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. 2011 Sep;66(9):1627–1636. doi: 10.1590/S1807-59322011000900021

Table 6.

Drugs used for the short-term prophylaxis and treatment of acute attacks of hereditary angioedema.

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.