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Prescription medicine

Oritavancin Brand names: Kimyrsa, Orbactiv

Oritavancin (Orbactiv) is a prescription medicine with an FDA approval on record since 2014. No generic is listed in FDA's NDC Directory.

  • No generic listed

Check it at the source: the oritavancin FDA label on DailyMed (effective December 18, 2025, Melinta Therapeutics, LLC); the NDA 206334 record on Drugs@FDA; every oritavancin label on DailyMed.

Highlights of the record

FDA label of December 18, 2025; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Used for

From the label: indications and usage

KIMYRSA is a lipoglycopeptide antibacterial drug indicated for the treatment of adult patients with acute bacterial skin and skin structure infections caused or suspected to be caused by susceptible isolates of designated Gram-positive microorganisms.

Forms and strengths

  • 400 mg
  • 1200 mg/40ml

Injection (powder) (lyophilized) for solution.

On the market

Earliest approval on file
August 6, 2014 Orbactiv, Melinta Therap; Drugs@FDA’s file, where older or withdrawn approvals can be missing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
July 16, 2035 Orbactiv 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
297 through July 30, 2026

What is oritavancin used for?

From the label: indications and usage

KIMYRSA is a lipoglycopeptide antibacterial drug indicated for the treatment of adult patients with acute bacterial skin and skin structure infections caused or suspected to be caused by susceptible isolates of designated Gram-positive microorganisms. ( 1.1 ) To reduce the development of drug-resistant bacteria and maintain the effectiveness of KIMYRSA and other antibacterial drugs, KIMYRSA should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria. […]

FDA pharmacologic class: Lipoglycopeptide Antibacterial.

Source: FDA drug label (Kimyrsa), Melinta Therapeutics, LLC, effective December 18, 2025 (SPL set 5e755c40-6e73-4572-b474-4d8a131693d1), via openFDA; the full label on DailyMed

Is there a generic for oritavancin (Orbactiv)?

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

The Orange Book lists 4 patents for Orbactiv injection, the last expiring on July 16, 2035. A patent or exclusivity date is not the date a generic goes on sale: court cases and settlements move it either way.

  • 2014 earliest approval on file
  • 2035 last listed patent

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

What does the oritavancin label say about other medicines?

The oritavancin 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
HeparincontraindicationsCONTRAINDICATIONS Use of intravenous unfractionated heparin sodium is contraindicated for 120 hours (5 days) after KIMYRSA administration. ( 4.1 , 5.1 ) Known hypersensitivity to oritavancin products.
Warfarindrug interactionsPatients should be closely monitored for signs of toxicity or lack of efficacy if they have been given KIMYRSA while on a potentially affected compound (e.g., patients should be monitored for bleeding if concomitantly receiving KIMYRSA and warfarin).

Check oritavancin against other medicines

Source: FDA drug label (Kimyrsa), Melinta Therapeutics, LLC, effective December 18, 2025 (SPL set 5e755c40-6e73-4572-b474-4d8a131693d1), via openFDA; the full label on DailyMed

What do FAERS reports show for oritavancin?

The FDA Adverse Event Reporting System holds 297 reports that list oritavancin among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 5 are coded as a death and 30 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.

The most reported reactions

  • Multiple Use Of Single-Use Product109
  • Chills (named in the label)92
  • Infusion Related Reaction (named in the label)67
  • Off Label Use (a use or a product term, not a reaction)49
  • Back Pain (named in the label)42
  • Dyspnoea38
  • Pruritus (named in the label)37
  • Tremor (named in the label)36

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?

Alternatives to oritavancin
medicines labeled for the same conditions
Other lipoglycopeptide antibacterials
the pharmacologic class, with prices and generics
Oritavancin side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other