Skip to main content

Prescription medicine

Foscarnet Brand names: Foscavir

Foscarnet (Foscavir) is a prescription medicine with an FDA approval on record since 1991. FDA's NDC Directory lists it from 9 generic labelers.

  • Generic listed
  • Boxed warning

Check it at the source: the foscarnet FDA label on DailyMed (effective December 11, 2025, Clinigen Limited); the NDA 20068 record on Drugs@FDA; every foscarnet label on DailyMed.

Highlights of the record

FDA label of December 11, 2025; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Boxed warning

RENAL IMPAIRMENT IS THE MAJOR TOXICITY OF FOSCAVIR. FREQUENT MONITORING OF SERUM CREATININE, WITH DOSE ADJUSTMENT FOR CHANGES IN RENAL FUNCTION, AND ADEQUATE HYDRATION WITH ADMINISTRATION OF FOSCAVIR IS IMPERATIVE..

(See ADMINISTRATION section; Hydration. ) SEIZURES, RELATED TO ALTERATIONS IN PLASMA MINERALS AND ELECTROLYTES, HAVE BEEN ASSOCIATED WITH FOSCAVIR TREATMENT. THEREFORE, PATIENTS MUST BE CAREFULLY MONITORED FOR SUCH CHANGES AND THEIR POTENTIAL SEQUELAE. MINERAL AND ELECTROLYTE SUPPLEMENTATION MAY BE REQUIRED. FOSCAVIR IS INDICATED FOR USE ONLY IN IMMUNOCOMPROMISED PATIENTS WITH CMV RETINITIS AND MUCOCUTANEOUS ACYCLOVIR-RESISTANT HSV INFECTIONS. (See INDICATIONS section).

Used for

From the label: indications and usage

CMV Retinitis FOSCAVIR is indicated for the treatment of CMV retinitis in patients with acquired immunodeficiency syndrome (AIDS).

Forms and strengths

  • 24 mg/ml
  • 6000 mg/250ml

Injection (solution); injection.

On the market

Earliest approval on file
September 27, 1991 Foscavir, Clinigen Hlthcare; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
7 first May 31, 2005; 6 with a marketed status in Drugs@FDA
Labelers listed (NDC)
10 of which 9 under generic applications, 1 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
Not in the survey
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
0 since 2023 0 Class I among all firms' recalls; 1 more by firms not listed as its makers
FAERS reports
3,971 through July 30, 2026

What is foscarnet used for?

From the label: indications and usage

CMV Retinitis FOSCAVIR is indicated for the treatment of CMV retinitis in patients with acquired immunodeficiency syndrome (AIDS). Combination therapy with FOSCAVIR and ganciclovir is indicated for patients who have relapsed after monotherapy with either drug. SAFETY AND EFFICACY OF FOSCAVIR HAVE NOT BEEN ESTABLISHED FOR TREATMENT OF OTHER CMV INFECTIONS (e.g., PNEUMONITIS, GASTROENTERITIS); CONGENITAL OR NEONATAL CMV DISEASE; OR NONIMMUNOCOMPROMISED INDIVIDUALS. Mucocutaneous Acyclovir Resistant HSV Infections FOSCAVIR is indicated for the treatment of acyclovir-resistant mucocutaneous HSV infections in immunocompromised patients. […]

FDA pharmacologic class: Pyrophosphate Analog DNA Polymerase Inhibitor.

Source: FDA drug label (Foscavir), Clinigen Limited, effective December 11, 2025 (SPL set 90e3da4e-3b1f-428b-99ca-e4bed1c80028), via openFDA; the full label on DailyMed

Is there a generic for foscarnet (Foscavir)?

The FDA approved the first generic foscarnet on May 31, 2005. 7 generic applications are approved; 6 of them carry a current (not discontinued) marketing status in Drugs@FDA; that status is not evidence that the generic is on sale.

FDA's NDC Directory lists foscarnet from 9 labelers under a generic (ANDA) application and from 1 brand labeler. A listing means the company has registered the product for sale; it does not show that every pharmacy stocks it.

  • 1991 earliest approval on file
  • 2005 first generic approved
  • red ticks recalls

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

Has foscarnet been recalled?

The FDA's Enforcement Report lists 1 recall naming foscarnet since 2023: 0 Class I (the most serious), 1 Class II, 0 Class III; 0 still ongoing. 1 of them is by a firm that FDA's NDC Directory does not list as a maker of foscarnet and that holds no application for it in Drugs@FDA, such as compounding pharmacies or bulk-ingredient suppliers; the recall notice names the product recalled. A recall names products and lots, not every product of the medicine.

StartedClassCompanyReason
October 2, 2023Class IIPine Pharmaceuticals, LLC not a listed makerLack of Assurance of Sterility

Source: FDA Enforcement Report (drug recalls) via openFDA, through October 8, 2026

What does the foscarnet label say about other medicines?

The foscarnet label names 11 other medicines in its interaction, contraindication or warning sections. The labels of 3 other medicines name foscarnet. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
Acyclovirdrug interactionsBecause of foscarnet's tendency to cause renal impairment, the use of FOSCAVIR should be avoided in combination with potentially nephrotoxic drugs such as aminoglycosides, amphotericin B, cyclosporine, acyclovir, methotrexate, tacrolimus and intravenous pentamidine (see above) unless the potential benefits outweigh …
Amiodaronedrug interactions… prolong the QT interval including Class IA (e.g., quinidine or procainamide) or Class III (e.g., dofetilide, amiodarone, sotalol) antiarrhythmic agents, phenothiazines, tricyclic antidepressants, and certain macrolides and fluoroquinolones.
Amphotericin bdrug interactionsBecause of foscarnet's tendency to cause renal impairment, the use of FOSCAVIR should be avoided in combination with potentially nephrotoxic drugs such as aminoglycosides, amphotericin B, cyclosporine, acyclovir, methotrexate, tacrolimus and intravenous pentamidine (see above) unless the potential benefits outweigh …
Cyclosporinedrug interactionsBecause of foscarnet's tendency to cause renal impairment, the use of FOSCAVIR should be avoided in combination with potentially nephrotoxic drugs such as aminoglycosides, amphotericin B, cyclosporine, acyclovir, methotrexate, tacrolimus and intravenous pentamidine (see above) unless the potential benefits outweigh …
Dofetilidedrug interactions… known to prolong the QT interval including Class IA (e.g., quinidine or procainamide) or Class III (e.g., dofetilide, amiodarone, sotalol) antiarrhythmic agents, phenothiazines, tricyclic antidepressants, and certain macrolides and fluoroquinolones.
Methotrexatedrug interactionsBecause of foscarnet's tendency to cause renal impairment, the use of FOSCAVIR should be avoided in combination with potentially nephrotoxic drugs such as aminoglycosides, amphotericin B, cyclosporine, acyclovir, methotrexate, tacrolimus and intravenous pentamidine (see above) unless the potential benefits outweigh …
Procainamidedrug interactions… avoided in combination with agents known to prolong the QT interval including Class IA (e.g., quinidine or procainamide) or Class III (e.g., dofetilide, amiodarone, sotalol) antiarrhythmic agents, phenothiazines, tricyclic antidepressants, and certain macrolides and fluoroquinolones.
Quinidinedrug interactions… FOSCAVIR should be avoided in combination with agents known to prolong the QT interval including Class IA (e.g., quinidine or procainamide) or Class III (e.g., dofetilide, amiodarone, sotalol) antiarrhythmic agents, phenothiazines, tricyclic antidepressants, and certain macrolides and fluoroquinolones.
Ritonavirdrug interactionsAbnormal renal function has been observed in clinical practice during the use of FOSCAVIR and ritonavir, or FOSCAVIR, ritonavir, and saquinavir. (See DOSAGE and ADMINISTRATION. ) Because of the risk of QT prolongation and the potential for torsades de pointes, the use of FOSCAVIR should be avoided in combination with …
Sotaloldrug interactions… interval including Class IA (e.g., quinidine or procainamide) or Class III (e.g., dofetilide, amiodarone, sotalol) antiarrhythmic agents, phenothiazines, tricyclic antidepressants, and certain macrolides and fluoroquinolones.
Tacrolimusdrug interactionsBecause of foscarnet's tendency to cause renal impairment, the use of FOSCAVIR should be avoided in combination with potentially nephrotoxic drugs such as aminoglycosides, amphotericin B, cyclosporine, acyclovir, methotrexate, tacrolimus and intravenous pentamidine (see above) unless the potential benefits outweigh …

Other labels that name foscarnet

Check foscarnet against other medicines

Source: FDA drug label (Foscavir), Clinigen Limited, effective December 11, 2025 (SPL set 90e3da4e-3b1f-428b-99ca-e4bed1c80028), via openFDA; the full label on DailyMed

What do FAERS reports show for foscarnet?

The FDA Adverse Event Reporting System holds 3,971 reports that list foscarnet among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 1,322 are coded as a death and 1,476 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)876
  • Drug Ineffective (a use or a product term, not a reaction)627
  • Drug Resistance508
  • Cytomegalovirus Infection394
  • Acute Kidney Injury325
  • Pancytopenia (named in the label)283
  • Renal Impairment (named in the label)256
  • Pathogen Resistance244

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?

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