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This is a combination of two drugs: - **Ibrexafungerp** (also known as SCY-078 or MK-3118) is a first-in-class, orally bioavailable triterpenoid antifungal agent that inhibits glucan synthase. It has broad-spectrum activity against Candida species (including multidrug-resistant strains such as C. auris), Aspergillus species, and Pneumocystis spp. Ibrexafungerp acts by inhibiting the synthesis of β-(1,3)-D-glucan in the fungal cell wall, leading to cell lysis and death. It is developed primarily for invasive fungal infections and vulvovaginal candidiasis[2][4][5][6]. - **Pravastatin** (PRA) is an HMG-CoA reductase inhibitor ("statin") used to lower cholesterol levels and prevent cardiovascular disease. The combination "SCY-078 + PRA" refers specifically to clinical pharmacokinetic studies evaluating potential drug-drug interactions between oral ibrexafungerp and pravastatin in healthy subjects[8]. There are no indications this combination is marketed as a fixed-dose product; it has been studied for interaction purposes only.
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