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Noxafil Oral Suspension 1
Noxafil Oral Suspension 2
Noxafil Oral Suspension 3
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Noxafil Oral Suspension

Posaconazole (40mg)
Genuine
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Noxafil Oral Suspension is an antifungal medicine used to prevent and treat severe fungal infections, particularly in people with weakened immune systems. It is commonly prescribed to prevent invasive infections caused by Aspergillus and Candida species and to treat fungal infections of the mouth and throat.

Written By Dr. Subita Alagh, BDS,
Reviewed By Dr. Sachin Gupta, MD Pharmacology, MBBS,
Last updated on 17 Sep 2026 | 01:02 AM (IST)
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General Information

The content is shown in English
Noxafil Oral Suspension 1
Noxafil Oral Suspension 2
Noxafil Oral Suspension 3

Product introduction

Noxafil Oral Suspension should be taken with food. Take it exactly in the dose and duration prescribed by your doctor. Do not skip doses and complete the full course of treatment, even if you start to feel better. While taking this medicine, follow good hygiene practices and avoid contact with people who have infections, especially if your immune system is weak.


The most common side effects of Noxafil Oral Suspension include diarrhea, nausea, fever, vomiting, headache, coughing, and hypokalemia (low potassium level). These are not usually serious, but let your doctor know if any of these side effects persist or worsen. They may be able to guide you on how to manage or prevent the side effects.


Talk to your doctor before taking Noxafil Oral Suspension if you have ever had heart failure, kidney problems, or liver problems such as yellow skin (jaundice). If your course of treatment is for more than a month, your doctor may want to check your liver and potassium levels by testing your blood. Pregnant and breastfeeding women should not take this medicine without consulting their doctors.

Uses of Noxafil Oral Suspension

  • Treatment of Severe fungal infections

Benefits of Noxafil Oral Suspension

Treatment of Severe fungal infections
Noxafil Oral Suspension is an antifungal medicine used to treat serious fungal infections. It is especially beneficial for patients who are severely immunocompromised, such as those with cancer or those undergoing chemotherapy or blood transfusions. This medicine is administered by a doctor or a nurse and should not be self-administered. The dose and duration of treatment will be determined by your doctor based on your condition. It is important to complete the full course of treatment, even if you start feeling better, to ensure the infection is fully cleared and does not return.

Side effects of Noxafil Oral Suspension

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Noxafil
  • Decreased potassium level in blood
  • Cough
  • Vomiting
  • Headache
  • Fever
  • Nausea
  • Diarrhea

How to use Noxafil Oral Suspension

Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Measure it with a measuring cup and take it by mouth. Shake well before use. Noxafil Oral Suspension should be taken with or after food.

How Noxafil Oral Suspension works

Noxafil Oral Suspension is an antifungal that works by inhibiting the enzyme essential for the synthesis of ergosterol, a key component of fungal cell membranes. It disrupts the production of ergosterol, damaging the fungal cell membrane, leading to cell death. This action makes it effective in preventing and treating invasive Aspergillus and Candida infections in immunocompromised patients, as well as treating oropharyngeal candidiasis, including cases resistant to other azoles like itraconazole or fluconazole.

Quick tips

  • Do not skip any doses and finish the full course of treatment even if you feel better.
  • Take Noxafil Oral Suspension with food to enhance the absorption, preferably at the same time every day.
  • Do not take indigestion remedies (antacids) within two hours of taking Noxafil Oral Suspension.
  • Your doctor may check your liver function before starting treatment and regularly thereafter.
  • Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.

Safety advice

Alcohol

Alcohol

CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Noxafil Oral Suspension. Please consult your doctor.
Pregnancy

Pregnancy

CONSULT YOUR DOCTOR
The safety of Noxafil Oral Suspension during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.
Breast feeding

Breast feeding

CAUTION
Noxafil Oral Suspension should be used with caution during breastfeeding. Breastfeeding should be held until the treatment of the mother is completed and the drug is eliminated from the body.
Driving

Driving

UNSAFE
Noxafil Oral Suspension may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
As you may feel dizzy, sleepy, or have blurred vision while taking Noxafil Oral Suspension, which may affect your ability to drive.
Kidney

Kidney

CAUTION
Noxafil Oral Suspension should be used with caution in patients with severe kidney disease. Dose adjustment may be needed.
Regular monitoring of kidney function tests is advised while taking this medicine. Use of Noxafil Oral Suspension is not recommended in patients with moderate to severe kidney disease.
Liver

Liver

SAFE IF PRESCRIBED
Noxafil Oral Suspension is probably safe to use in patients with liver disease. Limited data suggest dose adjustment may not be needed.
All

Interaction with drugs

Taking Noxafil with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Life-threatening

Simvastatin (Oral Route)

Do not consume Simvastatin with Posaconazole. If Posaconazole is essential, your doctor may temporarily stop Simvastatin. Posaconazole may raise blood levels of Simvastatin.
Life-threatening

Lovastatin (Oral Route)

Do not consume Lovastatin with Posaconazole. If Posaconazole is essential, your doctor may temporarily stop Lovastatin. Posaconazole may raise blood levels of Lovastatin.
Severe

Atorvastatin (Oral Route)

Do not consume Atorvastatin with Posaconazole. If concurrent use is essential, watch out for symptoms such as muscle pains or weakness and consult your doctor if you experience them. They may adjust the doses as per the observations.
Severe

Ranolazine (Oral Route)

Do not consume Ranolazine with Posaconazole. If concurrent use is essential, watch out for symptoms of Ranolazine side effects such as nausea, vomiting, headache, dizziness, constipation or weakness and consult your doctor if you experience them. They may adjust the dose of Ranolazine accordingly. Posaconazole may raise blood levels of Ranolazine.
Severe

Pimozide (Oral Route)

Do not consume Pimozide with Posaconazole.

Frequently asked questions

Noxafil Oral Suspension belongs to a class of medicines known as antifungal agents. It is used to treat serious fungal infections caused by organisms such as Aspergillus and Candida, particularly in patients who are at high risk of developing these infections. Noxafil Oral Suspension is mainly prescribed to severely immunocompromised individuals, such as those with cancer or those undergoing chemotherapy or blood transfusions.
Take Noxafil Oral Suspension in the dose and duration prescribed by the doctor. The dose depends on the condition being treated and will be determined by your doctor. It is important to follow your doctor’s instructions carefully to gain the maximum benefit from Noxafil Oral Suspension. Do not skip any doses and make sure to complete the full course of treatment.
Noxafil Oral Suspension is effective when used in the dose and duration prescribed by your doctor. Do not stop taking it even if your symptoms improve. Stopping the medication too early may cause the infection to return or worsen.
Some common side effects of Noxafil Oral Suspension include cough, headache, nausea, and vomiting. These side effects are generally mild and tend to resolve on their own. However, consult your doctor if any of these symptoms persist or cause concern.

Fact Box

Chemical Class

Phenylpiperazines

Habit Forming

No

Therapeutic Class

ANTI INFECTIVES

Action Class

Fungal Ergosterol Synthesis Inhibitor

References

  1. Bennett JE. Antifungal Agents. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. New York, New York: McGraw-Hill Medical; 2011. pp. 1581-82.
  2. Sheppard D, Lampiris HW. Antifungal Agents. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 841.
  3. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1135-36.
  4. Posaconazole. Kenilworth, New Jersey: Schering Plough; 2006. [Accessed 29 Mar. 2019] (online) Available from:
  5. Central Drugs Standard Control Organisation (CDSCO). [Accessed 29 Mar. 2019] (online) Available from:
  6. Noxafil [Prescribing Information]. Whitehouse Station, NJ: Merck & Co., Inc.; 2015. [Accessed 25 Jul. 2024] (online) Available from:
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User feedback

Thrice A Day
50%
Twice A Day
22%
Four Times A Day
17%
Once A Day
11%
Severe fungal infections
80%
Others
20%
Excellent
46%
Poor
42%
Average
12%
No Side Effect
50%
Nausea
17%
Increased liver enzymes
17%
Insomnia (difficulty in sleeping)
17%
With food
50%
With or without food
50%
Expensive
50%
Not Expensive
39%
Average
11%
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Disclaimer

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: MSD Pharmaceuticals Pvt Ltd
Address: Platina, 8th Floor, C.59, G Block, Bandra Kurla Complex, Bandra (East) , Mumbai - 400098,

Vendor Details

Country of origin: France
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