DIFLICIR Film-coated tablet Ref.[8868] Active ingredients: Fidaxomicin

Source: European Medicines Agency (EU)  Revision Year: 2022  Publisher: Tillotts Pharma GmbH, Warmbacher Strasse 80, 79618 Rheinfelden, Germany

Therapeutic indications

DIFICLIR film-coated tablets is indicated for the treatment of Clostridioides difficile infections (CDI) also known as C. difficile-associated diarrhoea (CDAD) in adult and paediatric patients with a body weight of at least 12.5 kg (see section 4.2 and 5.1).

Consideration should be given to official guidelines on the appropriate use of antibacterial agents.

Posology and method of administration

Posology

Adults

Standard dosing

The recommended dose is 200 mg (one tablet) administered twice daily (once every 12 hours) for 10 days (see section 5.1).

DIFICLIR 40 mg/ml granules for oral suspension may be used in adult patients with difficulties in swallowing tablets.

Extended-pulsed dosing

Fidaxomicin 200 mg tablets administered twice daily for days 1-5 (no intake of a tablet on day 6) then once daily on alternate days for days 7-25 (see section 5.1).

If a dose has been forgotten, the missed dose should be taken as soon as possible or, if it’s nearly time for the next dose, the tablet should be skipped altogether.

Special populations

Elderly population

No dose adjustment is considered necessary (see section 5.2).

Renal impairment

No dose adjustment is considered necessary. Due to the limited clinical data in this population, fidaxomicin should be used with caution in patients with severe renal impairment (see sections 4.4 and 5.2).

Hepatic impairment

No dose adjustment is considered necessary. Due to the limited clinical data in this population, fidaxomicin should be used with caution in patients with moderate to severe hepatic impairment (see sections 4.4 and 5.2).

Paediatric population

The recommended dose in paediatric patients weighing at least 12.5 kg is 200 mg administered twice daily (once every 12 hours) for 10 days using the film-coated tablets or the granules for oral suspension.

Reduced doses are recommended for patients with a body weight of less than 12.5 kg. See the SmPC of DIFICLIR 40 mg/ml granules for oral suspension.

Method of administration

DIFICLIR is intended for oral use.

The film-coated tablets should be administered whole with water.

They can be taken with or without food.

Overdose

No adverse reactions for acute overdose have been reported during clinical studies or from post-marketing data. However, the potential for adverse reactions cannot be ruled out and general supportive measures are recommended.

Shelf life

3 years.

Special precautions for storage

This medicinal product does not require any special storage conditions.

Nature and contents of container

100 × 1 film-coated tablet in alu/alu perforated unit dose blisters.

20 × 1 film-coated tablet in alu/alu perforated unit dose blisters.

Not all pack sizes may be marketed.

Special precautions for disposal and other handling

Any unused product or waste material should be disposed of in accordance with local requirements.

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