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Second Oral Antibiotic for Gonorrhea Gets FDA Green Light

The FDA approved zoliflodacin as the first oral pill and expanded gepotidacin’s use to address rising antibiotic resistance amid nearly 600,000 U.S. gonorrhea cases last year.

  • The FDA approved zoliflodacin and gepotidacin in mid-December, marking the first major gonorrhea treatments since ceftriaxone in the mid-1980s.
  • Rising antibiotic resistance and a large case burden—more than 80 million global cases and nearly 600,000 U.S. cases last year—prompted development of new gonorrhea treatments.
  • On Friday, regulators cleared zoliflodacin after a large trial showed the one‑dose oral pill was safe and effective, with results published Dec. 11 in The Lancet, while gepotidacin, previously approved for urinary tract infections in women, was also approved.
  • Both new drugs are approved only for genital and urinary tract infections to preserve effectiveness, with Innoviva Specialty Therapeutics marketing in higher-income countries and GARDP distributing lower-cost versions elsewhere.
  • Clinicians, including Dr. Aniruddha Hazra, said the single-pill option could expand treatment uptake as many patients prefer pills over injections, helping prevent infertility and newborn blindness.
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18 Articles

Watauga DemocratWatauga Democrat
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FDA Approves Two New Antibiotics to Treat Drug-Resistant Gonorrhea

Key Takeaways

·Calhoun, United States
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In November of this year, the World Health Organization (WHO) launched a report warning that gonorrhea is becoming increasingly resistant to antibiotics. And this month, new antibiotics for the treatment of the disease were approved by the Food and Drug Administration (FDA) in the United States: zoliflodacin and gepotidacin. When the mind warned of the danger: rot the bears, procrastinate and other forms of self-sabotage What is the vasovagal sy…

·Brazil
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After three decades without a new antibiotic to treat gonorrhea – a sexually transmitted infection – the FDA has approved two oral treatments, first in their class, for this sexually transmitted infection (STIs), which affects more than 80 million people around the world each year. It is Nuzolvence (zoliflodacin) from Innoviva and GSK Blujepa that arrive with just 24 hours of difference in a context in which gonorrhea is increasingly resistant t…

·Madrid, Spain
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WWAY TV broke the news in on Monday, December 15, 2025.
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