Europe — EMA
Nitisinone Dipharma
GNH USA supplies Nitisinone Dipharma (Nitisinone), a 4-hydroxyphenylpyruvate dioxygenase inhibitor for hereditary tyrosinemia type I and investigational
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What is Nitisinone?
Nitisinone, the active ingredient in Nitisinone Dipharma, is a 4-hydroxyphenylpyruvate dioxygenase (HPPD) inhibitor presented as an oral tablet for oral use. It treats hereditary tyrosinemia type I and is being investigated for alkaptonuria in affected patients.
GNH USA supplies Nitisinone Dipharma as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.
What is Nitisinone used for?
Nitisinone acts on the tyrosine degradation pathway and is indicated for specific inherited metabolic disorders.
Hereditary tyrosinemia type I: reduces accumulation of toxic metabolites and improves liver function. Alkaptonuria (investigational): may lower homogentisic acid levels, under clinical investigation.
What are the side effects of Nitisinone?
Adverse reactions may vary in frequency and severity.
Common Side Effects: - Nausea - Vomiting - Abdominal pain - Headache - Fatigue - Skin rash
Serious or Rare Side Effects: - Hepatotoxicity (elevated liver enzymes, liver failure) - Severe hypoglycemia - Peripheral neuropathy - Severe skin reactions (Stevens‑Johnson syndrome, toxic epidermal necrolysis) - Anaphylactic reactions - Acute liver failure
What precautions apply to Nitisinone?
Before initiating therapy, clinicians should consider several safety measures.
Monitor liver function: perform baseline and periodic liver enzyme tests. Assess tyrosine levels: avoid excessive dietary tyrosine intake. Avoid in patients with known hypersensitivity to nitisinone. Use caution during pregnancy and breastfeeding: safety data are limited. Adjust dosing in renal impairment: monitor renal function. Store at below 25°C: keep in the original pack, protect from moisture.
What does Nitisinone interact with?
Nitisinone may interact with other medicines, requiring attention to potential effects.
Major Interactions (Avoid): - Co‑administration with other HPPD inhibitors: risk of additive toxicity. - High‑protein supplements or amino‑acid formulas that increase tyrosine levels.
Moderate Interactions (Monitor Closely): - Warfarin: possible alteration of INR, monitor coagulation. - Phenobarbital or other enzyme‑inducing agents: may affect nitisinone metabolism. - Oral contraceptives: monitor for hormonal changes or reduced efficacy. - Antacids containing aluminum or magnesium: may affect absorption, separate administration by at least 2 hours.



