What is Difelikefalin?

The short answer

Difelikefalin is a peptide, a short chain of amino acids. In the US, you need a prescription to get Difelikefalin.

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What it is

Type
Peripheral kappa-opioid agonist (peptide)
Also known as
korsuva

Regulatory status

FDA-approved (Rx) How we label status

As of October 4, 2026, Difelikefalin is an FDA-approved prescription drug for moderate-to-severe pruritus with chronic kidney disease on hemodialysis.

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Federal (FDA)
Approved Rx (Korsuva NDA214916, 2021)
503A compounding
Approved-drug component (not in any 503A category) (as of May 14, 2026)

References

Sources as of October 4, 2026

  1. DailyMed: dailymed.nlm.nih.gov/dailymed/drugInfo.cfm