Europe — EMA
Orladeyo (Berotralstat)
GNH USA supplies Orladeyo (Berotralstat), a plasma kallikrein inhibitor for prevention of hereditary angioedema attacks. Request a quote for global supply.
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What is Berotralstat?
Berotralstat, the active ingredient in Orladeyo, is a plasma kallikrein inhibitor presented as a tablet for oral use. It is indicated for the prevention of hereditary angioedema attacks in patients with hereditary angioedema.
GNH USA supplies Orladeyo as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Berotralstat used for?
Orladeyo (berotralstat) acts within the hereditary angioedema (HAE) pathway to prevent swelling episodes.
- Hereditary angioedema type I: reduces the frequency and severity of swelling attacks. - Hereditary angioedema type II: reduces the frequency and severity of swelling attacks. - Hereditary angioedema with normal C1‑INH: reduces the frequency and severity of swelling attacks.
What are the side effects of Berotralstat?
Common side effects are generally mild and reversible.
Common Side Effects: - Abdominal pain - Diarrhea - Nausea - Headache - Fatigue - Dyspepsia
Serious or Rare Side Effects: - Elevated liver enzymes - Angioedema of the face, throat or airway - Anaphylactic reaction (rare) - Severe hypersensitivity - Hepatic injury (very rare)
What precautions apply to Berotralstat?
Before initiating therapy, consider the following safety measures. - Assess liver function: obtain baseline hepatic enzymes and monitor periodically. - Monitor for signs of angioedema: seek immediate medical attention if facial or airway swelling occurs. - Avoid use in severe hepatic impairment: contraindicated in patients with marked liver dysfunction. - Pregnancy and breastfeeding: safety not established; use only if potential benefit justifies risk. - Review concomitant medications: assess for drugs that may affect berotralstat metabolism. - Store at ambient temperature: keep below 25°C, protect from moisture and keep in original packaging.
What does Berotralstat interact with?
Berotralstat may interact with other medicines that influence its metabolism or target pathway.
Major Interactions (Avoid): - Strong CYP3A4 inhibitors (e.g., itraconazole, clarithromycin): may markedly increase berotralstat exposure. - Co‑administration with other plasma kallikrein inhibitors: risk of excessive bradykinin suppression.
Moderate Interactions (Monitor Closely): - Moderate CYP3A4 inhibitors (e.g., erythromycin, fluconazole): may modestly raise plasma levels. - Oral contraceptives: potential alteration of hormonal metabolism. - Antifungal azoles (e.g., ketoconazole): may increase berotralstat concentrations. - Statins metabolized by CYP3A4: monitor for additive hepatic effects.


