Lefamulin

Lefamulin is an antibacterial medicine used to treat community-acquired bacterial pneumonia in adults.

Brand names XenletaCitric Buffered Normal Saline
Drug classes ⓘ Calculi Dissolution Agent
Rx Forms 2 Routes Oral · Intravenous
Dr. Brian Staiger, PharmD, BCPS
Reviewed by Last reviewed Jul 10, 2026 Content updated Oct 1, 2026

Built from the FDA-approved label, dated Jul 22, 2026 · How this page is built

✓No current FDA shortage listed · checked Oct 2, 2026
Other forms & routes:
⭐ Lefamulin at a glance The quick version — the full detail is in the Patient Information Guide below.
Dr. Brian Staiger, PharmD, BCPS
The Pharmacist’s Bottom LineWritten from the FDA label in plain language · reviewed by
Lefamulin (Xenleta) is a newer antibiotic specifically approved to treat community-acquired bacterial pneumonia in adults, available as both an IV infusion and an oral tablet. The most important things to keep in mind are the risk of heart rhythm changes (QT prolongation) and the need to avoid it during pregnancy. Take the tablets on an empty stomach, complete the full course, and let your doctor know about all other medications you're taking.
How you get itPrescription only
Comes asInjection, Tablet
On the market since2019
Companies that make it3
FDA label last updatedJul 22, 2026
FDA’s strongest warning (boxed)None on the label

⚡ Quick answers about Lefamulin

What is Xenleta actually used for?

Xenleta is an antibiotic specifically approved to treat community-acquired bacterial pneumonia — that's pneumonia you pick up in the community, not in a hospital.

Read the full answer →

Do I need to take the tablet on an empty stomach?

Yes — this one is important. You should take Xenleta tablets at least 1 hour before eating or 2 hours after a meal.

Read the full answer →

What side effects should I expect, and which ones should make me call my doctor?

The most common side effects with the tablet form are diarrhea, nausea, and vomiting — those are bothersome but usually manageable.

Read the full answer →

Are there any medications I absolutely cannot take with this antibiotic?

Yes, there are some important ones. If you're taking the tablet form of Xenleta, certain medications that affect heart rhythm — like pimozide, or drugs called Class IA or III antiarrhythmics — must not be…

Read the full answer →
🧬 Where this information comes from Click to expand

The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 2 clinical label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →

How we combine label and product data →

📖 Lefamulin: Patient Information Guide

A plain-language walkthrough of Lefamulin — what it treats, how it works, how it’s taken, side effects, warnings and interactions. Tap any section to expand it.

What Lefamulin is used for

▾

Lefamulin (Xenleta) is approved for one specific use in adults: treating community-acquired bacterial pneumonia.

  • Xenleta (IV and oral): Treatment of community-acquired bacterial pneumonia (CABP) in adults caused by susceptible bacteria, including Streptococcus pneumoniae, methicillin-susceptible Staphylococcus aureus, Haemophilus influenzae, Legionella pneumophila, Mycoplasma pneumoniae, and Chlamydophila pneumoniae
  • Xenleta should only be used when a bacterial cause of pneumonia is confirmed or strongly suspected — not for viral infections like the flu
  • Using antibiotics unnecessarily increases the risk of antibiotic-resistant bacteria developing over time

How Lefamulin works

▾

Lefamulin is a pleuromutilin antibiotic — the first in this class approved for use in humans in the United States. It works by binding to the bacterial ribosome, the machinery bacteria use to build proteins. By blocking this process, lefamulin stops bacteria from growing and reproducing, allowing the immune system to clear the infection.

Because it targets a site on the ribosome that is different from other antibiotic classes, lefamulin can be effective against some bacteria that have developed resistance to older antibiotics.

How Lefamulin is taken (dosage)

▾

Lefamulin is taken twice a day, either as an intravenous (IV) infusion in a clinical setting or as an oral tablet. The IV form is infused over 60 minutes per dose and may be used for 5 to 7 days, with the option to switch to tablets to finish the course. The tablet form is taken for 5 days.

  • Xenleta Tablets: Take on an empty stomach — at least 1 hour before or 2 hours after a meal; swallow whole with a full glass of water
  • Missed dose: Take the missed dose as soon as you remember, as long as 8 or more hours remain before the next scheduled dose; otherwise, skip it and resume your normal schedule
  • Patients with severe liver disease may need a different dosing schedule for the IV form; the tablet form is not recommended for moderate or severe liver disease

Dosing details from the FDA-approved label

From the Lefamulin prescribing information (“Dosage and Administration”). Doses are set by your prescriber for your product, condition, kidney function and age — never change a dose on your own.

  • Adults with CABP (intravenous XENLETA Injection)
    • 150 mg every 12 hours by intravenous infusion over 60 minutes, with the option to switch to XENLETA Tablets 600 mg every 12 hours to complete the treatment course
    • Treatment duration 5 to 7 days
    • Infuse over 60 minutes after dilution in 250 mL of 10 mM citrate buffered 0.9% sodium chloride
  • Adults with CABP (XENLETA Tablets)
    • 600 mg orally every 12 hours for 5 days
    • Take at least 1 hour before a meal or 2 hours after a meal; swallow whole with water (6 to 8 ounces)
  • Patients with severe hepatic impairment (Child-Pugh Class C), XENLETA Injection
    • 150 mg infused intravenously over 60 minutes every 24 hours
    • No adjustment for mild (Child-Pugh Class A) or moderate (Child-Pugh Class B) hepatic impairment
  • Patients with moderate (Child-Pugh Class B) or severe (Child-Pugh Class C) hepatic impairment, XENLETA Tablets
    • Not studied and not recommended
    • No dosage adjustment of Tablets for mild hepatic impairment (Child-Pugh Class A)
Read the label’s full dosing text

2 DOSAGE AND ADMINISTRATION For treatment of adults with CABP, the recommended dosage of XENLETA is as follows: *With the option to switch to XENLETA Tablets 600 mg every 12 hours to complete the treatment course. Dosage Treatment Duration 150 mg every 12 hours by intravenous infusion over 60 minutes* ( 2.1 ) 5 to 7 days 600 mg orally every 12 hours. ( 2.1 ) 5 days Patients with Hepatic Impairment : Reduce the dosage of XENLETA Injection to 150 mg infused over 60 minutes every 24 hours in patients with severe hepatic impairment (Child-Pugh Class C). XENLETA Tablets have not been studied in and are not recommended for patients with moderate (Child-Pugh Class B) or severe hepatic impairment ( 2.2 ). Administration Instruction for XENLETA Tablets : Take at least 1 hour before a meal or 2 hours after a meal. Swallow XENLETA Tablets whole with water (6 to 8 ounces). ( 2.3 ) Administration Instruction for XENLETA Injection : Infuse over 60 minutes. ( 2.3 ) See Full Prescribing Information for additional information on the administration and preparation of XENLETA Tablets and Injection. ( 2.4 ) 2.1 Recommended Dosage For treatment of adults with CABP, the recommended dosage of XENLETA is described in Table 1 below. For patients with severe hepatic impairment, dosage adjustment is required [see Dosage and Administration ( 2.2 )] . Table 1: Dosage of XENLETA in Adult CABP Patients *With the option to switch to XENLETA Tablets 600 mg every 12 hours to complete the treatment course. Dosage Treatment Duration 150 mg every 12 hours by intravenous infusion over 60 minutes* 5 to 7 days 600 mg orally every 12 hours 5 days 2.2 Dosage Adjustment for Patients with Hepatic Impairment Monitor patients with hepatic impairment for adverse reactions associated with XENLETA Injection and Tablets throughout the treatment period [see Use in Specific Populations ( 8.6 ) and Clinical Pharmacology ( 12.3 )]. XENLETA Injection Reduce the dosage of XENLETA Injection to 150 mg infused intravenously over 60 minutes every 24 hours for patients with severe hepatic impairment (Child-Pugh Class C). No dosage adjustment of XENLETA Injection is needed for patients with mild (Child-Pugh Class A) or moderate (Child-Pugh Class B) hepatic impairment.

Excerpted — the section continues on the label. Read the full Dosage and Administration section on DailyMed →

Lefamulin side effects in detail

▾

Common side effects

  • Nausea
  • Diarrhea
  • Vomiting
  • Elevated liver enzymes (shown on blood tests)
  • Infusion site reactions (with the IV form)
  • Low potassium levels (hypokalemia)
  • Insomnia
  • Headache

When to get medical help

  • Call your doctor if you notice irregular heartbeat, dizziness, or fainting — these can be signs of a heart rhythm problem (QT prolongation)
  • Get medical help right away for severe or persistent diarrhea, especially if it contains blood or mucus — this could be a serious C. difficile infection
  • Tell your doctor immediately if you are pregnant or think you might be pregnant — lefamulin may harm an unborn baby
  • Contact your doctor if you develop signs of a severe allergic reaction: rash, swelling, or difficulty breathing

The most common side effects differ slightly depending on the form of Xenleta used.

  • Xenleta Injection: Reactions at the infusion site, elevated liver enzymes, nausea, low potassium (hypokalemia), insomnia, headache
  • Xenleta Tablets: Diarrhea, nausea, vomiting, elevated liver enzymes

More serious reactions include heart rhythm changes (QT prolongation) and a severe gut infection called Clostridioides difficile-associated diarrhea (CDAD). Contact your doctor right away if you experience an irregular heartbeat, significant diarrhea, or diarrhea that continues after finishing treatment.

Lefamulin warnings and precautions

▾
  • QT prolongation (heart rhythm change): Lefamulin can affect the heart's electrical system in a way that increases the risk of a dangerous irregular heartbeat. This risk is higher in people with existing heart rhythm problems, low potassium, kidney or liver disease, or those taking other QT-prolonging medications. ECG monitoring may be needed during treatment.
  • Embryo-fetal toxicity: Animal studies show lefamulin can cause serious harm to a developing baby, including birth defects and fetal loss. Pregnancy must be ruled out before starting treatment. Effective contraception is required during treatment and for 2 days after the last dose.
  • C. difficile-associated diarrhea (CDAD): Like all antibiotics, lefamulin can disrupt normal gut bacteria and allow C. difficile to overgrow, causing diarrhea that can range from mild to life-threatening. This can occur even weeks after finishing the antibiotic.
  • Antibiotic resistance: Using lefamulin when it isn't clearly needed contributes to drug-resistant bacteria and reduces its future effectiveness.

Lefamulin interactions: what it interacts with

▾

Lefamulin interacts with several types of medications — some interactions are serious enough to make the combination contraindicated (not allowed).

  • QT-prolonging drugs (e.g., antiarrhythmics like quinidine, amiodarone, sotalol; antipsychotics; erythromycin; moxifloxacin; tricyclic antidepressants): Combining these with lefamulin increases the risk of dangerous heart rhythm problems — avoid if possible
  • Pimozide and other sensitive CYP3A4 substrates that prolong the QT interval: Contraindicated with Xenleta Tablets — lefamulin raises their blood levels, increasing heart rhythm risk
  • Strong CYP3A inducers (e.g., certain seizure medications, rifampin): Lower lefamulin levels in the blood, which may make it less effective — avoid unless benefit outweighs risk
  • Strong CYP3A inhibitors (e.g., certain antifungals, HIV medications): Raise lefamulin levels when using Xenleta Tablets — avoid this combination
  • Sensitive CYP3A substrates (e.g., midazolam, simvastatin, vardenafil, alprazolam, diltiazem, verapamil): Xenleta Tablets can raise the levels of these drugs — monitor closely for side effects of those medications
  • High-fat meals: Eating a large, fatty meal before or with Xenleta Tablets reduces the amount of medicine absorbed — take on an empty stomach

Interactions listed in the FDA-approved label

From the Lefamulin prescribing information (“Drug Interactions”): what the manufacturer studied or reported to the FDA.

  • Strong or moderate CYP3A inducers or P-gp inducers: Concomitant use decreases lefamulin AUC and Cmax, which may reduce the efficacy of XENLETA. Avoid XENLETA unless the benefit outweighs the risk. Monitor for reduced efficacy.
  • Strong CYP3A inhibitors or P-gp inhibitors (XENLETA Tablets): Increases lefamulin AUC, which may increase the risk of adverse reactions with XENLETA Tablets. Avoid concomitant use of XENLETA Tablets.
  • Moderate CYP3A inhibitors or P-gp inhibitors (XENLETA Tablets): May increase lefamulin exposure and the risk of adverse effects of XENLETA Tablets. Monitor for adverse reactions.
  • CYP3A substrates that prolong the QT interval: XENLETA Tablets increase the AUC and Cmax of CYP3A4 substrates, which may increase the risk of toxicities associated with cardiac conduction. Concomitant use is contraindicated.
  • Midazolam and other sensitive CYP3A substrates (e.g., alprazolam, diltiazem, verapamil, simvastatin, vardenafil): XENLETA Tablets increase the AUC and Cmax of sensitive CYP3A4 substrates. Requires close monitoring for adverse effects of these drugs.
  • CYP3A4 substrates with XENLETA Injection: Concomitant use of XENLETA Injection does not affect the exposure of CYP3A4 substrates.
  • Drugs that prolong QT (e.g., Class IA and III antiarrhythmics, antipsychotics, erythromycin, moxifloxacin, tricyclic antidepressants): The pharmacodynamic interaction potential to prolong the QT interval between XENLETA and other drugs that affect cardiac conduction is unknown. Avoid concomitant use of XENLETA Injection and XENLETA Tablets with such drugs.
Read the label’s full interactions text

7 DRUG INTERACTIONS XENLETA Injection Strong or moderate CYP3A inducers or P-gp inducers Avoid XENLETA unless the benefit outweighs the risk. Monitor for reduced efficacy. ( 7.1 ) XENLETA Tablets Strong or moderate CYP3A inducers or P-gp inducers Avoid XENLETA unless the benefit outweighs the risk. Monitor for reduced efficacy. ( 7.1 ) Strong CYP3A inhibitors or P-gp inhibitors Avoid XENLETA. ( 7.1 ) Moderate CYP3A inhibitors or P-gp inhibitors Monitor for adverse reactions. ( 7.1 ) CYP3A substrates that prolong the QT interval Concomitant use is contraindicated. ( 4.2 , 7.2 ) Midazolam and other sensitive CYP3A substrates Monitor for adverse reactions. ( 7.2 ) 7.1 Effect of Other Drugs on XENLETA Strong and Moderate CYP3A Inducers or P-gp Inducers Concomitant use of oral or intravenous XENLETA with strong CYP3A4 inducers or P-gp inducers decreases lefamulin AUC and C max [see Clinical Pharmacology ( 12.3 )] , which may reduce the efficacy of XENLETA. Avoid concomitant use of XENLETA Injection and XENLETA Tablets with strong and moderate CYP3A4 inducers or P-gp inducers unless the benefit outweighs the risks. Strong and Moderate CYP3A Inhibitors or P-gp Inhibitors Concomitant use of XENLETA Tablets with strong CYP3A inhibitors or P-gp inhibitors increases lefamulin AUC [see Clinical Pharmacology ( 12.3 )] , which may increase the risk of adverse reactions with XENLETA Tablets. Avoid concomitant use of XENLETA Tablets with strong CYP3A inhibitors or P-gp inhibitors. Monitor for adverse effects of XENLETA Tablets when administered concomitantly with moderate CYP3A inhibitors or P-gp inhibitors. 7.2 Effect of XENLETA on Other Drugs CYP3A4 Substrates Concomitant use of XENLETA Tablets with sensitive CYP3A4 substrates increases the AUC and C max of CYP3A4 substrates [see Clinical Pharmacology ( 12.3 )] , which may increase the risk of toxicities associated with cardiac conduction.

Excerpted — the section continues on the label. Read the full Drug Interactions section on DailyMed →

Not a complete list. The label covers the interactions the manufacturer studied or reported, and our own interaction database does not cover every medicine either. Bring your full medication list, including vitamins and herbal products, to your pharmacist.

Before taking Lefamulin

▾
  • Allergy: Do not take lefamulin if you are allergic to it, to other pleuromutilin antibiotics, or to any ingredient in Xenleta
  • Heart rhythm problems: Tell your doctor if you have a history of QT prolongation, torsades de pointes, or ventricular arrhythmias — lefamulin may worsen these
  • Liver disease: Xenleta Tablets are not recommended for moderate or severe liver disease; the IV form requires a dose adjustment in severe liver disease
  • Kidney disease/dialysis: No dose adjustment is needed for kidney disease, but patients on dialysis may be at higher risk for heart rhythm changes and should be monitored
  • Pregnancy: Lefamulin may harm an unborn baby based on animal studies; verify you are not pregnant before starting treatment and use effective birth control during treatment and for 2 days after the last dose
  • Breastfeeding: Do not breastfeed during treatment or for 2 days after the last dose — pump and discard milk during this time
  • Children: Xenleta is not approved for anyone under 18 years of age; its safety and effectiveness have not been established in this age group
  • Older adults: Adults 65 and older were included in clinical trials and responded similarly to younger patients; standard precautions apply

Lefamulin overdose: if you take too much

▾

If too much lefamulin is taken, treatment focuses on observation and general supportive care. Lefamulin and its main breakdown product cannot be removed from the body by dialysis, so monitoring and supportive measures are the main approach.

Pharmacodynamics: what Lefamulin does in the body

▾

Lefamulin affects the heart's electrical activity in a concentration-dependent way — meaning higher drug levels cause greater QT interval prolongation (a measurable change on an ECG that reflects the heart's recovery time between beats). In clinical trials, this effect was observed with both the IV and tablet forms. Infusing the IV form faster than recommended or exceeding the recommended dose can increase this effect, which is why the prescribed infusion rate and dose must not be exceeded.

Pharmacokinetics: how your body processes Lefamulin

▾

When taken as a tablet, Xenleta has about 25% oral bioavailability — meaning roughly a quarter of the dose reaches the bloodstream. Eating a high-fat meal before the tablet reduces absorption, which is why it should be taken on an empty stomach. The drug is highly bound to proteins in the blood and spreads well into lung tissue, which is important for treating pneumonia. Lefamulin is broken down mainly by the liver enzyme CYP3A4, with most of it leaving the body through the feces. Its half-life — the time it takes for half the drug to clear the body — is about 8 hours in pneumonia patients, though this is longer in people with severe liver disease.

How to store Lefamulin

▾

XENLETA Injection should be stored at 2°C to 8°C (36°F to 46°F). Store in a refrigerator. Do not freeze.

📄 Written from Lefamulin’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Every point is grounded in that labeling — nothing is invented. How we use AI →

🩺 Lefamulin: pharmacist answers to common questions

Quick, plain-English answers to the questions patients ask most about Lefamulin — the kind of thing our pharmacy team would talk through with you at the counter.

What is Xenleta actually used for?

▾
Xenleta is an antibiotic specifically approved to treat community-acquired bacterial pneumonia — that's pneumonia you pick up in the community, not in a hospital. It works against several types of bacteria that commonly cause pneumonia in adults. It comes as either an IV infusion (given in a clinical setting) or a tablet you take at home, and your doctor will choose the right form for your situation.

Do I need to take the tablet on an empty stomach?

▾
Yes — this one is important. You should take Xenleta tablets at least 1 hour before eating or 2 hours after a meal. Eating a fatty meal before the tablet reduces how much medicine your body absorbs, which could make it less effective. Take it with a full glass of water and swallow the tablet whole — don't crush or break it.

What side effects should I expect, and which ones should make me call my doctor?

▾
The most common side effects with the tablet form are diarrhea, nausea, and vomiting — those are bothersome but usually manageable. You should call your doctor right away if you develop severe diarrhea (especially if it's watery or bloody), notice a rapid or irregular heartbeat, feel very dizzy or faint, or develop a serious allergic reaction like swelling or difficulty breathing. Diarrhea can sometimes be a sign of a serious gut infection called C. difficile, and that can even show up weeks after you finish the antibiotic, so don't ignore it.

Are there any medications I absolutely cannot take with this antibiotic?

▾
Yes, there are some important ones. If you're taking the tablet form of Xenleta, certain medications that affect heart rhythm — like pimozide, or drugs called Class IA or III antiarrhythmics — must not be combined with it. Xenleta can also raise the levels of several other medications in your blood, including some statins, anxiety medications, and blood pressure drugs, so your doctor needs to know everything you're taking. Always bring a full medication list to your appointment.

Can I take this medication if I'm pregnant or trying to get pregnant?

▾
Lefamulin is not safe during pregnancy. Animal studies showed it can cause serious harm to a developing baby, including birth defects and fetal loss. Your doctor will check that you're not pregnant before prescribing it. If you could become pregnant, you need to use effective birth control during treatment and for 2 days after your last dose. If you accidentally become pregnant while taking it, contact your doctor and call 1-888-808-5529 to report the exposure.

Can I breastfeed while taking Xenleta?

▾
No — you should not breastfeed while taking Xenleta or for 2 days after your last dose. Animal studies show that lefamulin passes into milk and could expose a nursing baby to the drug. During that time, pump and discard your milk to keep up your milk supply, then you can resume breastfeeding once it's safe to do so.

Is Lefamulin available over the counter?

▾
Lefamulin is dispensed by prescription according to its FDA labeling, so it isn't sold over the counter. Your prescriber and pharmacist will determine if it's appropriate for you.

When was Lefamulin first available?

▾
Lefamulin has been available in the United States since at least 2019, based on FDA approval history (Drugs@FDA) and product marketing records.

Who makes Lefamulin?

▾
Lefamulin is supplied by 3 manufacturers listed in the FDA NDC Directory, including Nabriva Therapeutics US, Inc., Meitheal Pharmaceuticals Inc., Patheon Italia S.p.A..

💬 Answers drafted from Lefamulin’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Grounded in that labeling — nothing is made up. How we use AI →

🧰 More about Lefamulin on HelloPharmacist

💊 Lefamulin forms and strengths (how it comes)

Lefamulin is available in 2 forms. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.

Injection

By injection · Into a vein
Brands Xenleta
How this form is used
What it may be used for
  • Xenleta Injection is used to treat community-acquired bacterial pneumonia (CABP) in adults caused by susceptible bacteria
  • Xenleta Injection may be followed by a switch to Xenleta Tablets to complete the treatment course
Important instructions
  • Xenleta Injection is administered by intravenous infusion over 60 minutes
  • Xenleta Injection must be diluted in the citric buffered normal saline solution supplied with it before use
  • Xenleta Injection is given every 12 hours for 5 to 7 days, or every 24 hours in patients with severe liver disease
  • Do not add other medications to the Xenleta Injection infusion bag
Available strengths 1 strength
4 FDA-listed product records ⓘ

Tablet

By mouth
Brands Xenleta
How this form is used
What it may be used for
  • Xenleta Tablets are used to treat community-acquired bacterial pneumonia (CABP) in adults caused by susceptible bacteria
  • Xenleta Tablets are not recommended for patients with moderate or severe liver disease
Important instructions
  • Xenleta Tablets should be taken on an empty stomach — at least 1 hour before or 2 hours after a meal
  • Swallow Xenleta Tablets whole with 6 to 8 ounces of water; do not crush or split them
  • Xenleta Tablets are taken every 12 hours for 5 days
  • If you miss a dose, take it as soon as possible — but skip it if less than 8 hours remain before your next dose
Available strengths 1 strength
3 FDA-listed product records ⓘ

📊 Lefamulin on the U.S. market: products, makers and brands

How Lefamulin appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.

3 companies list 7 Lefamulin product records with the FDA, mostly as injection, tablet; the earliest marketing or approval year on record is 2019. Brand names on the directory include Xenleta, Citric Buffered Normal Saline; the rest are generics.

2
Dose forms ⓘ
3
Manufacturers
1
Brand names
7
FDA-listed product records ⓘ
2019
First marketed ⓘ

FDA-listed product records by dose form (tablet variants merged) — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

Nabriva Therapeutics US, Inc.57%
Meitheal Pharmaceuticals Inc.29%
Patheon Italia S.p.A.14%

Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

🔍 Compare Lefamulin products

A representative set of FDA-listed product records for Lefamulin — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)

Strength Route Manufacturer / Labeler Category ⓘ Details
💊Injection
150 mg/15 mL Intravenous Meitheal Pharmaceuticals Inc. NDA View NDC →
150 mg/15 mL Intravenous Nabriva Therapeutics US, Inc. × 2 listings NDA View NDC →
150 mg/15 mL — Patheon Italia S.p.A. DRUG FOR FURTHER PROCESSING View NDC →
💊Tablet
600 mg Oral Meitheal Pharmaceuticals Inc. NDA View NDC →
600 mg Oral Nabriva Therapeutics US, Inc. × 2 listings NDA View NDC →

Showing 7 of 7 products — FDA National Drug Code Directory. See every product, package size and price: browse all 7 Lefamulin NDCs →

RxNorm Concept Web — From Ingredient to Every Form and Strength

This page starts with one ingredient concept (IN). The branches below show its dose-form concepts (SCDF), then the available clinical drug and strength concepts (SCD). Combination products remain separate concepts with their own pages.

Ingredient (IN) Lefamulin RxCUI 2198944 2 dose forms · 2 strengths
  1. Dose form (SCDF) Injection RxCUI 2198947 In current FDA listings
    Clinical drug / strength (SCD) 15 ML lefamulin 10 MG/ML RxCUI 2198948
  2. Dose form (SCDF) Oral Tablet RxCUI 2198960 In current FDA listings
    Clinical drug / strength (SCD) 600 MG RxCUI 2198961

Look up RxCUI 2198944 in the RxCUI Atlas →

RxNorm is the U.S. National Library of Medicine’s normalized drug vocabulary. Its concept hierarchy can include forms that are not currently marketed; the status on each branch compares that concept with current FDA listings. RxCUIs identify vocabulary concepts, not individual packages or manufacturers.

🏷️ Lefamulin brand names

Lefamulin is sold under 2 brand names in the FDA directory — Xenleta, Citric Buffered Normal Saline. A brand and its generic contain the same active ingredient; the brand name belongs to one company's product.

Xenleta Citric Buffered Normal Saline

🏭 Who makes Lefamulin: manufacturers and labelers

3 companies list Lefamulin products with the FDA. By number of product records, the largest are Nabriva Therapeutics US, Inc., Meitheal Pharmaceuticals Inc., Patheon Italia S.p.A.. Labelers include manufacturers and repackagers; the product in your bottle depends on which one your pharmacy stocks.

Nabriva Therapeutics US, Inc. 4 Meitheal Pharmaceuticals Inc. 2 Patheon Italia S.p.A. 1

Lefamulin drug class (RxNorm)

Lefamulin belongs to the Pleuromutilin Antibacterial class.

Pharmacologic class Pleuromutilin Antibacterial
Drug family (ATC) Other antibacterials
How it works Cytochrome P450 3A4 Inhibitors, Cytochrome P450 3A Inhibitors

Classified by RxNorm RxClass — the U.S. National Library of Medicine's standardized drug-classification service (Established Pharmacologic Class from the FDA, the ATC drug family from the WHO, and mechanism of action). Reference only, not medical advice.

🔬 Sources for this Lefamulin page

Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.

📄
FDA-filed drug labels (SPL) Uses, dosing, warnings & side effects from SPL records retrieved through openFDA; the linked representative set can be verified on DailyMed. ✓ Linked label effective Jul 22, 2026
🏭
Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Lefamulin.
📈
Real-world reportsThe FDA Adverse Event Reporting System (FAERS), served through openFDA.
🚨
Recalls & shortagesopenFDA drug-enforcement reports and the FDA drug-shortage database.
🧾 Clinical label set — FDA-filed SPL labels retained for Lefamulin after exact ingredient or ingredient-combination matching and applicable route/form matching
Clinical labels in scope
2
NDC products indexed
7
Distinct labelers/manufacturers represented
3
Linked representative label ⓘ
Meitheal Pharmaceuticals Inc.
Linked label effective
Jul 22, 2026
Composite sections available
21
Linked SPL Set ID
eb972ea8-7502-422e-84bb-66cb8e93ca06
Linked SPL Document ID
b9951406-492b-4420-89cc-24fd655824b3
Open the linked representative label on DailyMed ↗

How we combine label and product data

HelloPharmacist combines public FDA and NLM records; we don’t author the underlying clinical facts. We identified 2 FDA-filed SPL label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. The representative label is the starting point for the displayed reference monograph; the 12 largest stored in-scope SPL records, which may include that representative, are compared section by section, and the longest available version of each section is retained. Forms, routes, brands, labelers, product-listed strengths, and product-record counts are aggregated separately from ingredient-matched FDA NDC Directory records; package records listed above are associated with the linked SPL; and the normalized concept hierarchy comes from NLM RxNorm.

For canonical ingredient pages, bounded product-attributed indication and administration excerpts may be added to the AI evidence, and the generator is instructed to preserve available product, brand, route, and form qualifiers instead of treating one label as universal. Where a section is identified as AI-written, its plain-language text is generated from bounded label evidence. New draft drug pages remain in the admin review queue before first publication. Meitheal Pharmaceuticals Inc. is the representative DailyMed label linked for verification and dates; it is not the sole source used for the page.

This is general education, not medical advice — always consult your doctor or pharmacist about your medications and any medical condition. For the exact wording of the linked representative label, view that label on DailyMed; some displayed composite sections may come from other in-scope SPL labels. Learn how we use AI and our data sources & update cadence.