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

Icatibant Sandoz

Active Ingredient:
Icatibant
Origin:
EU

Icatibant Sandoz (Icatibant)

Icatibant, the active ingredient in Icatibant Sandoz, is a bradykinin B2 receptor antagonist presented as an injection solution for subcutaneous use. It is indicated for the treatment of hereditary angioedema attacks in patients with a confirmed diagnosis, providing rapid symptom relief by blocking bradykinin‑mediated vascular effects.

GNH India supplies Icatibant Sandoz as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Sandoz Pharmaceuticals D.D.

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Indications & Clinical Uses

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

  • Hereditary angioedema (HAE) attacks: provides rapid reduction of swelling by competitively blocking the bradykinin B2 receptor.

How It Works

  • Icatibant selectively and competitively binds to the bradykinin B2 receptor on endothelial cells, preventing bradykinin from activating the receptor. This inhibition blocks the downstream signaling cascade that normally causes vasodilation, increased vascular permeability, and plasma extravasation, thereby reducing the edema and pain associated with 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: localized erythema around the injection area.
  • Swelling: transient edema at the site of administration.
  • Nausea: occasional feeling of queasiness.
  • Headache: mild to moderate headache.
  • Dizziness: transient light‑headedness.

Serious or Rare Side Effects

  • Hypersensitivity reaction: rash, itching, or urticaria indicating an allergic response.
  • Anaphylaxis: rare but severe systemic allergic reaction requiring immediate medical attention.
  • Angioedema: paradoxical swelling of face, lips, or airway.
  • Severe hypotension: marked drop in blood pressure.
  • Thrombocytopenia: low platelet count observed in rare cases.

Precautions & Warnings

When prescribing Icatibant, clinicians should consider several precautionary measures to ensure safe use.

  • Contraindication: known hypersensitivity to icatibant or any excipients.
  • Pregnancy: safety not established; use only if potential benefit justifies potential risk.
  • Breastfeeding: unknown excretion; weigh benefits against potential infant exposure.
  • Renal impairment: monitor closely as clearance may be reduced.
  • Concomitant ACE inhibitor therapy: may increase bradykinin levels; assess risk of angioedema.
  • Storage: 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 cardiovascular function.

Major Interactions (Avoid)

  • ACE inhibitors: may augment bradykinin levels and increase risk of angioedema.
  • Neprilysin inhibitors (e.g., sacubitril): elevate bradykinin and could diminish icatibant efficacy.
  • Estrogen‑containing oral contraceptives: may raise bradykinin and heighten angioedema risk.

Moderate Interactions (Monitor Closely)

  • NSAIDs: can exacerbate swelling if angioedema occurs.
  • Diuretics: may affect blood pressure when combined with icatibant‑induced vasodilation.
  • Other antihypertensives: monitor for additive hypotensive effects.

Frequently Asked Questions

Icatibant Sandoz is indicated for the acute treatment of hereditary angioedema (HAE) attacks. By blocking the bradykinin B2 receptor, it rapidly reduces swelling and associated discomfort in patients who experience episodic, potentially life‑threatening edema.

Icatibant works as a selective, competitive antagonist of the bradykinin B2 receptor. By occupying this receptor on vascular endothelial cells, it prevents bradykinin from triggering vasodilation and increased vascular permeability, which are the primary mechanisms behind the swelling seen in HAE attacks.

The dosing regimen for icatibant is determined by the prescribing clinician based on the patient’s condition, severity of the attack, and clinical guidelines. The prescriber will specify the exact amount, frequency, and duration of subcutaneous administration.

Safety data for icatibant in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision should be made in consultation with a qualified healthcare professional.

To place an order, submit an enquiry on the product page at gnhindia.com, indicating 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 if needed), and any required import documentation.

Icatibant is a peptide‑based B2‑receptor antagonist, offering rapid symptom relief after subcutaneous injection. Unlike C1‑esterase inhibitor concentrates, which replace a deficient protein, icatibant directly blocks bradykinin activity. This difference can affect onset of action, route of administration, and suitability for patients with specific comorbidities.

Icatibant should be stored refrigerated at 2‑8 °C. Keep the product in its original packaging, protect it from light, and avoid freezing or shaking the vial. If temporary temperature excursions occur, consult the product’s stability guidelines before use.

Icatibant is supplied as a sterile solution for subcutaneous injection. The prescriber will instruct the patient or caregiver on the injection site (typically the abdomen or thigh), technique, and any necessary post‑injection monitoring. No oral formulation exists.

Serious risks include hypersensitivity reactions such as rash, urticaria, or anaphylaxis, as well as paradoxical angioedema, severe hypotension, and rare cases of thrombocytopenia. Patients should seek immediate medical attention if they experience difficulty breathing, swelling of the face or throat, or a sudden drop in blood pressure.

Icatibant is contraindicated in individuals with known hypersensitivity to icatibant or any of its excipients. Caution is also advised for patients with severe renal impairment, those taking ACE inhibitors or neprilysin inhibitors, and pregnant or breastfeeding women unless the benefit clearly outweighs the risk.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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