FDA-filed SPL labeling · retrieved through openFDA

Lanadelumab-flyo injection

Lanadelumab-flyo injection is a targeted antibody therapy used to prevent attacks of hereditary angioedema (HAE) in adults and children age 2 and older.

Brand name Takhzyro
Drug class Plasma Kallikrein Inhibitor
Rx Form 1 Route Subcutaneous
Dr. Brian Staiger, PharmD, BCPS
Reviewed by Last reviewed Jul 10, 2026
🧬 Where this information comes from Click to expand

The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 1 clinical label set within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →

At a glance
Linked label effectiveAug 26, 2026
AvailabilityRx
Earliest approval/marketing year 2018
FDA-listed product records 11
Boxed warningNone found in compared labels
How we combine label and product data →
No current FDA shortage listed · checked Sep 23, 2026
Other forms & routes:
Lanadelumab-flyo injection at a glance The quick version — the full detail is in the Patient Information Guide below.
💊
HelloPharmacist Editorial Team Bottom Line
Takhzyro (lanadelumab-flyo) is a preventive injection given every 2 to 4 weeks to reduce HAE attacks in adults and children aged 2 and older. It works by blocking an overactive enzyme that triggers swelling episodes. It is not a rescue treatment — always keep appropriate acute HAE medication on hand for breakthrough attacks.

📖 Lanadelumab-flyo injection: Patient Information Guide

A plain-language walkthrough of Lanadelumab-flyo injection — what it treats, how it works, how it’s taken, side effects, warnings and interactions. Tap any section to expand it.

🎯What it's used for

Lanadelumab-flyo injection is approved as a preventive therapy for hereditary angioedema (HAE). Here is what the evidence supports:

  • Takhzyro is indicated to prevent HAE attacks in adults and pediatric patients aged 2 years and older.
  • HAE is a rare genetic condition (Types I and II) caused by deficiency or dysfunction of a protein called C1-inhibitor, leading to recurrent episodes of severe swelling.
  • Takhzyro is a preventive (prophylactic) medication — it is taken on a regular injection schedule to reduce how often attacks occur, not to stop an attack once it starts.
⚙️How it works

In people with HAE, a blood protein called plasma kallikrein is not properly regulated. When it becomes overactive, it produces large amounts of bradykinin — a substance that causes blood vessel walls to become leaky, leading to the swelling and pain of an HAE attack. Takhzyro is a fully human monoclonal antibody that attaches directly to plasma kallikrein and blocks its activity, keeping bradykinin levels under control and significantly reducing attack frequency.

💊How it's taken

Takhzyro is given as a subcutaneous (under the skin) injection on a regular schedule. The frequency depends on age and how well the condition is controlled — some patients inject every 2 weeks, and others every 4 weeks. Adults and patients 12 and older may self-inject or have a caregiver do it after appropriate training. Children under 12 should receive injections from a healthcare provider or trained caregiver.

  • Always follow the specific schedule your prescriber has recommended.
  • If you're unsure about a missed or late dose, contact your prescriber or pharmacist rather than doubling up.
  • Keep rescue medication available at all times in case of a breakthrough HAE attack.
🤒Side effects — in detail

The most common side effects with Takhzyro include:

  • Injection site reactions — pain, redness, bruising, or swelling at the injection site
  • Upper respiratory infections (colds)
  • Headache
  • Rash
  • Dizziness
  • Diarrhea
  • Muscle aches (myalgia)

Serious but less common reactions include severe allergic (hypersensitivity) responses and liver enzyme elevations. Seek medical attention right away if you develop difficulty breathing, hives, facial swelling, or feel faint after an injection.

⚠️Warnings & precautions
  • Allergic reactions: Hypersensitivity reactions have been reported. If you have a severe reaction — trouble breathing, hives, swelling of the face or throat — stop the injection and get emergency help immediately.
  • Liver enzyme changes: Some patients developed temporary, asymptomatic elevations in liver enzymes (ALT and AST). Your doctor may monitor your liver during treatment. One patient stopped treatment due to this.
  • Lab test interference: Takhzyro can cause a falsely elevated result on a blood clotting test called aPTT. This does not mean you have a bleeding problem, but it is important to tell any healthcare provider or lab that you are on Takhzyro before blood tests are drawn.
🔀What it interacts with

No dedicated formal drug interaction studies have been performed with Takhzyro. Based on available data:

  • Common medications (pain relievers, antibiotics, antihistamines, anti-inflammatory drugs) — did not affect Takhzyro's clearance or distribution in the body.
  • HAE rescue medications (C1-inhibitor products, icatibant, ecallantide) — did not meaningfully alter Takhzyro drug levels.
  • aPTT blood clotting test — Takhzyro interferes with this lab assay and can produce an elevated result; always inform lab staff and providers you are taking it to avoid misinterpretation.

This is not a complete list of interactions. Always talk with your doctor or pharmacist before starting, stopping, or changing any medication.

📋Before taking it
  • Pregnancy: There are no controlled human studies. Monoclonal antibodies like Takhzyro cross the placenta, especially in the third trimester. Discuss risks and benefits with your doctor if you are pregnant or planning to become pregnant.
  • Breastfeeding: It is unknown whether Takhzyro passes into human breast milk. Discuss with your doctor whether to continue, pause, or stop breastfeeding.
  • Children under 12: Takhzyro is approved for children as young as 2 years, but injections for this age group must be given by a healthcare provider or trained caregiver — not self-administered.
  • Injection training: Patients or caregivers planning to inject at home must be trained by a healthcare professional before doing so independently.
  • Kidney impairment: Mild to moderate kidney impairment does not appear to meaningfully affect how Takhzyro works in the body; no dose adjustment is recommended based on available data.
🚑If you take too much

There is no clinical experience with Takhzyro overdose. If you or someone else may have received too much, contact a healthcare provider or poison control center right away for guidance.

📡Pharmacodynamics — effects in the body

Takhzyro works by suppressing plasma kallikrein activity in a concentration-dependent way — the more drug present, the more kallikrein is blocked. This is measured by a drop in a blood marker called cleaved high-molecular-weight kininogen (cHMWK), which reflects less bradykinin being produced. Studies showed this effect across all studied age groups and dosing schedules. Takhzyro does not affect heart rhythm (it did not prolong the QT/QTc interval in testing).

🔬Pharmacokinetics — how your body processes it

After a subcutaneous injection, Takhzyro reaches its peak blood concentration within about 5 days. Its half-life — the time it takes for the body to clear half of the drug — is approximately 2 weeks, which is why it is dosed every 2 to 4 weeks. It takes roughly 70 days of regular dosing to reach stable, steady-state levels in the blood. Body weight influences how much drug is in the system (lighter patients have somewhat higher exposure), but this difference is not considered clinically significant and no dose adjustments are recommended based on weight, age, gender, or race alone.

📦How to store it

Store the prefilled syringes refrigerated at 36°F to 46°F (2°C to 8°C). Do not freeze. protect from light.

📄 Written from Lanadelumab-flyo injection’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Every point is grounded in that labeling — nothing is invented. How we use AI →

🩺 Pharmacist Counseling Corner

Quick, plain-English answers to the questions patients ask most about Lanadelumab-flyo injection — the kind of thing our pharmacy team would talk through with you at the counter.

What exactly does Takhzyro do — is it a treatment for HAE attacks or something else?
Great question, and it's an important distinction. Takhzyro is a preventive medication — you take it on a regular schedule (every 2 to 4 weeks) to reduce how often HAE attacks happen. It does not stop an attack that's already started. You should always keep a separate rescue medication on hand for breakthrough attacks, just in case.
How do I give myself this injection at home?
Takhzyro comes in a prefilled syringe, and before you inject at home, your healthcare provider will walk you through the technique. Take the syringe out of the fridge about 15 minutes before your injection so it can warm up to room temperature — don't shake it. You'll inject it under the skin of your abdomen, thigh, or upper arm. Check that the solution looks clear before using it, and throw away the syringe after a single use — never reuse it.
What side effects should I expect, and when should I call my doctor?
The most common side effects are injection site reactions like redness, pain, or bruising — those are generally mild and go away on their own. You might also notice headaches, cold symptoms, or occasional dizziness. What you really want to call about right away is any sign of a serious allergic reaction after injecting: difficulty breathing, hives, swelling of your face or throat, or feeling faint. That's a 911 situation, not a wait-and-see one.
My child is 5 years old — is Takhzyro safe for them, and can I give the injection at home?
Takhzyro is approved for children as young as 2, so your child qualifies. For kids under 12, the injection should be given by a healthcare provider or a caregiver who has been trained by one — so yes, as a caregiver you can do it at home once you've been properly taught. Your child's doctor will determine the right dosing schedule based on age, and they'll walk you through everything you need to know.
I'm pregnant. Is it safe to keep taking Takhzyro?
There's no solid human safety data on Takhzyro during pregnancy yet. What we do know is that antibody medications like Takhzyro can cross the placenta — especially in the third trimester — so there's potential for the baby to be exposed. That doesn't mean you have to stop automatically; HAE can be serious, and untreated attacks carry their own risks. This is a conversation to have with your OB and HAE specialist so you can weigh the benefits and risks together.
I heard Takhzyro can mess up blood test results — what does that mean for me?
Takhzyro can interfere with a specific clotting test called aPTT, causing it to look abnormally high — even though you're not actually at risk for abnormal bleeding. It's just how the drug interacts with the chemistry used in that test. The fix is simple: always tell any doctor, nurse, or lab technician that you're on Takhzyro before they run blood work. That way, they can interpret the results correctly and won't unnecessarily stop your treatment.
Is Lanadelumab-flyo injection available over the counter?
Lanadelumab-flyo injection is dispensed by prescription according to its FDA labeling, so it isn't sold over the counter. Your prescriber and pharmacist will determine if it's appropriate for you.
When was Lanadelumab-flyo injection first available?
Lanadelumab-flyo injection has been available in the United States since at least 2018, based on FDA approval history (Drugs@FDA) and product marketing records.
Who makes Lanadelumab-flyo injection?
Lanadelumab-flyo injection is supplied by 2 manufacturers listed in the FDA NDC Directory, including Takeda Pharmaceuticals America, Inc., Rentschler Biopharma SE.

💬 Answers drafted from Lanadelumab-flyo injection’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Grounded in that labeling — nothing is made up. How we use AI →

🧰 Keep exploring

💊 How Lanadelumab-flyo injection comes

Lanadelumab-flyo injection is available in 1 form. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.

Injection

By injection · Under the skin
Brands Takhzyro
How this form is used
What it may be used for
  • Takhzyro is used to prevent hereditary angioedema (HAE) attacks in adults and pediatric patients 2 years of age and older.
  • Takhzyro is given on a regular preventive schedule and is not used to treat an HAE attack that is already in progress.
Important instructions
  • Takhzyro is injected subcutaneously (under the skin) into the abdomen, thigh, or upper arm.
  • Takhzyro prefilled syringes should be removed from the refrigerator about 15 minutes before use to reach room temperature — do not shake or vigorously agitate the syringe.
  • Takhzyro should be inspected before use — do not use it if the solution appears discolored or contains visible particles; it should look clear to slightly opalescent and colorless to slightly yellow.
  • Takhzyro is for single use only — discard any remaining solution in the syringe after the injection.
Available strengths 2 strengths
11 FDA-listed product records

📊 Lanadelumab-flyo injection across the U.S. market

How Lanadelumab-flyo injection appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.

1
Dose forms
2
Manufacturers
1
Brand names
11
FDA-listed product records
2018
First marketed
Takeda Pharmaceuticals America, Inc.91%
Rentschler Biopharma SE9%

Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

📈 How widely Lanadelumab-flyo injection is used

A general measure of how commonly Lanadelumab-flyo injection is prescribed, based on Medicaid — one of the largest public drug programs. The figure below is prescriptions filled in Q1–Q4 2025, summed across every form and brand of the drug.

Think of this as a proxy for how widely Lanadelumab-flyo injection is used, drawn from freely available public data. Medicaid is just one program — these numbers don’t include Medicare, other government coverage, or commercial and cash-pay prescriptions, so real-world use is higher than what’s shown here.

2,602
Medicaid prescriptions filled (Q1–Q4 2025)
$123.3M gross Medicaid reimbursement (before mandatory rebates — net cost is lower)

How commonly is Lanadelumab-flyo injection prescribed? Of the 1,596 medications we measure, Lanadelumab-flyo injection ranks #1,149 by Medicaid prescriptions — more than 28% of them.

Where Lanadelumab-flyo injection ranks among the drugs we measure · Q1–Q4 2025 · neighbors ±5

Source: Medicaid State Drug Utilization Data (CMS), aggregated by generic ingredient — summed across every NDC (all brands, strengths, salt forms and dosage forms) of Lanadelumab-flyo injection, and across all states and both fee-for-service and managed-care claims. A general popularity signal; it excludes Medicare, commercial insurance and cash prescriptions, so it is not total U.S. use. Based on the 2 of 4 listed Lanadelumab-flyo injection NDCs with Medicaid activity.

🔍 Compare Lanadelumab-flyo injection products

A representative set of FDA-listed product records for Lanadelumab-flyo injection — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)

Strength Route Manufacturer / Labeler Category Details
💊Injection
300 mg/2 mL Rentschler Biopharma SE BULK INGREDIENT FOR HUMAN PRESCRIPTION COMPOUNDING View NDC →
150 mg/mL Subcutaneous Takeda Pharmaceuticals America, Inc. × 3 listings BLA View NDC →
300 mg/2 mL Subcutaneous Takeda Pharmaceuticals America, Inc. × 7 listings BLA View NDC →

Showing 11 of 11 products — FDA National Drug Code Directory. See every product, package size and price: browse all 11 Lanadelumab-flyo injection NDCs →

🏷️ Sold under these brand names

Takhzyro

🏭 Manufacturers & labelers

Takeda Pharmaceuticals America, Inc. 10 Rentschler Biopharma SE 1

RxNorm drug class

Lanadelumab-flyo injection belongs to the Plasma Kallikrein Inhibitor class.

Pharmacologic class Plasma Kallikrein Inhibitor
Drug family (ATC) Drugs used in hereditary angioedema
How it works Kallikrein Inhibitors

Classified by RxNorm RxClass — the U.S. National Library of Medicine's standardized drug-classification service (Established Pharmacologic Class from the FDA, the ATC drug family from the WHO, and mechanism of action). Reference only, not medical advice.

🔬 Where this comes from

Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.

📄
FDA-filed drug labels (SPL) Uses, dosing, warnings & side effects from SPL records retrieved through openFDA; the linked representative set can be verified on DailyMed. ✓ Linked label effective Aug 26, 2026
🏭
Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Lanadelumab-flyo injection.
📈
Real-world reportsThe FDA Adverse Event Reporting System (FAERS), served through openFDA.
🚨
Recalls & shortagesopenFDA drug-enforcement reports and the FDA drug-shortage database.
🧾 Clinical label set — FDA-filed SPL labels retained for Lanadelumab-flyo injection after exact ingredient or ingredient-combination matching and applicable route/form matching
Clinical labels in scope
1
NDC products indexed
11
Distinct labelers/manufacturers represented
2
Linked representative label
Takeda Pharmaceuticals America, Inc.
Linked label effective
Aug 26, 2026
Composite sections available
23
Linked SPL Set ID
15f99d8c-efe7-4f7d-aa20-0d0f1e30c6e8
Linked SPL Document ID
164a1ea0-23e8-405a-a351-80bf513a26eb
Open the linked representative label on DailyMed ↗

How we combine label and product data

HelloPharmacist combines public FDA and NLM records; we don’t author the underlying clinical facts. We identified 1 FDA-filed SPL label set within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. The representative label is the starting point for the displayed reference monograph; the 12 largest stored in-scope SPL records, which may include that representative, are compared section by section, and the longest available version of each section is retained. Forms, routes, brands, labelers, product-listed strengths, and product-record counts are aggregated separately from ingredient-matched FDA NDC Directory records; package records listed above are associated with the linked SPL; and the normalized concept hierarchy comes from NLM RxNorm.

Where a section is identified as AI-written, its plain-language text is generated from bounded label evidence. New draft drug pages remain in the admin review queue before first publication. Takeda Pharmaceuticals America, Inc. is the representative DailyMed label linked for verification and dates; it is not the sole source used for the page.

This is general education, not medical advice — always consult your doctor or pharmacist about your medications and any medical condition. For the exact wording of the linked representative label, view that label on DailyMed; some displayed composite sections may come from other in-scope SPL labels. Learn how we use AI and our data sources & update cadence.