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🏅 FDA Orphan Designation

IMPAVIDO

miltefosine

Manufacturer: Knight Therapeutics (USA)

Indicated for:
LeishmaniasisOrphanCutaneous small vessel vasculitisWound botulismPrimary hypomagnesemia with secondary hypocalcemiaNeonatal intrahepatic cholestasis due to citrin deficiency
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Black Box Warning (Boxed Warning)

A Boxed Warning is the FDA's strongest safety warning — it indicates serious or life-threatening risks identified during clinical trials or post-market surveillance. It does not mean the medication is unsafe for all patients; your prescriber weighs these risks against the benefits for your specific situation. Source: FDA-approved prescribing information.

View full prescribing information on DailyMed (NLM) ↗

FDA-Approved Indications (5)

LeishmaniasisOrphan Designation

Treatment of visceral leishmaniasis due to Leishmania donovani; cutaneous leishmaniasis due to Leishmania braziliensis, Leishmania guyanensis, and Leishmania panamensis; and mucosal leishmaniasis due

treatment of cutaneous leishmaniasis caused by Leishmania braziliensis

Population: adults and adolescents ≥12 years of age weighing ≥30 kg

treatment of cutaneous leishmaniasis caused by Leishmania guyanensis

Population: adults and adolescents ≥12 years of age weighing ≥30 kg

treatment of visceral leishmaniasis caused by Leishmania donovani

Population: adults and adolescents ≥12 years of age weighing ≥30 kg

treatment of mucosal leishmaniasis caused by Leishmania braziliensis

Population: adults and adolescents ≥12 years of age weighing ≥30 kg

Indications & Usage

1 INDICATIONS AND USAGE IMPAVIDO (miltefosine) capsules are indicated in adults and adolescents ≥12 years of age weighing ≥ 30 kg for the treatment of: Visceral leishmaniasis caused by Leishmania donovani [see Clinical Trials ( 14.1 )] . Cutaneous leishmaniasis caused by Leishmania braziliensis , Leishmania guyanensis , and Leishmania panamensis [see Clinical Trials ( 14.2 )] . Mucosal leishmaniasis caused by Leishmania braziliensis [see Clinical Trials ( 14.3 )] . Limitations of Use: Leishmania species studied in clinical trials evaluating IMPAVIDO were based on epidemiologic data [see Clinical Trials ( 14.1 , 14.2 )] . There may be geographic variation in clinical response of the same Leishmania species to IMPAVIDO [see Clinical Trials ( 14.1 , 14.2 )] . The efficacy of IMPAVIDO in the treatment of other Leishmania species has not been evaluated. IMPAVIDO is an antileishmanial drug indicated in adults and adolescents ≥12 years of age weighing ≥30 kg (66 lbs) for treatment of: Visceral leishmaniasis due to Leishmania donovani ( 1 ). Cutaneous leishmaniasis due to Leishmania braziliensis, Leishmania guyanensis, and Leishmania panamensis ( 1 ). Mucosal leishmaniasis due to Leishmania braziliensis ( 1 ). Limitations of use : Leishmania species evaluated in clinical trials were based on epidemiologic data. There may be geographic variation in the response of the same Leishmania species to IMPAVIDO ( 1 , 14 ). The efficacy of IMPAVIDO in the treatment of other Leishmania species has not been evaluated.

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Medical disclaimer: This information is for educational purposes only. Always consult a qualified healthcare provider before making treatment decisions. Data sourced from FDA and current as of our last update.