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Merck cleared to market Noxafil tablets

Merck has received approval from the Food and Drug Administration for Noxafil (posaconazole) 100-mg delayed-release tablets, an antifungal medication.

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WHITEHOUSE STATION, N.J. — Merck has received approval from the Food and Drug Administration for Noxafil (posaconazole) 100-mg delayed-release tablets, an antifungal medication.

The company said Tuesday that Noxafil delayed-release tablets are a new formulation with a loading dose of 300 mg (three 100-mg, delayed-release tablets) twice daily on the first day, followed by a once-daily maintenance dose of 300 mg (three 100-mg, delayed-release tablets) starting on the second day of therapy.

Merck also markets Noxafil (40 mg/ml) oral suspension, which is dosed three times daily.

Noxafil delayed-release tablets and oral suspension are indicated for the prophylaxis of invasive aspergillus and candida infections in patients age 13 and older, who are at high risk of developing these infections due to being severely immunocompromised, such as hematopoietic stem cell transplant (HSCT) recipients with graft-versus-host disease (GVHD) or those with hematologic malignancies with prolonged neutropenia (low white blood cell counts) from chemotherapy.

"Prophylaxis against invasive aspergillus and candida infections plays a key role in the management of severely immunocompromised patients with hematologic malignancies or hematopoietic stem cell transplant recipients who are at high risk for these life-threatening fungal infections," stated Daniel Couriel, M.D., professor of internal medicine and clinical program director, adult blood and marrow transplantation program, at the University of Michigan Comprehensive Cancer Center. "Posaconazole delayed-release tablets offer physicians a way to help protect these critically ill patients against invasive aspergillus and candida infections while they are in the hospital and once they return home."

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