Firazyr (Icatibant)

Complete patient guide for uses, dosage, side effects, and safety information

Prescription Required

Quick Facts

Generic Name
icatibant
Drug Class
bradykinin receptor antagonist
Used For
treating acute attacks of hereditary angioedema (HAE)
How Taken
subcutaneous injection as needed

What Is Firazyr Used For?

Firazyr is a medication used to manage the symptoms of acute attacks of hereditary angioedema (HAE) in individuals aged 2 years and older.

Primary Uses

Firazyr is primarily used to treat symptoms such as swelling, pain, nausea, and diarrhea that occur during HAE attacks.

How It Works

Firazyr contains icatibant, which blocks the activity of bradykinin, helping to alleviate the symptoms associated with HAE attacks.

Good to know: Firazyr is not addictive.

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How to Take Firazyr

Firazyr is administered via subcutaneous injection into the fatty tissue under the skin.

Dosage Instructions

Adults typically receive one injection of 30 mg (3 mL) at the onset of HAE symptoms. If symptoms persist, an additional injection may be given after 6 hours, with a maximum of 3 injections in 24 hours. For children aged 2 to 17 years, the dose is based on body weight, ranging from 1 mL to a maximum of 3 mL.

What If You Miss a Dose?

If you miss a dose, take it as soon as you remember, but do not double the dose if it's almost time for your next scheduled injection.

Important: Do not exceed 3 injections in a 24-hour period.

Side Effects

Like all medications, this medicine can cause side effects. Most are mild and temporary, but some require medical attention.

Common Side Effects

These side effects occur relatively frequently and usually don’t require emergency care:

  • injection site reactions (burning, redness, pain, swelling, warmth, itching)
  • nausea
  • abdominal pain
  • weakness
  • dizziness
  • headache
  • blocked nose
  • rash
  • vomiting
  • fatigue
  • fever
  • sore throat
  • weight gain
  • asthma
  • cough
  • itching
  • redness of the skin
  • hot flushes
  • muscle spasms
  • hives

Seek immediate medical attention if you experience:

  • abnormal liver function (symptoms may include yellowing of the skin and eyes)
  • severe allergic reactions (e.g., difficulty breathing, swelling of face or throat)

Important Warnings

There are several important warnings to consider before using Firazyr.

Who Should Not Take Firazyr

Do not use Firazyr if you are allergic to icatibant or any of its ingredients. It should not be given to children under 2 years of age or those weighing less than 12 kg.

Medical Conditions to Discuss

Consult your doctor if you have angina or have recently had a stroke.

Pregnancy and Breastfeeding

Discuss with your doctor if you are pregnant or planning to become pregnant. Do not breastfeed for 12 hours after using Firazyr.

Drug Interactions

Firazyr may interact with other medications.

  • Angiotensin Converting Enzyme (ACE) inhibitors (e.g., captopril, enalapril, ramipril, quinapril, lisinopril)

Alcohol & Driving

Be cautious when driving or operating machinery after using Firazyr, especially if you feel tired or dizzy.

Alcohol

There are no specific warnings about alcohol consumption with Firazyr.

Driving and Operating Machinery

Avoid driving or operating heavy machinery if you experience dizziness or fatigue after using Firazyr.

Storage

Store Firazyr in its original packaging in a cool, dry place below 25°C. Do not freeze or store in the bathroom.

Overdose Information

If you suspect an overdose, contact your doctor or the Poisons Information Centre immediately. Symptoms may include a drop in blood pressure.

Frequently Asked Questions

Firazyr typically begins to relieve symptoms of an HAE attack shortly after injection.

Food and drink do not affect the action of Firazyr.

No, Firazyr is not considered addictive.

Consult your doctor before stopping Firazyr, especially if you have frequent HAE attacks.

There are no specific warnings regarding alcohol consumption with Firazyr.

Weight gain has been reported as a side effect, but it is usually mild and temporary.

Elderly patients should consult their doctor to ensure Firazyr is appropriate for their health conditions.

If you miss a dose, take it as soon as you remember, but do not double the dose if it's almost time for your next injection.

Important Disclaimer

This information is intended for general educational purposes only and should not be considered medical advice. Always consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.

If you think you may have a medical emergency, call your doctor or emergency services immediately.

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