{"id":19289,"date":"2022-03-07T16:39:51","date_gmt":"2022-03-07T16:39:51","guid":{"rendered":"https:\/\/zeepedia.com\/?p=19289"},"modified":"2022-03-08T11:46:47","modified_gmt":"2022-03-08T11:46:47","slug":"noxafil","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/noxafil\/","title":{"rendered":"Noxafil &#8211; Posaconazole uses, dose and side effects"},"content":{"rendered":"\n<p>300 mg&nbsp;enteropowder and&nbsp;oral&nbsp;suspension<br>posaconazole<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Noxafil is and what it is used for<\/h2>\n\n\n\n<p>Noxafil contains a drug called posaconazole.&nbsp;It belongs to a group of medicines called &#8220;antifungal medicines&#8221;.&nbsp;It is used to prevent or treat many different fungal infections.<\/p>\n\n\n\n<p>This medicine works by killing or stopping the growth of certain types of fungi that can cause\u00a0infection.<\/p>\n\n\n\n<p>Noxafil can be used in children from 2 years of age to treat the following types of fungal infections when other antifungal medicines have not worked or you have stopped taking them:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>infection&nbsp;is caused by fungi of the family&nbsp;<em>Aspergillus,<\/em>&nbsp;which have not been improved by treatment with the antifungal drugs amphotericin B or itraconazole or when it has been necessary to discontinue treatment with these drugs.<\/li><li>infection&nbsp;is caused by fungi from the&nbsp;<em>Fusarium<\/em>&nbsp;family , which have not improved during treatment with amphotericin B or when it has been necessary to discontinue treatment with amphotericin B.<\/li><li>infections&nbsp;are caused by fungi that cause the conditions &#8216;chromoblastomycosis&#8217; and &#8216;mycetoma&#8217;, which have not improved with treatment with itraconazole or when it has been necessary to discontinue treatment with itraconazole.<\/li><li>infection&nbsp;is caused by a fungus called&nbsp;<em>Coccidioides<\/em>&nbsp;, which has not been improved upon treatment with one or more of the medicines amphotericin B, itraconazole or&nbsp;fluconazole&nbsp;or when it has been necessary to discontinue treatment with these medicines.<\/li><\/ul>\n\n\n\n<p>This medicine can also be used to prevent fungal infections in children from 2 years of age who are at high risk of getting a fungal infection such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>patients who have a weak immune system due to&nbsp;chemotherapy&nbsp;for \u201cacute&nbsp;myeloid&nbsp;leukemia\u201d (AML) or \u201cmyelodysplastic syndrome\u201d (MDS).<\/li><li>Patients using high-&nbsp;dose&nbsp;treatment that inhibits the immune system following \u201chaematopoietic stem cell transplantation\u201d (&nbsp;HSCT&nbsp;).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you or your child take Noxafil<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Noxafil<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you or your child are allergic to posaconazole or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you or your child are taking: terfenadine, astemizole, cisapride, pimozide, halofantrine,&nbsp;quinidine&nbsp;, medicines containing &#8216;ergot alkaloids&#8217; such as&nbsp;ergotamine&nbsp;or dihydroergotamine, or a &#8216;statin&#8217; such as&nbsp;simvastatin&nbsp;, atorvastatin or lovastatin.<\/li><li>if you have recently started taking venetoclax or if your&nbsp;dose&nbsp;of venetoclax is slowly being increased for the treatment of&nbsp;chronic lymphocytic leukemia&nbsp;(&nbsp;CLL&nbsp;).<\/li><\/ul>\n\n\n\n<p>Do not take Noxafil if any of the above apply to you or your child.&nbsp;If you are not sure, talk to your doctor or pharmacist before taking Noxafil.<\/p>\n\n\n\n<p>See the section \u201cOther medicines and Noxafil\u201d below for more information including information about other medicines that may affect Noxafil.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor, pharmacist, or nurse before taking Noxafil if you or your child:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>have had an&nbsp;allergic reaction&nbsp;to any other antifungal medicines such as&nbsp;ketoconazole&nbsp;,&nbsp;fluconazole&nbsp;, itraconazole and voriconazole.<\/li><li>have or have ever had liver problems.&nbsp;You may need to take blood samples while taking this medicine.<\/li><li>develops severe diarrhea or vomiting, as these conditions may limit the effect of this medicine.<\/li><li>has an abnormal heart rhythm, on examination (&nbsp;ECG&nbsp;), which indicates a problem called long&nbsp;QTc interval&nbsp;.<\/li><li>have a weakness in the heart muscle or&nbsp;heart failure&nbsp;.<\/li><li>have very slow heartbeats.<\/li><li>have some form of heart rhythm disorder.<\/li><li>have any kind of problem with the blood levels of&nbsp;potassium&nbsp;,&nbsp;magnesium&nbsp;or&nbsp;calcium&nbsp;.<\/li><li>take vincristine, vinblastine or other &#8216;vinca alkaloids&#8217; (medicines used to treat cancer).<\/li><li>taking venetoclax (a medicine used to treat cancer).<\/li><\/ul>\n\n\n\n<p>If any of the above applies to you or your child (or you are not sure) talk to your doctor, pharmacist, or nurse before taking Noxafil.<\/p>\n\n\n\n<p>If you develop severe diarrhea or vomiting (feeling unwell) while taking Noxafil, talk to a doctor, pharmacist, or nurse immediately as this may prevent it from working properly.\u00a0See section 4 for more information.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children<\/h2>\n\n\n\n<p>Noxafil should not be given to children under 2 years of age.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Noxafil<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you or your child are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p><strong>Do not take Noxafil if you or your child take any of the following:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>terfenadine (used to treat&nbsp;allergies&nbsp;)<\/li><li>astemizole (used to treat&nbsp;allergies&nbsp;)<\/li><li>cisapride (used to treat stomach upset)<\/li><li>pimozide (used to treat symptoms of&nbsp;Tourette&#8217;s syndrome&nbsp;and mental illness)<\/li><li>halofantrine (used to treat&nbsp;malaria&nbsp;)<\/li><li>quinidine&nbsp;(used to treat abnormal heart rhythms).<\/li><\/ul>\n\n\n\n<p>Noxafil can increase the amount of these medicines in the blood, which can cause very serious disorders of your heart rhythm.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>drugs that contain &#8220;ergot alkaloids&#8221; such as&nbsp;ergotamine&nbsp;or dihydroergotamine which are used to treat&nbsp;migraines&nbsp;.&nbsp;Noxafil can increase the amount of these drugs in the blood which can lead to a sharp decrease in blood flow to your fingers or toes and cause damage.<\/li><li>a &#8220;statin&#8221; such as&nbsp;simvastatin&nbsp;, atorvastatin or lovastatin used to treat high&nbsp;cholesterol&nbsp;.<\/li><li>venetoclax when used at the beginning of treatment for a type of cancer,&nbsp;chronic lymphocytic leukemia&nbsp;(&nbsp;CLL&nbsp;).<\/li><\/ul>\n\n\n\n<p>Do not take Noxafil if any of the above apply to you or your child.&nbsp;If you are not sure, talk to your doctor or pharmacist before taking this medicine.<\/p>\n\n\n\n<p>Other drugs<\/p>\n\n\n\n<p>See the list above of medicines that must not be used while you or your child are taking Noxafil.\u00a0In addition to the drugs mentioned above, other drugs carry a risk of arrhythmias that can be greater when taken with Noxafil.\u00a0Tell your doctor about any medicines you or your child are taking (prescription or over-the-counter).<\/p>\n\n\n\n<p>Some medicines may increase the risk of&nbsp;side effects&nbsp;from Noxafil by increasing the amount of Noxafil in your blood.<\/p>\n\n\n\n<p>The following medicines may reduce the effect of Noxafil by reducing the amount of Noxafil in your blood:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>rifabutin and rifampicin (used to treat certain&nbsp;infections&nbsp;).&nbsp;If you are already being treated with rifabutin, your blood counts must be tested and certain probable&nbsp;side effects&nbsp;of rifabutin monitored.<\/li><li>phenytoin&nbsp;, carbamazepine, phenobarbital or primidone (used to treat or prevent epileptic seizures).<\/li><li>efavirenz and fosamprenavir used to&nbsp;treat&nbsp;HIV&nbsp;infection&nbsp;.<\/li><\/ul>\n\n\n\n<p>Noxafil may increase the risk of\u00a0side effects\u00a0from certain other medicines by increasing the amount of these medicines in your blood.\u00a0These medicines include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>vincristine, vinblastine and other &#8220;vinca alkaloids&#8221; (used to treat cancer)<\/li><li>venetoclax (used to treat cancer)<\/li><li>ciclosporin (used during or after transplant surgery)<\/li><li>tacrolimus and sirolimus (used during or after transplant surgery)<\/li><li>rifabutin (used to treat certain&nbsp;infections&nbsp;)<\/li><li>antiviral medicines&nbsp;called&nbsp;protease&nbsp;inhibitors&nbsp;(including lopinavir and atazanavir given with ritonavir)<\/li><li>midazolam, triazolam, alprazolam or other &#8216;benzodiazepines&#8217; (used as sedatives or muscle relaxants)<\/li><li>diltiazem&nbsp;, verapamil, nifedipine, nisoldipine or other &#8216;calcium channel blockers&#8217; (used to treat high&nbsp;blood pressure&nbsp;)<\/li><li>digoxin&nbsp;(used to treat&nbsp;heart failure&nbsp;)<\/li><li>glipizide or other &#8216;sulfonylureas&#8217; (used to treat high blood sugar).<\/li><li>all \u2011 trans retinoic acid (ATRA), also called tretinoin (used to treat certain types of blood cancer).<\/li><\/ul>\n\n\n\n<p>If any of the above applies to you or your child (or you are not sure) talk to your doctor or pharmacist before taking Noxafil.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>Tell your doctor if you are pregnant or think you may be pregnant before using Noxafil.&nbsp;Do not take Noxafil during pregnancy unless your doctor tells you to.<\/p>\n\n\n\n<p>You should use effective contraception while taking this medicine if you are a woman and could become pregnant.&nbsp;Contact your doctor immediately if you become pregnant during treatment with Noxafil.<\/p>\n\n\n\n<p>Do not breastfeed while you are being treated with Noxafil as small amounts may pass into breast milk.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>You may feel dizzy, drowsy, or have blurred vision when taking Noxafil, which may affect your ability to drive or use machines.\u00a0If this happens, do not drive or use machines and consult your doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Noxafil contains<\/h2>\n\n\n\n<p><strong>Noxafil contains methyl parahydroxybenzoate and propyl parahydroxybenzoate<\/strong><\/p>\n\n\n\n<p>This medicine contains methyl parahydroxybenzoate (E218) and propyl parahydroxybenzoate.&nbsp;May cause&nbsp;an allergic reaction&nbsp;(possibly delayed).<\/p>\n\n\n\n<p><strong>Noxafil contains sorbitol<\/strong><\/p>\n\n\n\n<p>This medicine contains 47 mg sorbitol (E420) per milliliter.<\/p>\n\n\n\n<p>Sorbitol is a source of fructose.\u00a0If you (or your child) have hereditary\u00a0fructose intolerance, a rare inherited disease, talk to a doctor before you (or your child) take or receive this medicine.<\/p>\n\n\n\n<p><strong>Noxafil contains propylene glycol<\/strong><\/p>\n\n\n\n<p>This medicine contains 7 mg of propylene glycol (E1520) per milliliter.<\/p>\n\n\n\n<p><strong>Noxafil contains&nbsp;sodium<\/strong><\/p>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)\u00a0sodium\u00a0per\u00a0dose, ie essentially &#8216;sodium-free&#8217;.\u00a0is next to &#8220;sodium-free&#8221;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Noxafil<\/h2>\n\n\n\n<p>Do not switch between Noxafil enteropowder and liquid for\u00a0oral\u00a0suspension\u00a0and Noxafil\u00a0oral\u00a0suspension.<\/p>\n\n\n\n<p>Always give this medicine to children according to the doctor&#8217;s or pharmacist&#8217;s instructions.&nbsp;If you are not sure, talk to your child&#8217;s doctor or pharmacist.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Read the instructions in the instructions for use on how to mix and give a&nbsp;dose&nbsp;of Noxafil.&nbsp;Save the instructions for use and follow the instructions each time you mix the medicine.&nbsp;Take the instructions for your child&#8217;s doctor&#8217;s visit with you.<\/li><li>Make sure that your doctor or pharmacist explains how the medicine is mixed and that the correct&nbsp;dose&nbsp;is given to your child.<\/li><li>The enteric powder for&nbsp;oral&nbsp;suspension&nbsp;must be mixed with the supplied diluent before use.&nbsp;You must give the medicine to your child within 30 minutes of&nbsp;mixing&nbsp;.<\/li><li>ONLY the diluent provided with the package may be used to complete Noxafil.<\/li><li>To ensure that the correct&nbsp;dose&nbsp;is given, ONLY use the notched syringes in the package to mix and give the medicine.<\/li><li>Make sure that the doctor&#8217;s instructions are followed.&nbsp;Your doctor will inform you if and when Noxafil is to be given to your child.<\/li><\/ul>\n\n\n\n<p><strong>Noxafil enteric powder and liquid for&nbsp;oral&nbsp;suspension&nbsp;with food and drink<\/strong><\/p>\n\n\n\n<p>This medicine can be taken with or without food.<\/p>\n\n\n\n<p><strong>Dosage<\/strong><\/p>\n\n\n\n<p>The recommended\u00a0dose\u00a0for children from 2 years up to 18 years, weighing 10-40 kg is shown in the table below.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Body weight (kg)<\/strong><\/td><td><strong>Dose&nbsp;(volume)<\/strong><\/td><\/tr><tr><td>10- &lt;12 kg<\/td><td>90 mg (3 ml)<\/td><\/tr><tr><td>12- &lt;17 kg<\/td><td>120 mg (4 ml)<\/td><\/tr><tr><td>17- &lt;21 kg<\/td><td>150 mg (5 ml)<\/td><\/tr><tr><td>21- &lt;26 kg<\/td><td>180 mg (6 ml)<\/td><\/tr><tr><td>26- &lt;36 kg<\/td><td>210 mg (7 ml)<\/td><\/tr><tr><td>36-40 kg<\/td><td>240 mg (8 ml)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>On day 1, the recommended&nbsp;dose&nbsp;is given twice.<\/p>\n\n\n\n<p>After day 1, the recommended&nbsp;dose&nbsp;is given once daily.<\/p>\n\n\n\n<p>For children weighing more than 40 kg, Noxafil tablets are recommended if they can swallow whole tablets.<\/p>\n\n\n\n<p>The duration of treatment may depend on the type of\u00a0infection\u00a0you or your child has or how long the immune system is not working properly and may be individually tailored by your doctor.\u00a0Do not change the\u00a0dose\u00a0or treatment schedule yourself until you have consulted your doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you or your child have taken too much Noxafil<\/h2>\n\n\n\n<p>If you think you or your child may have used too much Noxafil, talk to a doctor or go to the hospital immediately.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Noxafil<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>If you miss a&nbsp;dose&nbsp;, take it or give your child a&nbsp;dose&nbsp;as soon as you remember.<\/li><li>However, if it is almost time for your next&nbsp;dose&nbsp;, skip the missed&nbsp;dose&nbsp;and return to your regular schedule.<\/li><li>Do not take a double&nbsp;dose&nbsp;to make up for a forgotten&nbsp;dose&nbsp;.<\/li><\/ul>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor, pharmacist, or nurse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong>Serious&nbsp;side effects&nbsp;are<\/strong><\/p>\n\n\n\n<p><strong>Talk to a doctor, pharmacist, or nurse immediately if you experience any of the following serious\u00a0side effects\u00a0&#8211; you or your child may need immediate medical attention:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>nausea or vomiting (feeling or pronounced symptoms), diarrhea<\/li><li>signs of liver problems &#8211; characterized by yellowing of the skin or whites of the eyes, dark-colored urine or pale stools, feeling unwell for no reason, stomach problems, decreased appetite or abnormal fatigue or weakness, increase in liver enzymes detected by blood tests<\/li><li>allergic reaction<\/li><\/ul>\n\n\n\n<p><strong>Other&nbsp;side effects&nbsp;are<\/strong><\/p>\n\n\n\n<p>Tell your doctor, pharmacist, or nurse if you experience any of the following side effects:<\/p>\n\n\n\n<p>Common (may affect up to 1 in 10 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>a change in the salt levels in the blood detected by blood tests &#8211; characterized by the fact that you may feel confused or weak<\/li><li>an abnormal sensation in the skin, such as numbness, tingling, itching, crawling, stinging or burning sensation<\/li><li>headache<\/li><li>low potassium levels &#8211; detected by blood tests<\/li><li>low magnesium levels &#8211; detected by blood tests<\/li><li>high&nbsp;blood pressure<\/li><li>loss of appetite, abdominal pain or upset stomach, flatulence,&nbsp;dry mouth&nbsp;, taste changes<\/li><li>heartburn (a burning sensation in the chest that rises in the throat)<\/li><li>lower levels of &#8220;neutrophils&#8221;, a type of&nbsp;white blood cell&nbsp;(&nbsp;neutropenia&nbsp;) &#8211; which can increase the risk of&nbsp;infection&nbsp;and can be detected in blood tests<\/li><li>fever<\/li><li>weakness, dizziness, fatigue or drowsiness<\/li><li>rash<\/li><li>itching<\/li><li>constipation<\/li><li>rectal problems<\/li><\/ul>\n\n\n\n<p>Uncommon (may affect up to 1 in 100 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>anemia&nbsp;&#8211; characterized by headache, fatigue or dizziness, shortness of breath or pallor and a low level of&nbsp;hemoglobin&nbsp;detected in blood tests<\/li><li>low level of&nbsp;platelets&nbsp;(&nbsp;thrombocytopenia&nbsp;) detected in blood tests &#8211; which can lead to bleeding<\/li><li>low level of &#8220;leukocytes&#8221;, a type of&nbsp;white blood cell&nbsp;(&nbsp;leukopenia&nbsp;) detected by blood tests &#8211; which may increase the risk&nbsp;of&nbsp;infection<\/li><li>high level of &#8220;eosinophils&#8221;, a type of&nbsp;white blood cell&nbsp;(&nbsp;eosinophilia&nbsp;) &#8211; which can occur in&nbsp;inflammation<\/li><li>inflammation&nbsp;of the blood vessels<\/li><li>heart rhythm problems<\/li><li>seizures (convulsions)<\/li><li>nerve damage (&nbsp;neuropathy&nbsp;)<\/li><li>irregular heartbeat, detected by&nbsp;ECG&nbsp;, palpitations, slow or fast heartbeat, high or low&nbsp;blood pressure<\/li><li>low&nbsp;blood pressure<\/li><li>pancreatitis (&nbsp;pancreatitis&nbsp;) &#8211; which can cause intense abdominal pain<\/li><li>interrupted oxygen supply to the spleen (splenic infarction) &#8211; which can cause intense abdominal pain<\/li><li>severe kidney problems &#8211; characterized by increased or decreased urine output or discolored urine<\/li><li>high blood levels of&nbsp;creatinine&nbsp;&#8211; detected by blood tests<\/li><li>cough, hiccup<\/li><li>nosebleeds<\/li><li>severe sharp chest pain if inhaled (pleuritic pain)<\/li><li>enlarged&nbsp;lymph nodes&nbsp;(&nbsp;lymphadenopathy&nbsp;)<\/li><li>decreased sensation especially in the skin<\/li><li>tremor<\/li><li>high or low blood sugar levels<\/li><li>blurred vision, photosensitivity<\/li><li>hair loss (&nbsp;alopecia&nbsp;)<\/li><li>cold sores<\/li><li>tremors, general malaise<\/li><li>pain, back pain or neck pain, pain in arms or legs<\/li><li>accumulation of water in the body (&nbsp;edema&nbsp;)<\/li><li>menstrual disorders (abnormal&nbsp;vaginal&nbsp;bleeding )<\/li><li>inability to sleep (insomnia)<\/li><li>completely or partially unable to speak<\/li><li>swelling in the mouth<\/li><li>abnormal dreams or difficulty sleeping<\/li><li>problems with coordination or balance<\/li><li>inflammation&nbsp;of the mucous membranes<\/li><li>nasal congestion<\/li><li>breathing difficulties<\/li><li>feeling of discomfort in the chest<\/li><li>feeling of bloating<\/li><li>Mild to severe nausea, vomiting, cramps and diarrhea, usually caused by a&nbsp;virus&nbsp;, abdominal pain<\/li><li>belching<\/li><li>feeling nervous<\/li><\/ul>\n\n\n\n<p>Rare (may affect up to 1 in 1,000 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>pneumonia&nbsp;&#8211; characterized by a feeling of shortness of breath and discolored mucous vomiting<\/li><li>high&nbsp;blood pressure&nbsp;in blood&nbsp;vessels&nbsp;in the lungs (pulmonary hypertension) which can seriously damage the lungs and heart<\/li><li>problems with the blood such as unusual blood clotting or prolonged bleeding<\/li><li>severe allergic reactions including scattered blisters and peeling<\/li><li>mental problems such as hearing voices or seeing things that are not there<\/li><li>fainting<\/li><li>difficulty thinking or speaking, involuntary muscle twitching, especially in the hands<\/li><li>stroke &#8211; characterized by pain, weakness ,&nbsp;numbness or tingling in the&nbsp;extremities<\/li><li>a blind or dark spot in the&nbsp;field&nbsp;of view<\/li><li>heart failure&nbsp;or heart attack which can lead to the heart stopping beating and death, disturbed heart rhythm with sudden death<\/li><li>blood clots in the legs (deep&nbsp;vein thrombosis&nbsp;) &#8211; characterized by intense pain or swelling of the leg<\/li><li>blood clots in the lungs (&nbsp;pulmonary embolism&nbsp;) &#8211; characterized by shortness of breath or pain when breathing<\/li><li>bleeding in the stomach or intestines &#8211; characterized by bloody vomiting or blood in the stool<\/li><li>blockage of the intestine (intestinal obstruction) especially in the &#8220;ileum&#8221;, the lower part of the small intestine.&nbsp;The blockage prevents the contents of the intestine from passing to the large intestine, resulting in bloating, vomiting, severe constipation, loss of appetite and cramps<\/li><li>&#8220;Hemolytic uremic syndrome&#8221; with&nbsp;red blood cell&nbsp;dissolution (&nbsp;hemolysis&nbsp;) &#8211; which can occur with or without&nbsp;renal failure<\/li><li>&#8220;Pancytopenia&#8221; abnormal deficiency of all&nbsp;blood cells&nbsp;(&nbsp;red blood cells&nbsp;,&nbsp;white blood cells&nbsp;and&nbsp;platelets&nbsp;) detected by blood tests<\/li><li>large purple discolorations of the skin (thrombotic thrombocytopenic purpura)<\/li><li>swelling of the face or tongue<\/li><li>Depression<\/li><li>double vision<\/li><li>chest pain<\/li><li>impaired adrenal function &#8211; this can cause weakness, fatigue, loss of appetite, discoloration of the skin<\/li><li>impaired function of the&nbsp;pituitary gland&nbsp;&#8211; this can lead to decreased blood levels of&nbsp;hormones&nbsp;that affect the function of the male or female gonads<\/li><li>hearing problems<\/li><li>pseudoaldosteronism, which causes high&nbsp;blood pressure&nbsp;and low levels of&nbsp;potassium&nbsp;(shown in blood tests)<\/li><\/ul>\n\n\n\n<p>No known frequency (can not be calculated from the available data)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Some patients have also reported feeling confused after taking Noxafil.<\/li><\/ul>\n\n\n\n<p>Talk to your doctor, pharmacist, or nurse if you get any of the\u00a0side effects\u00a0listed above.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Noxafil<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>This medicine does not require any special storage instructions.<\/p>\n\n\n\n<p>Medicines or&nbsp;diluents&nbsp;should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<p>Read the instructions in the instructions for use for the correct handling of leftover medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the package and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The active substance is posaconazole.\u00a0Each\u00a0single-use sachet of oral powder for\u00a0oral\u00a0suspension\u00a0is a white to a yellow powder containing 300 mg posaconazole.<\/p>\n\n\n\n<p>The other ingredients are hypromellose acetate succinate.<\/p>\n\n\n\n<p>The diluent contains the following: purified water,\u00a0glycerol\u00a0(E422), methyl parahydroxybenzoate (E218), propyl parahydroxybenzoate, sodium dihydrogen phosphate monohydrate, citric acid, anhydrous (E330), xanthan gum (E415), sodium citrate (E415) sodium cirrose E407), sorbitol solution (E420), potassium sorbate (E202), flavoring, sweet berries and citrus (containing propylene glycol (E1520), water, natural and artificial flavors),\u00a0antifoam Af\u00a0emulsion (containing polyethylene glycol (\u00a0E1521\u00a0), octamethylcyclopanethecanyloxane and poly (oxy-1,2-ethanediol), alpha- (1-oxooctadecyl)-omega.-hydroxy).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p>Noxafil enteric powder and liquid for&nbsp;oral&nbsp;suspension&nbsp;are supplied as a pack of:<\/p>\n\n\n\n<p>Package 1: The pack contains 8 childproof disposable sachets (PET\/aluminum \/ LLDPE), two 3 ml syringes (green) with slotted tips, two 10 ml syringes (blue) with slotted tips, two mixing cups, 473 ml\u00a0diluent\u00a0in a bottle ( HDPE) with polypropylene (PP) closure with foil closure and a bottle adapter for the diluent bottle.<\/p>\n\n\n\n<p>Package 2: A carton of six 3 ml syringes (green) with slotted tips and six 10 ml syringes (blue) with slotted tips.<\/p>\n\n\n\n<p>Each\u00a0single-use sachet contains 300 mg posaconazole, which is mixed in 9 ml of\u00a0diluent\u00a0to obtain a total of 10 ml of\u00a0suspension\u00a0with a final concentration of approximately 30 mg per ml.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>Marketing Authorisation Holder<\/p>\n\n\n\n<p>Merck Sharp &amp; Dohme BV<\/p>\n\n\n\n<p>Waarderweg 39<\/p>\n\n\n\n<p>2031 BN Haarlem<\/p>\n\n\n\n<p>Netherlands<\/p>\n\n\n\n<p>Manufacturer<\/p>\n\n\n\n<p>NV Organon<\/p>\n\n\n\n<p>Kloosterstraat 6<\/p>\n\n\n\n<p>5349 AB Oss<\/p>\n\n\n\n<p>Netherlands<\/p>\n\n\n\n<p>Contact the representative of the marketing authorization holder to find out more about this medicine:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Belgium \/ Belgique \/ Belgien<\/strong>MSD BelgiumTel: +32 (0) 2 776 62 11dpoc_belux@merck.com<\/td><td><strong>Lithuania<\/strong>UAB Merck Sharp &amp; DohmeTel.&nbsp;+ 370 5 278 02 47msd_lietuva@merck.com<\/td><\/tr><tr><td><strong>Bulgaria<\/strong>Mark Harp and Doom Bulgaria BulgariaTel: +359 2 819 3737info-msdbg@merck.com<\/td><td><strong>Luxembourg \/ Luxemburg<\/strong>MSD BelgiumTel: +32 (0) 2 776 62 11dpoc_belux@merck.com<\/td><\/tr><tr><td><strong>Czech Republic<\/strong>Merck Sharp &amp; Dohme sroTel: +420 233 010 111dpoc_czechslovak@merck.com<\/td><td><strong>Hungary<\/strong>MSD Pharma Hungary Kft.Tel .: +36 1 888 5300hungary_msd@merck.com<\/td><\/tr><tr><td><strong>Denmark<\/strong>MSD Danmark ApSTel: + 45 44 82 4000dkmail@merck.com<\/td><td><strong>Malta<\/strong>Merck Sharp &amp; Dohme Cyprus LimitedTel .: 8007 4433 (+356 99917558)malta_info@merck.com<\/td><\/tr><tr><td><strong>Germany<\/strong>MSD Sharp &amp; Dohme GmbHTel: 0800 673 673 673 (+ 49 (0) 89 4561 0)e-mail@msd.de<\/td><td><strong>The Netherlands<\/strong>Merck Sharp &amp; Dohme BVTel: 0800 9999000 (+31 23 5153153)medicalinfo.nl@merck.com<\/td><\/tr><tr><td><strong>Eesti<\/strong>Merck Sharp &amp; Dohme O\u00dcTel .: + 372 6144 200msdeesti@merck.com<\/td><td><strong>Norway<\/strong>MSD (Norge) ASTel: +47 32 20 73 00msdnorge@msd.no<\/td><\/tr><tr><td><strong>Greece<\/strong>MSD \u0391.\u03a6.\u0392.\u0395.\u0395.:\u0397\u03bb: +30 210 98 97 300dpoc_greece@merck.com<\/td><td><strong>Austria<\/strong>Merck Sharp &amp; Dohme Ges.mbHTel: +43 (0) 1 26 044msd-medizin@merck.com<\/td><\/tr><tr><td><strong>Spain<\/strong>Merck Sharp &amp; Dohme de Espa\u00f1a, SATel: +34 91 321 06 00msd_info@merck.com<\/td><td><strong>Poland<\/strong>MSD Polska Sp.&nbsp;z ooTel .: +48 22 549 51 00msdpolska@merck.com<\/td><\/tr><tr><td><strong>France<\/strong>MSD FranceTel.&nbsp;+33 (0) 1 80 46 40 40<\/td><td><strong>Portugal<\/strong>Merck Sharp &amp; Dohme, LdaTel: +351 21 446 5700inform_pt@merck.com<\/td><\/tr><tr><td><strong>Croatia<\/strong>Merck Sharp &amp; Dohme dooTel: + 385 1 6611 333croatia_info@merck.com<\/td><td><strong>Romania<\/strong>Merck Sharp &amp; Dohme Romania SRLTel .: + 40 21 529 2900msdromania@merck.com<\/td><\/tr><tr><td><strong>Ireland<\/strong>Merck Sharp &amp; Dohme Ireland (&nbsp;Human&nbsp;Health) LimitedTel: +353 (0) 1 2998700medinfo_ireland@merck.com<\/td><td><strong>Slovenia<\/strong>Merck Sharp &amp; Dohme, innovative zdravila dooTel: +386 1 5204 201msd.slovenia@merck.com<\/td><\/tr><tr><td><strong>Iceland<\/strong>Vistor hf.Phone: + 354 535 7000<\/td><td><strong>Slovak Republic<\/strong>Merck Sharp &amp; Dohme, sroTel: +421 2 58282010dpoc_czechslovak@merck.com<\/td><\/tr><tr><td><strong>Italy<\/strong>MSD Italia SrlTel: +39 06 361911medicalinformation.it@merck.com<\/td><td><strong>Finland \/ Finland<\/strong>MSD Finland OyPuh \/ Tel: +358 (0) 9 804 650info@msd.fi<\/td><\/tr><tr><td><strong>.\u03a0\u03c1\u03bf\u03c2<\/strong>Merck Sharp &amp; Dohme Cyprus Limited.:\u0397\u03bb .: 800 00 673 (+357 22866700)cyprus_info@merck.com<\/td><td><strong>Sweden<\/strong>Merck Sharp &amp; Dohme (Sweden) ABTel: +46 77 5700488medicinskinfo@merck.com<\/td><\/tr><tr><td><strong>Latvia<\/strong>SIA Merck Sharp &amp; Dohme LatvijaTel: + 371-67364224msd_lv@merck.com<\/td><td><strong>United Kingdom (Northern Ireland)<\/strong>Merck Sharp &amp; Dohme Ireland (&nbsp;Human&nbsp;Health) LimitedTel: +353 (0) 1 2998700medinfoNI@msd.com<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Noxafil contains a drug called posaconazole. It belongs to a group of medicines called &#8220;antifungal medicines&#8221;. It is used to prevent or treat many different fungal infections.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,15581],"tags":[19375,19370,19371,19374,19366,19369,19372,19367,19373,19368],"class_list":["post-19289","post","type-post","status-publish","format-standard","hentry","category-medicines","category-n","tag-benefits-of-noxafil","tag-benefits-of-posaconazole","tag-noxafil","tag-noxafil-side-effects","tag-posaconazole","tag-posaconazole-side-effects","tag-what-is-noxafil","tag-what-is-posaconazole","tag-what-noxafil-is-used-for","tag-what-posaconazole-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/19289","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=19289"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/19289\/revisions"}],"predecessor-version":[{"id":19342,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/19289\/revisions\/19342"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=19289"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=19289"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=19289"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}