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Esbriet
Pirfenidone
$1725.00
267mg · 3 × 90 tablets · 3 months supply
BrandBranded medicine
$575.00 per month
Strength
How long a supply?
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Annual cost
$6900a year at this pack size
Prescription required
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267mg
801mg
About Esbriet
Overview
Esbriet is a prescription medicine containing pirfenidone. It is available as film-coated tablets and is used to treat idiopathic pulmonary fibrosis (IPF). How pirfenidone works to treat IPF has not been established.
What it treats
Idiopathic pulmonary fibrosis (IPF).
Safety information
Side effects
Common side effects include nausea, rash, stomach pain, upper respiratory tract infections, diarrhea, tiredness, headache, reduced appetite, indigestion, dizziness, vomiting, acid reflux, sinusitis, difficulty sleeping, weight loss and joint pain. Serious side effects include raised liver enzymes and liver injury, including severe cases that have been fatal. Liver blood tests are needed before and during treatment. Contact a doctor if you develop a rash or a skin reaction after exposure to sunlight. Avoid sunlight and sunlamps, and wear sunscreen and protective clothing daily. Severe skin reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis and DRESS (a drug reaction that can affect the skin and other organs), have been reported. Stop taking Esbriet and seek medical help immediately if you develop signs of a severe skin reaction. Contact your doctor about troublesome nausea, vomiting, diarrhea, indigestion, acid reflux or stomach pain. Side effects may require your prescriber to adjust or stop treatment.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
Esbriet is not recommended for people with severe liver impairment or end-stage kidney disease requiring dialysis. People with liver or kidney impairment need monitoring for adverse reactions; their prescriber may need to adjust or stop treatment. Esbriet can cause liver enzyme elevations and liver injury, including severe and fatal cases. Liver blood tests are needed before and during treatment. Avoid sunlight and sunlamps, and use sunscreen and protective clothing daily because Esbriet can cause sensitivity to sunlight and rash. Severe skin reactions, including Stevens–Johnson syndrome, toxic epidermal necrolysis and DRESS, have been reported. Treatment must be interrupted if signs or symptoms occur and permanently stopped if a severe skin reaction is confirmed. Nausea, vomiting, diarrhoea, indigestion, acid reflux and abdominal pain may require treatment changes or stopping treatment. Smoking can reduce exposure to Esbriet and may affect its effectiveness.
Interactions
Tell your doctor if you take fluvoxamine or ciprofloxacin. These medicines can increase the amount of pirfenidone in your body and may affect its side effects. Your doctor may need to stop fluvoxamine before you start Esbriet or adjust your Esbriet dose. Do not stop or change either medicine without your doctor’s advice.
Using Esbriet
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store below 25°C in a dry place, in the original pack, away from direct light and moisture. Do not keep it in a bathroom. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label ESBRIET (PIRFENIDONE) CAPSULE ESBRIET (PIRFENIDONE) TABLET, COATED [GENENTECH, INC.] (DailyMed, retrieved 19 September 2026).
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