27 May 2011
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet, Oral suspension
Identifiers
UNII Z5N076G8YQRxCUI 1111103CAS 873857-62-6Q5446672

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

DIFICID is a macrolide antibacterial indicated in adult and pediatric patients 6 months of age and older for the treatment of C. difficile -associated diarrhea. To reduce the development of drug-resistant bacteria and maintain the effectiveness of DIFICID and other antibacterial drugs, DIFICID should be used only to treat infections that are proven or strongly suspected to be caused by C. difficile.

Source: US FDA prescribing information

Dosing overview

DIFICID is administered orally with or without food. Adults One 200 mg tablet orally twice daily for 10 days. Pediatrics (6 Months to Less than 18 Years of Age) Tablets Pediatric patients weighing at least 12.5 kg and able to swallow tablets: One 200 mg tablet orally twice daily for 10 days. Oral Suspension Pediatric patients weighing at least 4 kg: Weight-based dosing of the oral suspension twice daily for 10 days using an oral dosing syringe, as specified in Table 1 in the full prescribing information. For instructions on preparation and administration of DIFICID oral suspension, see full prescribing information.

Source: US FDA prescribing information

Contraindications

DIFICID is contraindicated in patients who have known hypersensitivity to fidaxomicin or any other ingredient in DIFICID.

Source: US FDA prescribing information

Warnings and precautions

Acute hypersensitivity reactions (angioedema, dyspnea, pruritus, and rash) have been reported. If a severe hypersensitivity reaction occurs, discontinue DIFICID. DIFICID is not expected to be effective for the treatment of other types of infections due to minimal systemic absorption of fidaxomicin. DIFICID should only be used for the treatment of C. difficile -associated diarrhea. Development of drug-resistant bacteria: Only use DIFICID for infection proven or strongly suspected to be caused by C. difficile.

Source: US FDA prescribing information

Side effects

The most common adverse reactions in adults (incidence ≥2%) are nausea, vomiting, abdominal pain, gastrointestinal hemorrhage, anemia, and neutropenia. The most common adverse reactions in pediatric patients (incidence ≥5%) treated with DIFICID are pyrexia, abdominal pain, vomiting, diarrhea, constipation, increased aminotransferases, and rash.

Source: US FDA prescribing information

Interactions

Fidaxomicin and its main metabolite, OP-1118, are substrates of the efflux transporter, P-glycoprotein (P-gp), which is expressed in the gastrointestinal tract.

Source: US FDA prescribing information

Storage

Store DIFICID tablets at 20°C-25°C (68°F-77°F), excursions permitted to 15°C-30°C (59°F-86°F). See USP controlled room temperature. Granules for oral suspension Store DIFICID granules for oral suspension at 20°C-25°C (68°F-77°F), excursions permitted to 15°C-30°C (59°F-86°F). Store in the original bottle. Store in the original package. Once reconstituted, store DIFICID oral suspension refrigerated at 2°C-8°C (36°F-46°F) for up to 12 days. Store capped in the original bottle.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

3 presentations of Fidaxomicin, sorted by availability.

MedicineManufacturerRegisterAvailability
Fidaxomicin 200 mg tabletOralGeneric name—US FDAAvailable on request
Dificid 200 mg tabletOralMerck Sharp & DohmeUS FDAAvailable on request
Dificid 200 mg/5 mL oral suspensionOralMerck Sharp & DohmeUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 27 May 2011Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Fidaxomicin in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Fidaxomicin available for export from India?

Yes, on request. MedsAcross lists 3 presentations of Fidaxomicin and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Fidaxomicin have?

The catalogue lists 1 brand names for Fidaxomicin, including Dificid.

Is Fidaxomicin approved by the US FDA?

Yes. The US FDA first approved Fidaxomicin on 27 May 2011, according to Drugs@FDA.

Is Fidaxomicin authorised in the European Union?

Yes. Fidaxomicin has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Fidaxomicin need cold chain shipping?

No listed presentation of Fidaxomicin is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Fidaxomicin in?

Fidaxomicin is classified under ATC code A07AA12 (Fidaxomicin).

References

  1. Dificid prescribing information (Merck Sharp & Dohme). U.S. National Library of Medicine, DailyMed. Retrieved 16 October 2024
  2. Dificlir: European public assessment report (EPAR). European Medicines Agency. Retrieved 30 September 2024

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