Product image of Icatibant Hikma (Icatibant) supplied by GNH India

Icatibant Hikma

Active Ingredient:
Icatibant
Origin:
EU

Icatibant Hikma (Icatibant)

Icatibant, the active ingredient in Icatibant Hikma, is a bradykinin B2 receptor antagonist presented as a solution for injection for subcutaneous use. It treats acute attacks of hereditary angioedema in patients with HAE.

GNH India supplies Icatibant Hikma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, clinics and procurement teams worldwide. The company adheres to stringent quality standards and provides regulatory support for global distribution.

Manufacturer / TM Owner

Hikma Farmacêutica (Portugal), S.A.

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Indications & Clinical Uses

Icatibant is used to treat hereditary angioedema, a disorder driven by excessive bradykinin activity.

  • Hereditary angioedema type I: provides rapid reduction of swelling during acute attacks.
  • Hereditary angioedema type II: alleviates symptoms by blocking bradykinin‑mediated vascular leakage.
  • Hereditary angioedema with normal C1‑INH (HAE‑nC1‑INH): offers symptomatic relief for approved patients experiencing attacks.

How It Works

  • Icatibant selectively binds to the bradykinin B2 receptor, preventing endogenous bradykinin from activating the receptor. By blocking this pathway, it inhibits bradykinin‑induced vasodilation and increased vascular permeability, thereby reducing the edema and pain associated with hereditary angioedema attacks.

Side Effects

Icatibant may cause a range of adverse reactions after subcutaneous administration.

Common Side Effects

  • Injection site pain: mild to moderate discomfort at the injection site.
  • Redness or erythema: localized skin reddening.
  • 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.
  • Angioedema unrelated to HAE: unexpected swelling of lips, tongue or airway.
  • Severe hypotension: marked drop in blood pressure.
  • Urticaria: widespread hives.
  • Thrombocytopenia: low platelet count observed in rare cases.

Precautions & Warnings

When using Icatibant, several safety considerations should be observed.

  • Assess severity of HAE attack: confirm that the episode requires pharmacologic intervention.
  • Monitor for hypersensitivity: watch for rash, itching, or swelling at the injection site.
  • Avoid in patients with known hypersensitivity to icatibant or its excipients: discontinue if severe reaction occurs.
  • Use caution in pregnancy and breastfeeding: safety data are limited; weigh benefits against potential risks.
  • Evaluate renal and hepatic function: adjust monitoring if organ impairment is present.
  • 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 bradykinin pathways or blood pressure.

Major Interactions (Avoid)

  • ACE inhibitors: may increase bradykinin levels and reduce the effectiveness of icatibant.
  • Other bradykinin B2 receptor antagonists: concurrent use can lead to unpredictable pharmacodynamics.
  • Concomitant use with potent vasodilators: may exacerbate hypotensive effects.

Moderate Interactions (Monitor Closely)

  • Estrogen‑containing contraceptives or hormone therapy: can increase frequency of HAE attacks, requiring closer observation.
  • NSAIDs: may aggravate swelling or pain, so monitor patient response.

Frequently Asked Questions

Icatibant Hikma is indicated for the treatment of acute attacks of hereditary angioedema (HAE) in patients with type I, type II, or normal C1‑INH HAE. By blocking the bradykinin B2 receptor, it rapidly reduces swelling and associated discomfort during an HAE episode.

Icatibant is a selective antagonist of the bradykinin B2 receptor. It binds to this receptor and prevents bradykinin from triggering vasodilation and increased vascular permeability, which are the primary mechanisms that cause the swelling seen in hereditary angioedema attacks.

The prescribed dose of icatibant is determined by the treating physician based on the patient’s clinical condition and regulatory guidelines. Typically, a single subcutaneous injection is administered at the onset of an HAE attack, and the prescriber may repeat the dose if needed according to approved labeling.

Safety data for icatibant during pregnancy and lactation are limited. It should only be used when the potential benefit justifies any potential risk to the fetus or infant. Healthcare providers should discuss the lack of robust data with the patient and consider alternative therapies when appropriate.

To order Icatibant Hikma, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain handling if needed) and the necessary import documentation.

The primary alternative for HAE attacks is a plasma‑derived or recombinant C1‑esterase inhibitor (e.g., Berinert, Cinryze). While C1‑esterase inhibitors replace the deficient protein, icatibant directly blocks the bradykinin B2 receptor. Icatibant offers a rapid, subcutaneous route and does not require intravenous infusion, but both classes are effective and choice depends on patient preference, accessibility and clinical guidance.

Icatibant should be stored at 2‑8 °C (refrigerated). Keep the vial in its original packaging, protect it from light, and do not freeze or shake the solution. If temporary storage at room temperature is unavoidable, limit exposure to no more than 30 days and return the product to refrigeration as soon as possible.

Icatibant is administered by subcutaneous injection, usually into the abdomen or thigh. The injection is performed by a healthcare professional or, after proper training, by the patient or caregiver. The injection site should be rotated for repeated administrations, and aseptic technique must be followed to minimize infection risk.

The most serious adverse events associated with icatibant include anaphylaxis, severe angioedema unrelated to HAE, and marked hypotension. Patients should be instructed to seek immediate medical attention if they experience difficulty breathing, swelling of the face or throat, rash, or a sudden drop in blood pressure after injection.

Icatibant is contraindicated in individuals with known hypersensitivity to icatibant or any of its excipients. It should also be used with caution in patients with severe cardiovascular disease, uncontrolled hypertension, or those taking medications that significantly affect blood pressure, until a risk‑benefit assessment is performed by a qualified clinician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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