Product image of Noxafil (Posaconazole) supplied by GNH India

Noxafil

Active Ingredient:
Posaconazole
Origin:
EU

Noxafil (Posaconazole)

Posaconazole, the active ingredient in Noxafil, is an azole antifungal presented as an oral tablet for systemic use. It is employed to prevent and treat serious fungal infections, particularly in patients with weakened immune systems such as those undergoing chemotherapy or stem‑cell transplantation.

GNH India supplies Noxafil as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics across multiple regions worldwide, with a focus on quality assurance and regulatory compliance and timely delivery to meet patient needs.

Manufacturer / TM Owner

Merck Sharp & Dohme B.V.

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Indications & Clinical Uses

Posaconazole is an azole antifungal used to prevent and treat invasive fungal infections in high‑risk patient groups.

  • Invasive Aspergillosis Prophylaxis: prevents infection in neutropenic patients undergoing chemotherapy or stem‑cell transplantation.
  • Treatment of Invasive Aspergillosis: provides a therapeutic option when first‑line agents are unsuitable or resistance is present.
  • Oropharyngeal Candidiasis: treats refractory oral yeast infections in immunocompromised individuals.

How It Works

  • Posaconazole exerts its antifungal activity by inhibiting the fungal cytochrome P450 enzyme lanosterol 14α‑demethylase (CYP51). This blockade disrupts the conversion of lanosterol to ergosterol, an essential component of the fungal cell membrane, leading to accumulation of toxic sterol intermediates and increased membrane permeability, ultimately inhibiting fungal growth. The inhibition is concentration‑dependent and covers a broad spectrum of yeasts and molds, including Aspergillus and Candida species.

Side Effects

Posaconazole may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea: mild stomach upset.
  • Diarrhea: loose stools.
  • Elevated liver enzymes: mild increase in ALT/AST.

Serious or Rare Side Effects

  • Hepatic failure: severe liver injury.
  • QT interval prolongation: risk of cardiac arrhythmia.
  • Severe hypersensitivity reactions: rash, fever, or anaphylaxis.

Precautions & Warnings

When using Posaconazole, several precautionary measures should be observed to ensure safety and efficacy.

  • Hepatic impairment: monitor liver function tests regularly.
  • Renal impairment: assess kidney function and adjust monitoring as needed.
  • QT prolongation risk: obtain baseline ECG and monitor if risk factors present.
  • Drug interactions: review concomitant medications for potential CYP3A4 interactions.
  • Pregnancy and lactation: avoid use unless benefit outweighs potential risk.
  • Store at ambient temperature: keep in original container, protect from moisture and heat.

Avoid Interactions

Posaconazole interacts with several medicines; understanding the interaction level guides clinical management.

Major Interactions (Avoid)

  • Rifampin: markedly reduces posaconazole exposure, compromising efficacy.
  • St. John’s wort: induces metabolism leading to subtherapeutic levels.

Moderate Interactions (Monitor Closely)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): increase posaconazole concentrations, may require dose adjustment.
  • H2‑receptor antagonists (e.g., cimetidine): raise posaconazole levels.
  • Warfarin: may enhance anticoagulant effect, monitor INR closely.

Frequently Asked Questions

Noxafil contains posaconazole, an azole antifungal indicated for prophylaxis of invasive Aspergillus and Candida infections in neutropenic patients, for treatment of invasive aspergillosis when other agents are unsuitable, and for managing refractory oropharyngeal candidiasis in immunocompromised individuals.

Posaconazole inhibits the fungal enzyme lanosterol 14α‑demethylase, a key step in ergosterol synthesis. By blocking this pathway, the drug disrupts the fungal cell membrane, causing accumulation of toxic sterol intermediates and loss of membrane integrity, which halts fungal growth.

The prescribed dose of Noxafil is determined by the treating physician based on the specific indication, severity of infection, patient weight, organ function, and potential drug interactions. Dosage regimens are individualized and should follow the prescriber's instructions.

Posaconazole is classified as pregnancy category C. It should be avoided during pregnancy and lactation unless the potential benefit justifies the potential risk to the fetus or infant. Women of child‑bearing potential should use effective contraception while on therapy.

To request Noxafil, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any required import documentation.

Compared with older azoles such as fluconazole or itraconazole, posaconazole offers a broader spectrum of activity against molds like Aspergillus and some resistant Candida species. It also has a higher barrier to resistance but may have more drug‑interaction potential due to strong CYP3A4 inhibition.

Noxafil tablets should be stored at ambient temperature, preferably below 25 °C, in the original blister pack or container. Protect the product from excess moisture, direct sunlight, and heat to maintain stability throughout its shelf life.

Noxafil is administered orally as a tablet. It can be taken with or without food, although a high‑fat meal may increase absorption. Patients should follow the prescribing clinician’s instructions regarding timing and any required dose adjustments.

The most serious adverse events linked to Noxafil include severe hepatic injury or failure, QT interval prolongation that can lead to cardiac arrhythmias, and rare but potentially life‑threatening hypersensitivity reactions such as anaphylaxis. Prompt medical attention is required if these occur.

Noxafil should not be used by individuals with known hypersensitivity to posaconazole or any azole antifungal. Patients with severe hepatic impairment, uncontrolled QT prolongation, or those taking contraindicated medications such as strong CYP3A4 inducers should avoid therapy unless alternative options are unavailable.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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