Product image of Nitisinone Dipharma (Nitisinone) supplied by GNH India

Nitisinone Dipharma

Active Ingredient:
Nitisinone
Origin:
EU

Nitisinone Dipharma (Nitisinone)

Nitisinone, the active ingredient in Nitisinone Dipharma, is a p‑Hydroxyphenylpyruvate dioxygenase (HPPD) inhibitor presented as an oral formulation for oral use. It is employed in the management of hereditary tyrosinemia type I and, off‑label, alkaptonuria in affected patients.

GNH India supplies Nitisinone Dipharma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide, with adherence to stringent quality standards.

Manufacturer / TM Owner

Dipharma Arzneimittel Gmbh

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

  • Nitisinone acts on the tyrosine catabolic pathway and is used for metabolic disorders involving toxic metabolite accumulation.
  • Hereditary tyrosinemia type I: reduces accumulation of toxic metabolites and helps prevent liver and renal complications.
  • Alkaptonuria (off‑label): lowers homogentisic acid production, potentially reducing ochronosis progression.
  • Metabolic control in tyrosine catabolism disorders: supports normalization of pathway metabolites and mitigates disease‑related complications.

How It Works

  • Nitisinone inhibits the enzyme p‑hydroxyphenylpyruvate dioxygenase (HPPD), a key step in the catabolism of tyrosine. By blocking this conversion, the drug prevents formation of downstream toxic metabolites such as maleylacetoacetate and fumarylacetoacetate, thereby reducing hepatic and renal injury associated with hereditary tyrosinemia type I and related disorders.

Side Effects

Nitisinone may be associated with a range of adverse reactions, which vary in frequency and severity.

Common Side Effects

  • Skin rash or pruritus
  • Elevated liver enzymes (ALT, AST)
  • Nausea or vomiting
  • Diarrhea
  • Headache
  • Fatigue

Serious or Rare Side Effects

  • Severe liver injury or hepatitis
  • Hypoglycemia, especially in fasting patients
  • Peripheral neuropathy
  • Acute renal failure
  • Anaphylactic reactions (rare)
  • Severe photosensitivity

Precautions & Warnings

  • Before initiating therapy, several safety considerations should be observed.
  • Monitor liver function: obtain baseline and periodic ALT/AST measurements.
  • Avoid use in patients with known hypersensitivity to nitisinone or excipients.
  • Caution in renal impairment: adjust monitoring frequency and assess renal function.
  • Pregnancy: risk unknown; prescribe only if potential benefit outweighs potential risk.
  • Store at below 25°C: keep in the original pack, protect from moisture and direct sunlight.

Avoid Interactions

Nitisinone can interact with other medicines, requiring attention to avoid reduced efficacy or increased toxicity.

Major Interactions (Avoid)

  • Concurrent strong CYP2C9 inhibitors: may raise nitisinone plasma concentrations.
  • Co‑administration with other hepatotoxic drugs: increased risk of liver injury.

Moderate Interactions (Monitor Closely)

  • Vitamin C supplementation: may diminish therapeutic effect.
  • Warfarin: monitor INR closely due to potential alteration of anticoagulant effect.
  • Enzyme‑inducing anticonvulsants (e.g., carbamazepine): may lower nitisinone levels.

Frequently Asked Questions

Nitisinone Dipharma is indicated for the treatment of hereditary tyrosinemia type I, a rare metabolic disorder that leads to toxic liver and kidney metabolites. It is also used off‑label for alkaptonuria, where it helps reduce the buildup of homogentisic acid that causes tissue discoloration.

Nitisinone blocks the enzyme p‑hydroxyphenylpyruvate dioxygenase (HPPD) in the tyrosine degradation pathway. By inhibiting this step, the drug prevents formation of downstream toxic metabolites such as maleylacetoacetate and fumarylacetoacetate, thereby protecting liver and kidney function.

The specific dose of Nitisinone Dipharma is determined by the prescribing physician based on the patient’s age, weight, disease severity, and laboratory monitoring. Healthcare professionals tailor the regimen to achieve optimal metabolic control while minimizing adverse effects.

Safety data for nitisinone in pregnancy and lactation are limited, and the pregnancy category is unknown. It should be used only if the potential benefit justifies the possible risk to the fetus, and breastfeeding decisions should be made in consultation with a qualified healthcare provider.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request trade or institutional credentials before providing pricing, availability, shipping details and any necessary import documentation.

Nitisinone is the primary disease‑modifying therapy for hereditary tyrosinemia type I, directly targeting the metabolic defect. Alternative approaches, such as liver transplantation, address end‑stage disease but do not correct the underlying enzyme deficiency. Nitisinone therefore offers a less invasive, pharmacologic option that can delay or avoid transplantation.

Nitisinone Dipharma should be stored at temperatures below 25 °C, in a dry place away from direct sunlight. Keep the product in its original packaging to protect it from moisture and handle it according to the label instructions to maintain stability.

The medication is supplied as an oral formulation and should be taken by mouth with water, usually once daily or as directed by the prescriber. Doses are often adjusted based on regular monitoring of blood and urine metabolites, as well as liver function tests.

Serious risks include severe liver injury, hypoglycemia, and peripheral neuropathy. Patients should be monitored closely for signs of hepatic dysfunction, unexplained low blood sugar, or neurological symptoms, and any concerning findings should prompt immediate medical evaluation.

Individuals with known hypersensitivity to nitisinone or any of its excipients should avoid the product. Caution is also advised for patients with pre‑existing severe liver disease, uncontrolled renal impairment, or those taking concomitant medications that pose a high risk of hepatotoxicity.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.