Table 6.
Short-term prophylaxis | Trade name | Dose | Adverse events |
Tranexamic acid | Transamin®Hemoblock® | 1 g administered orally every 4 h (or 0.5 g administered intravenously every 4 h) for 18 h | Diarrhea |
High-dose attenuated androgens | DanazolOxandrolone | 10 mg • kg−1 • day−1 with a maximum dose of 600 mg/day for 3-5 days before the procedure | Weight gain, voice changes, increased hair growth, and menstrual irregularity |
C1-INH concentrate*and recombinant C1-INH* | Berinert®Cinryze® | 500-1,000 U on the day before the procedure or on the day of the procedure | - |
Fresh plasma | - | 10 ml/kg | Hyperosmolarity |
Treatment of acute attacks | |||
C1-INH concentrate*and recombinant C1-INH* | Berinert®Cinryze® | 1,000 U administered intravenously or 10-20 U/kg | - |
Fresh plasma | - | 10 ml/kg | Hyperosmolarity |
Bradykinin receptor Antagonist | Icatibant (Firazyr®) | 30 mg/dose and repeat an initial dose and a second dose if the attack persists | Local hyperemia |
Kallikrein inhibitor* | Ecallantide (Kalbitor®) | 20 U/kg or 30 mg/dose and repeat the second dose if the attack persists | Hypersensitivity reactions |
Drugs that have not yet been approved in Brazil.