Impavido (miltefosine)
Visceral, cutaneous and mucosal leishmaniasis ยท Infectious disease (tropical parasitic)
About Impavido
Impavido (miltefosine) is an oral alkylphosphocholine antiprotozoal distributed by Profounda under license from Knight Therapeutics, used in the treatment of visceral, cutaneous and mucosal leishmaniasis in patients 12 years and older. It received FDA approval in March 2014 under the standard pathway.
Accessing Impavido through Reserve Meds
We help patients in the Middle East, India, Africa, and other regions access Impavido via established Named Patient Program (NPP) and personal-import pathways. Every order requires a prescription from a licensed physician in the destination country.
What we need from you
- A prescription from a licensed physician in your country of residence.
- A clinical justification from the prescribing physician (why Impavido for this patient).
- Destination-country NPP or personal-import paperwork (we help prepare these).
- Patient consent for cross-border drug import under the applicable pathway.
Typical timeline
From request to delivery, most orders for Impavido are completed in 2-6 weeks. Timing varies by destination country regulatory review speed and physician documentation turnaround.
Indication context
Impavido is indicated for visceral, cutaneous and mucosal leishmaniasis in patients 12 years and older. The condition falls within Infectious disease (tropical parasitic). For patients with this condition in countries where Impavido is not yet registered, NPP access is typically the primary legal pathway for obtaining treatment.
About the manufacturer
Impavido is distributed in the United States by Profounda under exclusive license from Knight Therapeutics. We source drug supply exclusively through DSCSA-compliant US specialty wholesalers, ensuring every unit is authentic, serialized, and chain-of-custody documented.
International regulatory status
- United States: FDA approved (2014).
- EMA (EU): Status unknown.
- MHRA (UK): Status unknown.
- Other countries: Approval status varies. Reserve Meds coordinates access under each destination country's NPP pathway.
Start a request for Impavido
If you or a family member needs Impavido and it is not available in your country, submit a request. Our clinical team will review eligibility and reach out as our first cohort opens.
Impavido, country access pages
Information on how patients in different countries access Impavido through Named Patient Program pathways.
- Impavido in United Arab Emirates, The UAE recognises a formal Named Patient / compassionate-use pathway via MOHAP and the Department of Health Abu Dhabi (DoH). Physicians apply on behalf of individual patients for drugs not registered in-country.
- Impavido in Saudi Arabia, The Saudi Food and Drug Authority (SFDA) operates a Personal Import / Unregistered Medicine pathway for named patients, typically requiring physician justification and hospital ethics-committee review.
- Impavido in India, India's CDSCO permits import of unapproved drugs under Rule 36 for personal use by patients with a prescription from a registered medical practitioner. Named Patient import is common for rare-disease indications.
- Impavido in Kuwait, Kuwait's Ministry of Health operates a Personal Import pathway for specialty drugs not registered locally, typically through a hospital pharmacy with physician attestation.
- Impavido in Qatar, Qatar's MoPH permits unregistered drug import under a named-patient pathway with physician and MoPH approval; Hamad Medical Corp frequently sponsors.
- Impavido in Bahrain, Bahrain's NHRA accepts named-patient import requests for rare-disease and specialty drugs not registered locally.
Safety, interactions, and handling
Drug interactions: Before dispatch, our clinical team reviews every patient's full medication list against published FDA drug-interaction data. If a significant interaction is identified, we notify the prescribing physician and hold shipment until an alternative dose or timing is confirmed.
Contraindications: This medication is not appropriate for every patient. Refer to the US FDA label for full contraindication list. Patients with active infection, pregnancy, known hypersensitivity, or specific organ-system comorbidities may be excluded. Prescribing-physician judgement applies.
Cold chain and storage: Biologics, monoclonals, and cell/gene therapies require validated cold-chain shipping (2-8°C) with continuous temperature monitoring. On arrival we document temperature logs; out-of-spec shipments are flagged and replaced.
Adverse event reporting: Any adverse event should be reported to both the local national regulator and to Reserve Meds's pharmacovigilance team at [email protected]. We forward serious events to the US manufacturer within 15 days per ICH E2D guidance.
Last medically reviewed: 2026-04-22 by AI Clinical Review Agent (see Trust & Compliance).
Access by country
Reserve Meds publishes a detailed country deep-dive for Impavido in every market we coordinate. Each page below covers the destination-country regulatory pathway (named-patient framework), real costs in local currency and USD, indicative timelines, physician-credential requirements, and cold-chain handling for the route into that country. Tap any country to read the full deep-dive.