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Prescription medicine

Defibrotide Brand names: Defitelio

Defibrotide (Defitelio) is a prescription medicine with an FDA approval on record since 2016. No generic is listed in FDA's NDC Directory.

  • No generic listed

Check it at the source: the defibrotide FDA label on DailyMed (effective July 1, 2025, Jazz Pharmaceuticals, Inc.); the NDA 208114 record on Drugs@FDA; every defibrotide label on DailyMed.

Highlights of the record

FDA label of July 1, 2025; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Used for

From the label: indications and usage

DEFITELIO is indicated for the treatment of adult and pediatric patients with hepatic veno-occlusive disease (VOD), also known as sinusoidal obstruction syndrome (SOS), with renal or pulmonary dysfunction following hematopoietic stem-cell transplantation (HSCT).

Forms and strengths

  • 80 mg/ml

Injection (solution).

On the market

Earliest approval on file
March 30, 2016 Defitelio, Jazz Pharms Inc; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
No generic approved
Labelers listed (NDC)
1 of which 0 under generic applications, 1 under brand applications, repackagers included
Last listed patent
June 22, 2032 Defitelio injection; not a generic launch date

Supply and safety

Pharmacy cost (NADAC)
Not in the survey
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
3,546 through July 30, 2026

What is defibrotide used for?

From the label: indications and usage

DEFITELIO is indicated for the treatment of adult and pediatric patients with hepatic veno-occlusive disease (VOD), also known as sinusoidal obstruction syndrome (SOS), with renal or pulmonary dysfunction following hematopoietic stem-cell transplantation (HSCT). DEFITELIO is indicated for the treatment of adult and pediatric patients with hepatic veno-occlusive disease (VOD), also known as sinusoidal obstruction syndrome (SOS), with renal or pulmonary dysfunction following hematopoietic stem-cell transplantation (HSCT).

Source: FDA drug label (DEFITELIO), Jazz Pharmaceuticals, Inc., effective July 1, 2025 (SPL set 2c3db989-d7ad-41ed-9ebf-698dcf6c24ec), via openFDA; the full label on DailyMed

Is there a generic for defibrotide (Defitelio)?

No generic defibrotide is approved (Drugs@FDA, October 8, 2026).

The Orange Book lists 5 patents for Defitelio injection, the last expiring on June 22, 2032. A patent or exclusivity date is not the date a generic goes on sale: court cases and settlements move it either way.

  • 2016 earliest approval on file
  • 2032 last listed patent

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What does the defibrotide label say about other medicines?

The defibrotide label names 2 other medicines in its interaction, contraindication or warning sections. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
Alteplasedrug interactionsDRUG INTERACTIONS Antithrombotic Agents DEFITELIO may enhance the pharmacodynamic activity of antithrombotic/fibrinolytic drugs such as heparin or alteplase.
Heparindrug interactionsDRUG INTERACTIONS Antithrombotic Agents DEFITELIO may enhance the pharmacodynamic activity of antithrombotic/fibrinolytic drugs such as heparin or alteplase.

Check defibrotide against other medicines

Source: FDA drug label (DEFITELIO), Jazz Pharmaceuticals, Inc., effective July 1, 2025 (SPL set 2c3db989-d7ad-41ed-9ebf-698dcf6c24ec), via openFDA; the full label on DailyMed

What do FAERS reports show for defibrotide?

The FDA Adverse Event Reporting System holds 3,546 reports that list defibrotide among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 1,730 are coded as a death and 762 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

Reports received each year

The most reported reactions

  • Off Label Use (a use or a product term, not a reaction)1,236
  • Venoocclusive Disease564
  • Death (an outcome recorded in the report)458
  • Multiple Organ Dysfunction Syndrome343
  • Venoocclusive Liver Disease336
  • Intentional Product Use Issue (a use or a product term, not a reaction)198
  • Hypotension (named in the label)159
  • Haemorrhage (named in the label)155

Side effects: the label's list and every FAERS reaction

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What next?

Defibrotide side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other