Ibrexafungerp, marketed under the brand name Brexafemme, is an antifungal medication used to treat and reduce the recurrence of vaginal yeast infections (vulvovaginal candidiasis) in women and girls who have begun menstruating. Brexafemme (ibrexafungerp) was approved by the U.S. Food and Drug Administration (FDA) on June 1, 2021. This approval marks a significant development as Brexafemme is the first in a new class of antifungal agents known as triterpenoids.
Brexafemme is indicated for:
Brexafemme is available in oral tablet form with a dosage strength of 150 mg. The typical dosing regimen is:
Patients can take Brexafemme with or without food.
Common side effects of ibrexafungerp include:
Serious allergic reactions may occur, presenting as hives, difficulty breathing, or swelling of the face, lips, tongue, or throat. In case of severe side effects, it is important to seek medical attention immediately.
Brexafemme is not recommended for use during pregnancy due to potential harm to the unborn baby. Effective birth control should be used during treatment and for at least four days after the last dose. Breastfeeding safety should be discussed with a healthcare provider.
Before taking Brexafemme, patients should inform their healthcare provider if they have any known allergies to ibrexafungerp or any other medications. Additionally, patients should provide a complete list of current medications, including over-the-counter drugs and supplements, to avoid potential drug interactions.
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