Firazyr

— THERAPEUTIC CATEGORIES —
  • Hereditary angioedema

Firazyr Generic Name & Formulations

General Description

Icatibant 10mg/mL; soln for SC inj; preservative-free.

Pharmacological Class

Bradykinin B2 receptor antagonist.

How Supplied

Single-use prefilled syringe (3mL)—1, 3

Storage

Store between 2–25° C (36–77° F).

Do not freeze.

Store in carton until time of administration. 

Generic Availability

NO

Mechanism of Action

Icatibant is a competitive antagonist selective for the bradykinin B2 receptor, with an affinity similar to bradykinin. Bradykinin is a vasodilator which is thought to be responsible for the characteristic HAE symptoms of localized swelling, inflammation, and pain. Icatibant inhibits bradykinin from binding the B2 receptor and thereby treats the clinical symptoms of an acute, episodic attack of HAE.

Firazyr Indications

Indications

For acute attacks of hereditary angioedema (HAE).

Firazyr Dosage and Administration

Adult

≥18yrs: 30mg SC in abdominal area; may give additional doses at intervals of at least 6hrs if response inadequate or symptoms recur. Max 3 doses/24hrs.

Children

<18yrs: not established.

Firazyr Contraindications

Not Applicable

Firazyr Boxed Warnings

Not Applicable

Firazyr Warnings/Precautions

Warnings/Precautions

Advise patients to seek medical attention after treating laryngeal attack given the potential for airway obstruction. Elderly. Pregnancy. Nursing mothers.

Firazyr Pharmacokinetics

Absorption

Absolute bioavailability: ~97%. Maximum plasma concentration: 974 ± 280 ng/mL (after ~0.75 hours).

Distribution

Volume of distribution (at steady state): 29.0 ± 8.7 L.

Metabolism

Proteolytic enzymes.

Elimination

Renal. Half-life: 1.4 ± 0.4 hours. Plasma clearance: 245 ± 58 mL/min.

Firazyr Interactions

Interactions

May attenuate the antihypertensive effect of ACE inhibitors.

Firazyr Adverse Reactions

Adverse Reactions

Inj site reactions, pyrexia, transaminase increase, dizziness, rash.

Firazyr Clinical Trials

See Literature

Firazyr Note

Not Applicable

Firazyr Patient Counseling

See Literature

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