Europe — EMA
Orladeyo (Berotralstat)
GNH USA supplies Orladeyo (Berotralstat), a plasma kallikrein inhibitor for prophylaxis of hereditary angioedema attacks in adults. Request a quote.
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What is Berotralstat?
Berotralstat, the active ingredient in Orladeyo, is a plasma kallikrein inhibitor presented as a 150 mg oral tablet. It is indicated for the prophylactic treatment of hereditary angioedema attacks in adult patients.
GNH USA supplies Orladeyo as a licensed, GDP‑compliant international pharmaceutical supplier, providing the product to hospitals, pharmacies and clinics worldwide. The medication is manufactured to meet EU regulatory standards and is distributed under strict quality controls.
What is Berotralstat used for?
Orladeyo (berotralstat) is used in the hereditary angioedema (HAE) pathway to prevent swelling episodes.
Hereditary angioedema (adult): reduces the frequency and severity of angioedema attacks, providing long‑term prophylaxis.
What are the side effects of Berotralstat?
Berotralstat may cause adverse reactions; they are categorized by frequency and severity.
Common Side Effects: - Nausea: mild to moderate stomach upset. - Abdominal pain: discomfort in the upper abdomen. - Diarrhea: loose stools occurring intermittently. - Dyspepsia: indigestion or heartburn. - Headache: mild to moderate tension‑type pain. - Fatigue: feeling unusually tired.
Serious or Rare Side Effects: - Anaphylaxis: severe allergic reaction requiring immediate medical attention. - Angioedema: paradoxical swelling of face, lips, or throat. - Hepatic enzyme elevation: increased liver function tests. - Severe skin reactions: such as Stevens‑Johnson syndrome. - Thrombosis: rare clot formation in veins or arteries.
What precautions apply to Berotralstat?
Before initiating therapy, consider the following precautions. - Renal impairment: assess kidney function and adjust monitoring as needed. - Hepatic impairment: monitor liver enzymes regularly during treatment. - Concomitant ACE inhibitors or ARBs: watch for increased risk of angioedema. - Pregnancy and lactation: use only if the potential benefit justifies the potential risk to the fetus or infant. - Drug interactions: review all concomitant medications for possible interactions. - Store at ambient temperature: keep below 25 °C, protect from moisture, and retain in the original packaging.
What does Berotralstat interact with?
Berotralstat may interact with other medicines; interactions are grouped by clinical significance.
Major Interactions (Avoid): - Strong CYP3A4 inhibitors (e.g., itraconazole, clarithromycin): may increase berotralstat exposure and risk of toxicity. - Potent CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce berotralstat effectiveness.
Moderate Interactions (Monitor Closely): - ACE inhibitors or ARBs: may augment the risk of angioedema. - Estrogen‑containing oral contraceptives: may affect bradykinin metabolism and require monitoring. - Warfarin: monitor INR as berotralstat could alter anticoagulant metabolism.


