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anidulafungin

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Brand names: Eraxis

Echinocandin Antifungal Rx

Eraxis is an antifungal medicine. It treats certain Candida infections in your body.

What it does

Eraxis treats candidemia and other Candida infections, like intra-abdominal abscesses and peritonitis.

Common side effects

Low potassium levels, Nausea, Diarrhea

Key warnings

Eraxis can cause liver problems.

How It Works

Eraxis belongs to a class of drugs called echinocandins. It works by stopping the growth of the fungus Candida. It does this by blocking a key part of the fungal cell wall.

How to Take It

Eraxis is given to you through a vein (IV). The medicine is mixed with sterile water and then with a solution like dextrose or saline. The IV should be given slowly, at a rate no faster than 1.1 mg per minute. Your doctor will decide the right dose and how long you need treatment.

Pregnancy & Breastfeeding

Eraxis may harm your unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. It is not known if Eraxis passes into breast milk. Talk to your doctor about the risks and benefits of breastfeeding while taking Eraxis.

Missed Dose

Call your doctor right away if you miss a dose of Eraxis. They will tell you when to get your next dose.

Storage

Keep Eraxis vials in the refrigerator between 36°F and 46°F (2°C – 8°C). Do not freeze.

Side Effects (from patient reports)

Based on 1,376 FDA adverse event reports.

The medicine did not work
367
Many organs stop working right
171
Using the medicine for something it's not approved for
164
Dangerous drop in blood pressure due to infection
127
Blood infection
115
Lung infection
94
Fever
90
Yeast infection
89
Death
81
Low white blood cell count
78

FDA Adverse Event Report Analysis

Detailed analysis of 1,527 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2006–2025.

Total Reports

1,527

Death-Related Reports

665

Hospitalization Reports

741

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 565 (40%)
Male 828 (59%)

Age Distribution

0–17 57
18–44 289
45–64 484
65–74 329
75+ 106

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DRUG INEFFECTIVE 367
2 MULTIPLE ORGAN DYSFUNCTION SYNDROME 171
3 OFF LABEL USE 164
4 SEPTIC SHOCK 127
5 SEPSIS 115
6 PNEUMONIA 94
7 PYREXIA 90
8 CANDIDA INFECTION 89
9 DEATH 81
10 NEUTROPENIA 78
11 RENAL FAILURE 68
12 RESPIRATORY FAILURE 63
13 CONDITION AGGRAVATED 59
14 DRUG RESISTANCE 58
15 HYPOTENSION 57

Reactions in Death Reports

DRUG INEFFECTIVE 232
MULTIPLE ORGAN DYSFUNCTION SYNDROME 147
SEPTIC SHOCK 87
DEATH 81
SEPSIS 75
OFF LABEL USE 65
PNEUMONIA 56
RENAL FAILURE 47
DISSEMINATED INTRAVASCULAR COAGULATION 44
NEUTROPENIA 43

Reactions in Hospitalization Reports

DRUG INEFFECTIVE 196
MULTIPLE ORGAN DYSFUNCTION SYNDROME 94
SEPTIC SHOCK 80
OFF LABEL USE 74
PYREXIA 63
SEPSIS 62
PNEUMONIA 42
ACUTE KIDNEY INJURY 41
ENTEROCOCCAL INFECTION 40
RESPIRATORY FAILURE 40

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Eraxis can cause liver problems. Your doctor should check your liver function while you are taking Eraxis. Allergic reactions, including shock, can happen. Tell your doctor right away if you have any signs of an allergic reaction, like rash, hives, flushing, itching, trouble breathing, or low blood pressure. Eraxis contains fructose. If you have hereditary fructose intolerance, you should not take Eraxis.

Known Drug Interactions

7 DRUG INTERACTIONS 7.1 Cyclosporine Administration of multiple doses of anidulafungin and cyclosporine to healthy subjects resulted in no significant alteration in the steady state pharmacokinetics of either drug. No dosage adjustment of cyclosporine or anidulafungin is needed when the two drugs are co-administered [see Clinical Pharmacology (12.3) ] .

Mechanism: These two drugs do not change how the body processes or breaks down each other. They can be used together without affecting the amount of medicine in your blood.

What to do: No dose changes are needed when taking these two medications at the same time.

7.4 Rifampin Administration of multiple doses of anidulafungin and rifampin to patients resulted in no significant alteration in the steady state pharmacokinetics of anidulafungin. No dosage adjustment of anidulafungin is needed when it is co-administered with rifampin [see Clinical Pharmacology (12.3) ] .

Mechanism: Taking these medicines together does not change the level of either drug in your system. They do not interfere with how the body handles the medication.

What to do: You do not need to adjust your dosage when these drugs are used together.

7.2 Voriconazole Administration of multiple doses of anidulafungin and voriconazole to healthy subjects resulted in no significant alteration in the steady state pharmacokinetics of either drug. No dosage adjustment of voriconazole or anidulafungin is needed when the two drugs are co-administered [see Clinical Pharmacology (12.3) ] .

Mechanism: These drugs do not affect how the body uses or removes either medication. Their levels in the blood stay the same when they are taken together.

What to do: No dosage adjustments are necessary for either drug when used together.

7.5 Amphotericin B Liposome for Injection Administration of multiple doses of anidulafungin and liposomal amphotericin B to patients resulted in no significant alteration in the steady state pharmacokinetics of anidulafungin. No dosage adjustment of anidulafungin is needed when it is co-administered with liposomal amphotericin B [see Clinical Pharmacology (12.3) ] .

Mechanism: These medications do not interfere with each other's levels in the body. They do not change how the body processes the medicine.

What to do: No dose adjustment is required when taking these two medications together.

Common Questions

How long will I need to take Eraxis?
Your doctor will decide how long you need to take Eraxis based on how well you respond to the medicine. You will likely need to take it for at least 14 days after your last positive culture.
Can Eraxis be given to children?
Yes, Eraxis can be used in children 1 month of age and older for certain Candida infections.
What should I tell my doctor before taking Eraxis?
Tell your doctor if you are allergic to any medicines, have liver problems, or have hereditary fructose intolerance. Also, tell your doctor if you are pregnant or breastfeeding.
Can I take other medicines with Eraxis?
Eraxis does not seem to interact with many other medicines. However, always tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
What is a loading dose?
A loading dose is a higher dose given at the start of treatment. It helps get the medicine into your system quickly.
How will Eraxis be given to me?
Eraxis will be given to you through an IV (into your vein) by a healthcare provider.
What if I have side effects from Eraxis?
Tell your doctor about any side effects you have while taking Eraxis. They may be able to help you manage them.
Can Eraxis cure my infection?
Eraxis helps to treat your infection. It may not cure it completely, but it can help you get better.
What does 'not approved' mean for Esophageal candidiasis in children?
It means that Eraxis has not been tested and approved to treat Esophageal candidiasis in children.
What is Candida?
Candida is a type of fungus that can cause infections in the body.
What are the common side effects of anidulafungin?
The most commonly reported side effects of anidulafungin include Low potassium levels, Nausea, Diarrhea, Vomiting, Fever. Based on 1,376 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does anidulafungin interact with other medications?
Yes, anidulafungin has 4 known drug interactions. Notable interactions include cyclosporine, rifampin, voriconazole. Always inform your doctor about all medications you are taking.
What drug class is anidulafungin?
anidulafungin belongs to the Echinocandin Antifungal drug class. It requires a prescription (Rx). Eraxis treats candidemia and other Candida infections, like intra-abdominal abscesses and peritonitis.
Is anidulafungin safe during pregnancy?
Eraxis may harm your unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for anidulafungin

The FDA label for anidulafungin (sold under brand names such as Eraxis) classifies it as a prescription-only medication in the Echinocandin Antifungal class. Eraxis treats candidemia and other Candida infections, like intra-abdominal abscesses and peritonitis. Official labeling lists 17 commonly reported side effects, including Low potassium levels, Nausea, Diarrhea.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 1,376 voluntary reports. The database also lists 4 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated minor severity. Acquisition-cost data is surveyed weekly by CMS and updated as manufacturers report changes.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: August 19, 2025

All federal data sources used on this page