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Fidaxomicin

Antibacterial · Antibiotic (for Clostridioides difficile infection)

Also known as Dificid

AntibacterialAntibiotic (for Clostridioides difficile infection)
CDSCO approved
EXCRETION
not curated
INTERACTIONS
3 major
SEVERE in our sources
PREGNANCY
Manufacturer advises avoid—no information available.
FDA category + note
Top interactions
  • BerotralstatSevereDatabaseDDInter
  • RelugolixSevereDatabaseDDInter
  • VenetoclaxSevereDatabaseDDInter

Mechanism

Fidaxomicin is a macrocyclic antibacterial. It is poorly absorbed from the gastro-intestinal tract, limiting its action to the gut lumen. This characteristic makes it unsuitable for treating systemic infections.

Indications

Clostridioides difficile infectionSevere or life-threatening Clostridioides difficile infectionColitis caused by C difficile

Dosing

Adult
200 mg every 12 hours for 10 days (by mouth)

Pharmacokinetics

Bioavailability
Poorly absorbed from the gastro-intestinal tract

Side effects

Common
ConstipationNauseaVomiting
Serious
  • Angioedema
  • Dyspnoea
  • Hypersensitivity

Pregnancy & lactation

Pregnancy

Manufacturer advises avoid—no information available.

Lactation

Manufacturer advises avoid—no information available.

Drug interactions

Berotralstat
Severe
Database

Drug interaction classified as: absorption

Source: DDInter

Relugolix
Severe
Database

Drug interaction classified as: absorption

Source: DDInter

Venetoclax
Severe
Database

Drug interaction classified as: absorption

Source: DDInter

9 additional low-confidence interactions hidden — those rows lack a documented mechanism or management plan in our sources.

Related guidelines

Other Antibacterial drugs

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Sources: Goodman & Gilman 14e, Katzung, BNF, Harriet Lane·Verified: 2026-05-10 · House clinical team