View the savings offer for DIFICID® (fidaxomicin). Eligible, privately insured patients may save on a qualifying prescription with the savings coupon for DIFICID. Fidaxomicin is a topically acting drug that cannot be used to treat systemic infections; therefore the . Package leaflet: Information for the user. Criteria for initial therapy: Dificid (fidaxomicin) is considered medically necessary . Dificid. Package Insert. Revised by manufacturer 12/

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Over the course of treatment, no resistance to fidaxomicin developed [ Goldstein et al. First, recurrent CDAD has become a significant problem linked to prolonged hospitalizations and high medical costs as well as future recurrences [ Ghantoji et al.

J Hosp Infect The savings or loss dollar value per day with use of fidaxomicin as compared with vancomycin for secondary cases of CDAD, the warranted price per day for fidaxomicin from a hospital, ambulatory and health system perspective, and the warranted price per day for ddificid, from the perspective of the US health system, as a percent of the WAC per day for packabe are presented in table II.

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Safety There pzckage no contraindications to fidaxomicin listed in the prescribing information [ Optimer Pharmaceuticals, ]. Hospital discharges with C. There were no levels demonstrated in the urine in healthy volunteers. More virulent strains of C. Health service substitution effects have been observed across the components of the US health system, and in the treatment of a wide range of disease states.


He had a known history of chromosomal disorder, microcephaly, seizures and gastric tube G tube feeding. The repercussions of asymptomatic colonization with C.

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CDAD is a major cause of healthcare-associated diarrhea and with few treatment therapies. Citing articles via Web of Science J Antimicrob Chemother For both primary and secondary cases of CDAD, and for each comparative regimen of vancomycin examined, the following equation was derived to discern, on a per-day basis, whether there existed a savings or loss dollar value net the market price WAC of fidaxomicin in the hospital inpatient environment: Interval estimation for the difference between difciid proportions: Latest Most Read Most Cited Protein binding of rifampicin is not saturated when using high-dose rifampicin.

Related articles in Google Scholar. Background Clostridium difficilea spore-forming gram-positive anaerobic bacillus, is a major cause packafe healthcare-and antibiotic-associated diarrhea [ Cohen lnsert al. Comparison of seven techniques for typing international epidemic strains of Clostridium difficile.

Vancomycin was inferior to fidaxomicin pcakage achieving clinical cure in patients who received one or more concurrent antibiotics during the treatment phase days 1—10 These results, combined with the ease of administration and a good safety profile, make fidaxomicin an attractive treatment option for treating CDAD. David Alexander Sclar, Email: The stool specimen gave negative culture and test results for other bacterial pathogens, ova and parasites; blood cultures were also negative.

Recurrence rates and sustained clinical response were also measured. A second phase III clinical trial was also conducted internationally. In both primary and secondary cases of CDAD, the warranted price for fidaxomicin on a per-day basis, from the perspective of the US health system, is the weighted average of the warranted price per day, as discerned at the hospital and ambulatory levels, respectively, and for a given combination of hospital LOS and ambulatory duration.


There are a number of challenges associated with these therapies. Infect Control Hosp Epidemiol.

Isolation, chemical, biological and biochemical characterization. National Center for Biotechnology InformationU.

These results were compared with vancomycin, which failed to prevent colitis [ Swanson et al. Public Health Service, Assumed use of vancomycin HCl capsules, mg qid, for ambulatory duration of treatment. Efficacy of fidaxomicin versus vancomycin as therapy for Clostridium difficile infection in individuals taking concomitant antibiotics for other concurrent infections. The time to resolution of diarrhea was shorter in the fidaxomicin group than in the vancomycin group, 58 h versus 78 h.

In addition, fecal concentrations of fidaxomicin and its metabolite increased with administration of higher doses.

The highest plasma concentration reported 6. For Permissions, please e-mail: The incidence, severity, mortality and expenditures associated with CDAD have increased significantly over the past decade.