Europe — EMA
Nitisinone Dipharma
GNH USA supplies Nitisinone Dipharma (Nitisinone), a p-Hydroxyphenylpyruvate dioxygenase inhibitor for hereditary tyrosinemia type I treatment.
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What is Nitisinone?
Nitisinone, the active ingredient in Nitisinone Dipharma, is a p-Hydroxyphenylpyruvate dioxygenase (HPPD) inhibitor presented as a tablet for oral use. It is indicated for the treatment of hereditary tyrosinemia type I in patients who require metabolic control.
GNH USA supplies Nitisinone Dipharma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, pharmacies and clinics worldwide.
What is Nitisinone used for?
Nitisinone acts on the tyrosine degradation pathway to treat hereditary metabolic disorders.
Hereditary tyrosinemia type I: reduces accumulation of toxic metabolites and helps prevent liver failure and other disease complications.
What are the side effects of Nitisinone?
Nitisinone may cause a range of adverse reactions, from mild to severe.
Common Side Effects: - Headache: mild to moderate intensity. - Nausea: occasional, may improve with food. - Abdominal pain: intermittent discomfort. - Fatigue: general tiredness reported.
Serious or Rare Side Effects: - Hepatic dysfunction: elevated transaminases or liver injury. - Severe allergic reactions: rash, swelling, or anaphylaxis. - Peripheral neuropathy: tingling or numbness in extremities. - Seizures: rare neurologic events. - Elevated serum bilirubin: may indicate liver stress.
What precautions apply to Nitisinone?
Before initiating therapy, several safety considerations should be observed. - Dose adjustment in hepatic impairment: reduce dose or monitor closely. - Monitor liver function tests: check ALT, AST, and bilirubin regularly. - Avoid in patients with known hypersensitivity to nitisinone or excipients. - Use caution during pregnancy: potential risk to the fetus is unknown. - Store at below 25°C: keep in the original pack, protect from moisture.
What does Nitisinone interact with?
Nitisinone can interact with other medicines, requiring attention to co‑administered drugs.
Major Interactions (Avoid): - Concurrent use with other HPPD inhibitors (e.g., teriflunomide): may increase toxicity. - Strong CYP3A4 inducers (e.g., rifampicin): may reduce nitisinone exposure.
Moderate Interactions (Monitor Closely): - Warfarin: monitor INR for altered anticoagulation. - Phenobarbital: observe liver enzymes for additive effects. - Vitamin K antagonists: check coagulation parameters regularly.



