Regulatory PathRegulatory requirements compared

Active substance

Nitisinone

Open in the medicines table

SFDA Saudi Arabia — SFDA human drug list

Trade nameStrengthForm · routePackPublic priceTypeCompanyStatus
NITYR 10 mg Tablet10 mgTablet · Oral use60 BottleSAR 9067.85NCE · PrescriptionCycle Pharmaceuticals LTDValid
NITYR 2 mg Tablet2 mgTablet · Oral use60 BottleSAR 2413.55NCE · PrescriptionCycle Pharmaceuticals LTDValid
NITYR 5 mg Tablet5 mgTablet · Oral use60 BottleSAR 5012.55NCE · PrescriptionCycle Pharmaceuticals LTDValid
ORFADIN 10 MG CAPSULE10 mgCapsule, hard · Oral use60 BottleSAR 11160.45NCE · PrescriptionSWEDISH ORPHAN BIOVITRUM INTERNATIONAL ABValid
ORFADIN 2 MG CAPSULE2 mgCapsule, hard · Oral use60 BottleSAR 2970.50NCE · PrescriptionSWEDISH ORPHAN BIOVITRUM INTERNATIONAL ABValid
ORFADIN 20 MG CAPSULE20 mgCapsule, hard · Oral use60 BottleSAR 23260.70NCE · PrescriptionSWEDISH ORPHAN BIOVITRUM INTERNATIONAL ABValid
ORFADIN 5 MG CAPSULE5 mgCapsule, hard · Oral use60 BottleSAR 6169.30NCE · PrescriptionSWEDISH ORPHAN BIOVITRUM INTERNATIONAL ABValid
Orfadin4 mg/mlOral suspension · Oral use1 BottleSAR 9220.80NCE · PrescriptionSWEDISH ORPHAN BIOVITRUM INTERNATIONAL ABValid
Indications — CHI Daman Drug Formulary

HEREDITARY TYROSINEMIA TYPE 1

US FDA United States — FDA approvals (Drugs@FDA)

ProductStrengthForm · routeApplicantStatusFirst approved
ORFADIN2MG; 5MG; 10MG; 20MGcapsule · oralSWEDISH ORPHANPrescription18 Jan 2002
ORFADIN4MG/MLsuspension · oralSWEDISH ORPHANPrescription22 Apr 2016
NITYR2MG; 5MG; 10MGtablet · oralCYCLEPrescription26 Jul 2017
HARLIKU2MGtablet · oralCYCLEPrescription26 Jul 2017
NITISINONE2MG; 5MG; 10MGcapsule · oralNOVITIUM PHARMAPrescription26 Aug 2019
NITISINONE2MG; 5MG; 10MG; 20MGcapsule · oralMEDUNIKPrescription26 May 2022
NITISINONE2MG; 5MG; 10MG; 20MGcapsule · oralETONPrescription25 May 2023
NITISINONE2MG; 5MG; 10MG; 20MGcapsule · oralTORRENTDiscontinued9 Jan 2023

EMA European Union — centrally authorised medicines

Orfadin Swedish Orphan Biovitrum International AB · Authorised · authorised 21 Feb 2005 · ATC A16AX04

Therapeutic indication (EMA)

Hereditary tyrosinemia type 1 (HT 1)Orfadin is indicated for the treatment of adult and paediatric (in any age range) patients with confirmed diagnosis of hereditary tyrosinemia type 1 (HT 1) in combination with dietary restriction of tyrosine and phenylalanine. Alkaptonuria (AKU)Orfadin is indicated for the treatment of adult patients with alkaptonuria (AKU).

Nityr Cycle Pharmaceuticals (Europe) Ltd · Authorised · authorised 26 Jul 2018 · ATC A16AX04

Therapeutic indication (EMA)

Treatment of adult and paediatric patients with confirmed diagnosis of hereditary tyrosinemia type 1 (HT-1) in combination with dietary restriction of tyrosine and phenylalanine.

Nitisinone MDK (previously Nitisinone MendeliKABS) MendeliKABS Europe Ltd · Withdrawn · authorised 24 Aug 2017 · ATC A16AX04

Therapeutic indication (EMA)

Treatment of adult and paediatric (in any age range) patients with confirmed diagnosis of hereditary tyrosinemia type 1 (HT 1) in combination with dietary restriction of tyrosine and phenylalanine.

Canada Canada — marketed products (Health Canada)

BrandDINStrengthForm · routeCompany
MDK-NITISINONE024577172 MGCAPSULE · ORALMENDELIKABS INC
MDK-NITISINONE024577255 MGCAPSULE · ORALMENDELIKABS INC
MDK-NITISINONE0245773310 MGCAPSULE · ORALMENDELIKABS INC
ORFADIN024596982 MGCAPSULE · ORALSWEDISH ORPHAN BIOVITRUM AB (PUBL)
ORFADIN024597015 MGCAPSULE · ORALSWEDISH ORPHAN BIOVITRUM AB (PUBL)
ORFADIN0245972810 MGCAPSULE · ORALSWEDISH ORPHAN BIOVITRUM AB (PUBL)
ORFADIN0245973620 MGCAPSULE · ORALSWEDISH ORPHAN BIOVITRUM AB (PUBL)
ORFADIN024696934 MG / MLSUSPENSION · ORALSWEDISH ORPHAN BIOVITRUM AB (PUBL)

Safety signals and safety-related labeling changes

  • US FDA 10 Jun 2025 HARLIKU — safety-related labeling change
    Labeling sections changed: Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 18 Jan 2024 NITYR — safety-related labeling change
    Labeling sections changed: Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 17 May 2019 ORFADIN — safety-related labeling change
    Labeling sections changed: Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 17 May 2019 ORFADIN — safety-related labeling change
    Labeling sections changed: Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations

All safety entries for nitisinone →

Values as published by each source: SFDA human drug list (4-2026, as published by the Council of Health Insurance; indications from the CHI Daman Drug Formulary), Drugs@FDA, EMA medicines data, Health Canada Drug Product Database (Open Government Licence – Canada), CMS NADAC, NHS Drug Tariff Part VIIIA (NHSBSA Copyright, Open Government Licence v3.0), WHO Model List of Essential Medicines (CC BY 3.0 IGO; regrouped by active substance, not created by WHO), EMA PRAC, US FDA safety-related labeling changes and MHRA Drug Safety Update (Open Government Licence v3.0). Sources and reuse. Not a substitute for the official registers or the product information.