Product image of Orfadin (Nitisinone) supplied by GNH India

Orfadin

Active Ingredient:
Nitisinone
Origin:
EU

Orfadin (Nitisinone)

Nitisinone, the active ingredient in Orfadin, is a drug class presented as a strength/form for oral use. It treats hereditary tyrosinemia type 1 in patients who require metabolic management. GNH India supplies Orfadin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

GNH India supplies Orfadin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Swedish Orphan Biovitrum International Ab

1
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Indications & Clinical Uses

Orfadin is used to manage disorders of the tyrosine degradation pathway, specifically hereditary tyrosinemia type 1.

  • Hereditary tyrosinemia type 1: Reduces the accumulation of toxic metabolites and helps prevent liver failure.
  • Acute hepatic crisis: Assists in stabilising liver function during episodes.
  • Long‑term metabolic control: Supports sustained reduction of disease‑related complications.

How It Works

  • Nitisinone inhibits the enzyme 4‑hydroxyphenylpyruvate dioxygenase (HPPD) in the tyrosine catabolic pathway, blocking the formation of downstream toxic metabolites such as fumaryl‑acetoacetate. By reducing these intermediates, it lessens hepatic and renal toxicity associated with hereditary tyrosinemia type 1.

Side Effects

Adverse reactions to Orfadin have been reported across a range of severity.

Common Side Effects

  • Headache
  • Nausea
  • Diarrhoea
  • Elevated liver enzymes
  • Skin rash
  • Fatigue

Serious or Rare Side Effects

  • Severe liver injury
  • Acute renal failure
  • Hypersensitivity reactions including anaphylaxis
  • Significant elevation of serum tyrosine leading to ocular complications
  • Metabolic acidosis
  • Unexplained fever

Precautions & Warnings

When prescribing Orfadin, clinicians should consider several safety measures.

  • Liver function monitoring: Perform baseline and periodic liver enzyme tests.
  • Tyrosine level monitoring: Check plasma tyrosine concentrations regularly.
  • Dietary management: Advise a low‑tyrosine, low‑phenylalanine diet.
  • Drug interactions: Review concomitant medications for potential HPPD inhibition.
  • Pregnancy and lactation: Evaluate risk‑benefit ratio before use.
  • Store at below 25°C: keep in the original container, protect from moisture and light.

Avoid Interactions

Orfadin may interact with other medicines, requiring attention to the type of interaction.

Major Interactions (Avoid)

  • Concurrent use of other HPPD inhibitors may increase toxicity.
  • Strong CYP450 inducers may reduce nitisinone plasma levels.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (e.g., warfarin) – monitor INR.
  • NSAIDs – watch for additive liver enzyme elevation.
  • Vitamin C supplements – may affect tyrosine metabolism.
  • Oral contraceptives – potential alteration of hormone levels.
  • High‑protein meals – may influence absorption.

Frequently Asked Questions

Orfadin (nitisinone) is indicated for the treatment of hereditary tyrosinemia type 1, a rare genetic disorder that disrupts the breakdown of the amino acid tyrosine. By reducing toxic metabolites, it helps protect liver function and supports long‑term metabolic control in affected patients.

Nitisinone blocks the enzyme 4‑hydroxyphenylpyruvate dioxygenase (HPPD) in the tyrosine degradation pathway. This inhibition prevents the formation of harmful downstream metabolites, thereby lowering the risk of liver and kidney damage associated with hereditary tyrosinemia type 1.

The dose of Orfadin is individualized by the prescribing clinician based on the patient’s age, weight, disease severity, and laboratory monitoring results. Healthcare professionals determine the appropriate regimen and adjust it as needed during treatment.

Safety data for nitisinone in pregnancy and lactation are limited. The drug should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision should be made by a qualified healthcare provider.

To order Orfadin, 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 import documentation.

Orfadin is the primary pharmacologic therapy that directly inhibits toxic metabolite formation, whereas liver transplantation addresses end‑stage disease. Compared with dietary management alone, nitisinone offers a targeted biochemical approach, often reducing the need for transplantation.

Store Orfadin tablets at temperatures below 25 °C in the original packaging, protecting them from moisture and light. Keep the container tightly closed and out of reach of children.

Orfadin is taken orally, usually as a tablet, with or without food as directed by the prescribing clinician. The exact administration schedule is individualized based on the patient’s therapeutic plan.

Serious risks include severe liver injury, acute renal failure, hypersensitivity reactions such as anaphylaxis, and significant elevations in plasma tyrosine that can cause ocular complications. Patients should be monitored regularly for these events.

Orfadin is contraindicated in patients with known hypersensitivity to nitisinone or any of its excipients. Caution is also advised for individuals with pre‑existing severe liver or kidney disease until safety can be confirmed by a healthcare professional.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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