Table 4.
Therapy for acute attacks | Short-term and long-term prophylaxis | |||
---|---|---|---|---|
Peripheral and urogenital | Abdominal | Facial and laryngeal | ||
“Wait and see” | +/− | +/− | − | n/a |
pdC1-INH concentrate | + | + | + | +a |
Recombinant C1-INH concentrate, Icatibant and Ecallantideb,c | − | − | − | − |
Attenuated androgensd | − | − | − | − |
Tranexamic acid | − | − | − | − |
n/a not applicable, +/− depending on the intensity
aOf the two available products, only Cinryze is approved for long-term prophylaxis
bRecombinant C1-INH concentrate, ecallantide, and icatibant are currently not approved for children and adolescents in Europe. Studies in children and adolescents are required
cNo approval for ecallantide in Europe
dAttenuated androgens are not approved in Germany, in Austria not for children