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Lefamulin (Intravenous)

le-FAM-ue-lin

Medically reviewed by Drugs.com. Last updated on Jul 20, 2019.

Commonly used brand name(s)

In the U.S.

  • Xenleta

Available Dosage Forms:

  • Solution

Therapeutic Class: Antibiotic

Chemical Class: Pleuromutilin

Uses for lefamulin

Lefamulin injection is used to treat community-acquired bacterial pneumonia (CABP).

Lefamulin belongs to the class of medicines known as pleuromutilin antibiotics. It works by killing bacteria or preventing their growth. However, lefamulin will not work for colds, flu, or other virus infections.

Lefamulin is to be given only by or under the direct supervision of your doctor.

Before using lefamulin

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For lefamulin, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to lefamulin or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of lefamulin injection in the pediatric population. Safety and efficacy have not been established.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of lefamulin injection in the elderly.

Breastfeeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving lefamulin, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using lefamulin with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Dasatinib
  • Dofetilide
  • Dronedarone
  • Ivabradine
  • Pimavanserin
  • Pimozide
  • Quetiapine
  • Quinidine
  • Tacrolimus
  • Vardenafil

Using lefamulin with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Acalabrutinib
  • Acecainide
  • Alfentanil
  • Alfuzosin
  • Amiodarone
  • Amisulpride
  • Amitriptyline
  • Anagrelide
  • Apalutamide
  • Apomorphine
  • Aprepitant
  • Aripiprazole
  • Aripiprazole Lauroxil
  • Arsenic Trioxide
  • Asenapine
  • Astemizole
  • Atazanavir
  • Avanafil
  • Azithromycin
  • Bedaquiline
  • Bepridil
  • Boceprevir
  • Bosentan
  • Bosutinib
  • Budesonide
  • Buprenorphine
  • Buserelin
  • Buspirone
  • Carbamazepine
  • Carvedilol
  • Ceritinib
  • Chloroquine
  • Chlorpromazine
  • Ciprofloxacin
  • Cisapride
  • Citalopram
  • Clarithromycin
  • Clofazimine
  • Clomipramine
  • Clozapine
  • Cobicistat
  • Cobimetinib
  • Conivaptan
  • Crizotinib
  • Cyclobenzaprine
  • Cyclosporine
  • Dabrafenib
  • Darifenacin
  • Darunavir
  • Degarelix
  • Delamanid
  • Desipramine
  • Deslorelin
  • Deutetrabenazine
  • Dihydroergotamine
  • Disopyramide
  • Dolasetron
  • Domperidone
  • Donepezil
  • Doxepin
  • Droperidol
  • Ebastine
  • Efavirenz
  • Eletriptan
  • Encorafenib
  • Enzalutamide
  • Eplerenone
  • Ergotamine
  • Eribulin
  • Erythromycin
  • Escitalopram
  • Etravirine
  • Everolimus
  • Famotidine
  • Felbamate
  • Felodipine
  • Fentanyl
  • Fingolimod
  • Flecainide
  • Flibanserin
  • Fluconazole
  • Fluoxetine
  • Fluticasone
  • Formoterol
  • Fosaprepitant
  • Foscarnet
  • Fosphenytoin
  • Galantamine
  • Gatifloxacin
  • Gemifloxacin
  • Glasdegib
  • Gonadorelin
  • Goserelin
  • Granisetron
  • Halofantrine
  • Haloperidol
  • Histrelin
  • Hydroquinidine
  • Hydroxychloroquine
  • Hydroxyzine
  • Ibrutinib
  • Ibutilide
  • Idelalisib
  • Iloperidone
  • Imipramine
  • Indinavir
  • Inotuzumab Ozogamicin
  • Itraconazole
  • Ivacaftor
  • Ivosidenib
  • Ketoconazole
  • Lapatinib
  • Lenvatinib
  • Leuprolide
  • Levofloxacin
  • Lofexidine
  • Lomitapide
  • Lopinavir
  • Lorlatinib
  • Lovastatin
  • Lumacaftor
  • Lumefantrine
  • Lurasidone
  • Macimorelin
  • Maraviroc
  • Mefloquine
  • Mesoridazine
  • Methadone
  • Methotrimeprazine
  • Metronidazole
  • Midazolam
  • Mifepristone
  • Mitotane
  • Mizolastine
  • Modafinil
  • Moricizine
  • Moxifloxacin
  • Nafarelin
  • Nafcillin
  • Naloxegol
  • Nefazodone
  • Nelfinavir
  • Nilotinib
  • Norfloxacin
  • Octreotide
  • Ofloxacin
  • Olanzapine
  • Ondansetron
  • Osimertinib
  • Oxycodone
  • Paliperidone
  • Panobinostat
  • Papaverine
  • Paroxetine
  • Pasireotide
  • Pazopanib
  • Pentamidine
  • Perphenazine
  • Phenobarbital
  • Phenytoin
  • Pipamperone
  • Piperaquine
  • Pitolisant
  • Posaconazole
  • Primidone
  • Probucol
  • Procainamide
  • Prochlorperazine
  • Promethazine
  • Propafenone
  • Protriptyline
  • Quinine
  • Ranolazine
  • Ribociclib
  • Rifabutin
  • Rifampin
  • Risperidone
  • Ritonavir
  • Saquinavir
  • Sertindole
  • Sertraline
  • Sevoflurane
  • Sildenafil
  • Simvastatin
  • Sirolimus
  • Sodium Phosphate
  • Sodium Phosphate, Dibasic
  • Sodium Phosphate, Monobasic
  • Solifenacin
  • Sorafenib
  • Sotalol
  • Sparfloxacin
  • St John's Wort
  • Sulpiride
  • Sultopride
  • Sunitinib
  • Tamoxifen
  • Telaprevir
  • Telavancin
  • Telithromycin
  • Temsirolimus
  • Terfenadine
  • Tetrabenazine
  • Thioridazine
  • Ticagrelor
  • Tipranavir
  • Tizanidine
  • Tolterodine
  • Tolvaptan
  • Toremifene
  • Trazodone
  • Triazolam
  • Triclabendazole
  • Trimipramine
  • Triptorelin
  • Vandetanib
  • Vemurafenib
  • Venetoclax
  • Venlafaxine
  • Verapamil
  • Vernakalant
  • Vilanterol
  • Vinflunine
  • Voriconazole
  • Vorinostat
  • Ziprasidone
  • Zotepine
  • Zuclopenthixol

Interactions with food/tobacco/alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other medical problems

The presence of other medical problems may affect the use of lefamulin. Make sure you tell your doctor if you have any other medical problems, especially:

  • Diarrhea or
  • Heart rhythm problems (eg, QT prolongation, ventricular arrhythmia)—Use with caution. May make these conditions worse.
  • Liver disease, severe—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

Proper use of lefamulin

A nurse or other trained health professional will give you lefamulin in a medical facility. It is given through a needle placed into one of your veins. The medicine must be given slowly, so the needle will have to remain in place for at least 1 hour. It is usually given every 12 hours for 5 to 7 days.

Precautions while using lefamulin

It is very important that your doctor check your progress at regular visits to make sure that lefamulin is working properly. Blood tests may be needed to check for unwanted effects.

Using lefamulin while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant during treatment and for at least 2 days after the last dose. If you think you have become pregnant while using lefamulin, tell your doctor right away.

Do not use lefamulin if you are also using erythromycin (Ery-Tab®), moxifloxacin (Avelox®), medicine to treat heart rhythm problems (eg, amiodarone, quinidine, procainamide, sotalol, Betapace®, Cordarone®), medicine to treat mental illness (eg, pimozide, Orap®), or tricyclic antidepressants. Using these medicines together with lefamulin may cause unwanted serious side effects.

Contact your doctor right away if you have any changes to your heart rhythm. You might feel dizzy or faint, or you might have a fast, pounding, or uneven heartbeat. Make sure your doctor knows if you or anyone in your family has ever had a heart rhythm problem such as QT prolongation.

Lefamulin may cause diarrhea, and in some cases it can be severe. It may occur 2 months or more after you stop using lefamulin. Do not take any medicine to treat diarrhea without checking first with your doctor. Diarrhea medicines may make the diarrhea worse or make it last longer. If you have any questions about this or if mild diarrhea continues or gets worse, check with your doctor.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Lefamulin side effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

Less common

  • Convulsions
  • decreased urine
  • dry mouth
  • increased thirst
  • irregular heartbeat
  • loss of appetite
  • mood changes
  • muscle pain or cramps
  • nausea or vomiting
  • numbness or tingling in the hands, feet, or lips
  • trouble breathing
  • unusual tiredness or weakness

Incidence not known

  • Abdominal or stomach tenderness
  • chest pain or discomfort
  • fainting
  • fever
  • irregular or slow heart rate
  • severe abdominal or stomach cramps and pain
  • watery and severe diarrhea, which may also be bloody

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  • Pain, itching, burning, swelling, or a lump at the injection site

Less common

  • Headache
  • trouble sleeping

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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