EKTERLY Film-coated tablet Ref.[115734] Active ingredients: Sebetralstat

Source: FDA, National Drug Code (US)  Revision Year: 2025 

1. Indications and Usage

EKTERLY is indicated for the treatment of acute attacks of hereditary angioedema (HAE) in adult and pediatric patients aged 12 years and older.

2. Dosage and Administration

2.1 Recommended Dosage

The recommended dosage of EKTERLY is one dose of 600 mg (two tablets) orally at the earliest recognition of an acute HAE attack.

  • A second dose of 600 mg (two tablets) may be taken at least 3 hours after the first dose if response is inadequate, or if symptoms worsen or recur.
  • Maximum recommended dosage is 1,200 mg (four tablets) in any 24-hour period.

2.2 Dosage Modification for CYP3A4 Inhibitors and Inducers

Refer to Table 1 for dosage modification of EKTERLY when used concomitantly with CYP3A4 inhibitors and inducers.

Table 1. Dosage Modification of EKTERLY for Concomitant use with CYP3A4 Inhibitors and Inducers:

Dosage Modification for Concomitant use of EKTERLY with
CYP3A4 Inhibitors
Strong CYP3A4
Inhibitors
Avoid concomitant use with EKTERLY.
Moderate CYP3A4
Inhibitors
Reduce EKTERLY dosage to 300 mg (one tablet)
orally at earliest recognition of an acute HAE
attack.
A second dose of 300 mg (one tablet) may be
taken at least 3 hours after first dose if response
is inadequate or if symptoms worsen or recur
[see Drug Interactions (7.1) and Clinical
Pharmacology (12.3)]
.
Weak CYP3A4
Inhibitors
No dosage modification of EKTERLY [see Dosage
and Administration (2.1)]
.
Dosage Modification for Concomitant use of EKTERLY with
CYP3A4 Inducers
Strong and Moderate CYP3A4
Inducers
Avoid concomitant use with EKTERLY.
Weak CYP3A4
Inducers
No dosage modification of EKTERLY [see Dosage
and Administration (2.1)]
.

2.3 Recommended Dosage in Patients with Hepatic Impairment

Refer to Table 2 for recommended dosage of EKTERLY in patients with hepatic impairment.

Table 2. Recommended Dosage of EKTERLY in Patients with Hepatic Impairment:

Recommended Dosage of EKTERLY in Patients with Hepatic
Impairment
Severe Hepatic
Impairment (Child-
Pugh Class C)
Avoid use of EKTERLY [see Use in Specific
Populations (8.6) and Clinical Pharmacology
(12.3)]
.
Moderate Hepatic
Impairment (Child-
Pugh Class B)
Recommended dosage of EKTERLY is one dose
of 300 mg (one tablet) orally at the earliest
recognition of an acute HAE attack. A second
dose of 300 mg (one tablet) may be taken at
least 3 hours after the first dose if response is
inadequate, or if symptoms worsen or recur [see
Use in Specific Populations (8.6) and Clinical
Pharmacology (12.3)]
.
Mild Hepatic
Impairment (Child-
Pugh Class A)
Recommended dosage is the same as the
recommended dosage in patients with normal
hepatic function [see Dosage and Administration
(2.1)]
.

10. Overdosage

Consider contacting the poison control help line (1-800-222-1222) or medical toxicologist for overdose management recommendations.

16.2. Storage and Handling

Store at 20°C to 25°C (68°F to 77°F). Excursions permitted between 15°C and 30°C (59°F to 86°F) [see USP Controlled Room Temperature].

© All content on this website, including data entry, data processing, decision support tools, "RxReasoner" logo and graphics, is the intellectual property of RxReasoner and is protected by copyright laws. Unauthorized reproduction or distribution of any part of this content without explicit written permission from RxReasoner is strictly prohibited. Any third-party content used on this site is acknowledged and utilized under fair use principles.