Product image of Icatibant Fresenius (Icatibant Acetate) supplied by GNH India

Icatibant Fresenius

Active Ingredient:
Icatibant Acetate
Origin:
EU

Icatibant Fresenius (Icatibant Acetate)

Icatibant acetate, the active ingredient in Icatibant Fresenius, is a Bradykinin B2 receptor antagonist presented as a solution for subcutaneous use. It treats hereditary angioedema attacks in patients with a confirmed diagnosis.
GNH India supplies Icatibant Fresenius as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Fresenius Kabi Ab

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Indications & Clinical Uses

Icatibant Fresenius is used to manage bradykinin‑mediated hereditary angioedema attacks.

  • Hereditary angioedema type I: provides rapid reduction of swelling and pain during acute attacks.
  • Hereditary angioedema type II: accelerates resolution of edema and improves patient comfort.
  • Hereditary angioedema with normal C1‑INH: offers symptom control when attacks are triggered by elevated bradykinin.

How It Works

  • Icatibant acetate selectively blocks the bradykinin B2 receptor on vascular endothelial cells, preventing bradykinin‑induced vasodilation and increased vascular permeability. By inhibiting this pathway, the drug curtails the fluid extravasation that underlies the swelling characteristic of hereditary angioedema attacks.

Side Effects

Icatibant may cause a range of adverse reactions, most of which are related to the injection site or systemic exposure.

Common Side Effects

  • Injection site pain: mild to moderate discomfort at the injection site.
  • Redness or erythema: localized skin flushing.
  • Swelling at injection site: transient edema.
  • Nausea: occasional gastrointestinal upset.
  • Headache: mild to moderate intensity.
  • Dizziness: transient light‑headedness.

Serious or Rare Side Effects

  • Anaphylaxis: severe allergic reaction requiring immediate medical attention.
  • Severe hypotension: sudden drop in blood pressure.
  • Angioedema unrelated to HAE: unexpected swelling in other body parts.
  • Urticaria: widespread hives.
  • Thrombocytopenia: low platelet count.
  • Serum sickness–like reaction: fever, rash, arthralgia.

Precautions & Warnings

Before using Icatibant, certain safety considerations should be observed.

  • Pregnancy: safety not established; avoid unless clearly needed.
  • Breastfeeding: unknown effects; weigh benefits against potential risks.
  • Renal impairment: use with caution; monitor renal function.
  • Concomitant ACE inhibitors: increased bradykinin may heighten adverse reactions.
  • Hypersensitivity: discontinue if signs of allergic reaction appear.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Icatibant can interact with other medicines that influence the bradykinin pathway or cardiovascular status.

Major Interactions (Avoid)

  • ACE inhibitors: may amplify bradykinin‑related effects, increasing risk of angioedema.
  • Neprilysin inhibitors (e.g., sacubitril): can raise bradykinin levels, heightening adverse events.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may exacerbate swelling or pain if angioedema worsens.
  • Other bradykinin‑modulating agents: monitor for additive effects.
  • Diuretics: watch for blood pressure changes.

Frequently Asked Questions

Icatibant Fresenius is indicated for the treatment of acute attacks of hereditary angioedema (HAE) in patients with confirmed diagnosis. It works by rapidly reducing swelling and associated pain caused by elevated bradykinin levels during an attack.

Icatibant acetate is a selective antagonist of the bradykinin B2 receptor. By blocking this receptor on vascular endothelial cells, it prevents bradykinin‑induced vasodilation and increased vascular permeability, thereby limiting the fluid leakage that causes swelling in HAE attacks.

The dose of Icatibant Fresenius is determined by the prescribing clinician based on the patient’s condition, weight, and severity of the HAE attack. The medication is administered subcutaneously, and the prescriber will provide specific instructions.

Safety of icatibant in pregnancy has not been established, and it is generally avoided unless the potential benefit justifies the risk. Data on use during breastfeeding are also lacking, so a careful risk‑benefit assessment should be performed by the healthcare provider.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain handling), and necessary import documentation.

Icatibant is a bradykinin B2 receptor antagonist, whereas other approved HAE therapies include C1‑esterase inhibitor concentrates and kallikrein inhibitors. Icatibant offers a subcutaneous route and rapid onset, making it convenient for self‑administration during acute attacks, while the alternatives are typically intravenous or have different mechanisms.

Icatibant Fresenius must be stored refrigerated at 2‑8 °C. It should be kept in its original packaging, protected from light, and must not be frozen or shaken. If temperature excursions occur, consult the supplier before use.

The medication is supplied as a solution for subcutaneous injection. The prescriber will instruct the patient or caregiver on the injection technique, site selection (typically the abdomen or thigh), and the number of doses required for a given HAE attack.

Serious risks include anaphylaxis, severe hypotension, and unexpected angioedema unrelated to HAE. Patients should be educated to recognize signs of a severe allergic reaction and seek immediate medical attention if they occur.

Icatibant is contraindicated in individuals with known hypersensitivity to icatibant acetate or any of the formulation excipients. Caution is also advised for patients with severe renal impairment or those taking ACE inhibitors or neprilysin inhibitors without close monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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