Brexafemme

— THERAPEUTIC CATEGORIES —
  • Vaginal infections

Brexafemme Generic Name & Formulations

General Description

Ibrexafungerp 150mg; tabs.

Pharmacological Class

Triterpenoid antifungal.

How Supplied

Blister packs—4

Manufacturer

Generic Availability

NO

Brexafemme Indications

Indications

Treatment of vulvovaginal candidiasis (VVC). Reduction in the incidence of recurrent vulvovaginal candidiasis (RVVC).

Brexafemme Dosage and Administration

Adult

≥18yrs or post-menarchal: (VVC): 300mg orally approx. 12hrs apart for 1 day; (RVVC): 300mg orally approx. 12hrs apart for 1 day, for a total daily dose of 600mg monthly for 6 months. Concomitant strong CYP3A4 inhibitors: 150mg orally approx. 12hrs apart for 1 day.

Children

<18yrs or pre-menarchal: not established.

Brexafemme Contraindications

Contraindications

Pregnancy.

Brexafemme Boxed Warnings

Boxed Warning

Risk of embryo-fetal toxicity.

Brexafemme Warnings/Precautions

Warnings/Precautions

May cause fetal harm. Females of reproductive potential: exclude pregnancy status prior to initiation. For RVVC: reassess pregnancy status prior to each dose when used monthly for 6 months. Advise females of reproductive potential to use effective contraception during (VVC) and throughout the 6-month treatment period (RVVC), and for 4 days after the last dose. Severe hepatic impairment: not studied. Nursing mothers.

Brexafemme Pharmacokinetics

Metabolism

CYP3A4.

Elimination

Fecal (90%), renal (1%). Half-life: ~20 hours.

Brexafemme Interactions

Interactions

Potentiated by strong CYP3A4 inhibitors (eg, ketoconazole, itraconazole); reduce ibrexafungerp dose (see Adult dose). May be antagonized by strong or moderate CYP3A4 inducers (eg, rifampin, carbamazepine, phenytoin, St. John’s wort, long acting barbiturates, bosentan, efavirenz, etravirine); avoid concomitant use.

Brexafemme Adverse Reactions

Adverse Reactions

Diarrhea, nausea, abdominal pain, dizziness, vomiting, headache, urinary tract infection, fatigue.

Brexafemme Clinical Trials

See Literature

Brexafemme Note

Not Applicable

Brexafemme Patient Counseling

See Literature