• Miscellaneous respiratory disorders

Esbriet Generic Name & Formulations

General Description

Pirfenidone 267mg; hard gel caps.

Pharmacological Class


See Also

How Supplied

Caps—270; Blister packs—63, 252; Tabs 267mg—270; 801mg—90


Generic Availability


Esbriet Indications


Treatment of idiopathic pulmonary fibrosis (IPF).

Esbriet Dosage and Administration


Take with food at same time each day. Days 1–7: 267mg 3 times daily; Days 8–14: 534mg 3 times daily; Days 15 onward: 801mg 3 times daily. Max 2403mg/day. Dose modifications: see full labeling. Concomitant strong CYP1A2 inhibitors (eg, fluvoxamine, enoxacin): 267mg 3 times daily. Concomitant moderate CYP1A2 inhibitors (eg, ciprofloxacin 750mg twice daily): 534mg 3 times daily.


Not established.

Esbriet Contraindications

Not Applicable

Esbriet Boxed Warnings

Not Applicable

Esbriet Warnings/Precautions


Perform liver function tests prior to initiating treatment, monthly for the first 6 months, and every 3 months thereafter. Permanently discontinue if ALT/AST >3 – ≤5XULN with symptoms or hyperbilirubinemia, or if ALT/AST >5XULN occurs. Severe hepatic impairment or ESRD (including dialysis): not recommended. Renal or mild-to-moderate hepatic impairment; monitor and adjust dose or discontinue as needed. Consider treatment interruption or dose reduction if significant adverse reactions (eg, GI, photosensitivity, rash) occur. Avoid/minimize sun exposure or UV light. Smokers. Pregnancy. Nursing mothers.

Esbriet Pharmacokinetics

See Literature

Esbriet Interactions


Avoid smoking or concomitant drugs known to cause photosensitivity. Concomitant strong CYP1A2 inhibitors: not recommended; if needed, reduce pirfenidone dose (see Adults). Potentiated by moderate CYP1A inhibitors; if ciprofloxacin at dose 750mg twice daily cannot be avoided, reduce pirfenidone dose (see Adults). Monitor closely with ciprofloxacin at dose 250–500mg once daily. Avoid concomitant strong CYP1A2 inducers.

Esbriet Adverse Reactions

Adverse Reactions

Nausea, rash, abdominal pain, upper respiratory tract infection, diarrhea, fatigue, headache, dyspepsia, dizziness, vomiting, anorexia, GERD, sinusitis, insomnia, weight decreased, arthralgia; elevated liver enzymes.

Esbriet Clinical Trials

See Literature

Esbriet Note

Not Applicable

Esbriet Patient Counseling

See Literature