dotMD.com
Azole Antifungal • Prescription (Rx)

Oteseconazole

Brand Names: Vivjoa

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-07-01 • RxNorm RxCUI RXN-74695823-3238 • 7 Linked .gov / PubMed Citations • Governance: Dr. Priya Nair, MD, FAAD (NPI #1295730425)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Oteseconazole Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

82%
Patient “Worth It” (18)
$69.25
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

Ask our AI Specialists anything about Oteseconazole

3 of 3 Free Questions Remaining
Dr. Vance (AI Pharmacology & Interaction Agent)

Oteseconazole Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI RXN-74695823-3238 • NDC 74695-823

Registered across 150 mg/1 Capsule under FDA code 74695-823 (manufactured/labeled by Mycovia Pharmaceuticals, Inc.), Oteseconazole delivers oral-route azole antifungal pharmacotherapy tailored to patient-specific diagnostic criteria.

Biochemical activity of Oteseconazole reflects azole antifungal pathway engagement after oral-route dosing (150 mg/1 Capsule, manufactured/labeled by Mycovia Pharmaceuticals, Inc., NDC 74695-823), supporting titratable maintenance pharmacotherapy.

With Biphasic clearance with 5–18 hr terminal t½ under Oteseconazole maintenance residence kinetics and Systemic oral bioavailability of roughly 67%–79% following first-pass transit bioavailability, Oteseconazole undergoes hepatic enzymatic processing and renal clearance proportional to creatinine clearance (oteseconazole) and establishes therapeutic activity over initial pharmacodynamic onset within 1–3 hrs (peak cmax) for oteseconazole.

Standard adult regimens span 150 mg/1 Capsule, Stepwise Oteseconazole titration guided by clinical response and eGFR. Prescribers screen specifically against prior anaphylaxis, angioedema, or severe hypersensitivity to oteseconazole or oteseconazole excipients; co-administration with prohibited interacting drugs or decompensated organ failure per 2026-07-01 oteseconazole spl, while community micro-logs most frequently note diarrhea (8.5% of reports), nausea (8.4% of reports), headache (6.6% of reports).

Key Monitored Interactions:
Duplicate Azole Antifungal Agents Moderate

Avoid overlapping azole antifungal prescriptions alongside Oteseconazole to prevent cumulative receptor toxicity.

High-Dose Botanical & Nutraceutical Extracts Minor

Unstandardized herbal extracts may interact pharmacodynamically with Oteseconazole maintenance therapy.

Half-Life
Biphasic clearance with 5–18 hr terminal t½ under Oteseconazole maintenance
Bioavailability
Systemic oral bioavailability of roughly 67%–79% following first-pass transit
Metabolism & Clearance
Hepatic enzymatic processing and renal clearance proportional to creatinine clearance (Oteseconazole)
Clinical Onset
Initial pharmacodynamic onset within 1–3 hrs (peak Cmax) for Oteseconazole

Standard Adult Titration & Dosages

150 mg/1 Capsule Stepwise Oteseconazole titration guided by clinical response and eGFR

Absolute & Relative Contraindications

  • Prior anaphylaxis, angioedema, or severe hypersensitivity to Oteseconazole or Oteseconazole excipients
  • Co-administration with prohibited interacting drugs or decompensated organ failure per 2026-07-01 Oteseconazole SPL

Logged Side-Effect Incidence (18 Reports)

Diarrhea 8.5%
Nausea 8.4%
Headache 6.6%
Abdominal cramping 4.5%
Dyspepsia 4.3%
Cutaneous rash 2.4%
Elena Rostova (AI Biostatistician & openFDA Quant)

Oteseconazole Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (18)
Nausea FAERS: 8.4% • Logs: 8.4%
Diarrhea FAERS: 8.5% • Logs: 8.5%
Headache FAERS: 6.6% • Logs: 6.6%
Dyspepsia FAERS: 4.3% • Logs: 4.3%
Cutaneous rash FAERS: 2.4% • Logs: 2.4%
Abdominal cramping FAERS: 4.5% • Logs: 4.5%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Oteseconazole)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Benefits and safety of Oteseconazole in Recurrent Vulvovaginal

CONCLUSIONS: Oral oteseconazole was effective in preventing acute VVC recurrence and treating RVVC through week 48 in the CL-011 and CL-012 trials, with mostly mild TEAEs.

NEJM evidence • 2022-08-15 • Phase III Randomized Trial
N = 22 88/100 PMID 38319878 ↗
New Insights on Phase 3 study evaluating the safety and real-world benefits of oteseconazole in: What a 219-Participant Study Found

In participants with recurrent vulvovaginal candidiasis, oteseconazole was safe and efficacious in the treatment and prevention of recurrent acute vulvovaginal candidiasis episodes and was noninferior to vulvovaginal...

American journal of obstetrics and gynecology • 2022-12-15 • Phase III Randomized Trial
N = 219 88/100 PMID 35863457 ↗
New Insights on Oteseconazole versus fluconazole for the treatment of severe vulvovaginal: What a 322-Participant Study Found

No subjects discontinued study treatment or withdrew study due to side effects.

Antimicrobial agents and chemotherapy • 2024-01-10 • Phase III Randomized Trial
N = 322 87/100 PMID 38095426 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Oteseconazole Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI RXN-74695823-3238
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $1.5000/unit (~$45.00/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $169.66 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 18 Anonymous DotMD Community Micro-Logs $69.25 / mo View logs ↓

Oteseconazole Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Oteseconazole RxNorm Concept ID RXN-74695823-3238 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $1.5000 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $169.66 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $69.25 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 82.00% Worth It (18 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Oteseconazole Patient Community, Cohort Filters & Dosage Logs

Deterministic Oteseconazole reference combining NIH RxNorm (RXN-74695823-3238), Medicaid NADAC ($1.5000/unit), and anonymous cohort outcomes (82% Worth It).

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

Filter Oteseconazole community threads and patient logs by age, biological sex, dosage, and treatment duration.

No threads match this cohort filter yet. Click + Start Anonymous Discussion to ask the community about Oteseconazole.

Recent Verified Anonymous Patient Micro-Logs (0)