Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Prescription medicine · generic available

Nitisinone

Drug class: 4-Hydroxyphenyl-Pyruvate Dioxygenase Inhibitor

The FDA’s “Established Pharmacologic Class”: the group of medicines that work in a similar way.

Official FDA data, not advice

Everything here comes from the U.S. Food and Drug Administration (FDA): the drug label, the NDC Directory, Drugs@FDA, recall reports and the drug shortage list. Each fact shows its source and date.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

In an emergency, call 911. If someone may have taken too much of a medicine, call Poison Help: 1‑800‑222‑1222.

Quick answers

What is Nitisinone used for?
The FDA-approved label (Orfadin, Swedish Orphan Biovitrum AB (publ), December 18, 2025) says: “ORFADIN ® is indicated for the treatment of adult and pediatric patients with hereditary tyrosinemia type 1 (HT-1) in combination with dietary restriction of tyrosine and phenylalanine. ORFADIN is a hydroxy-phenylpyruvate dioxygenase inhibitor indicated for the treatment of adult and pediatric patients with hereditary tyrosinemia type 1 (HT-1) in combination with dietary restriction of tyrosine and phenylalanine.” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Nitisinone have a boxed warning?
No. None of the 9 FDA labels we found for this medicine has a boxed warning.
Is there a shortage of Nitisinone?
No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
Has Nitisinone been recalled?
No recall linked to the products of this medicine appears in the FDA enforcement reports we use.
Who makes Nitisinone?
6 companies list prescription products of Nitisinone in the FDA NDC Directory, including Swedish Orphan Biovitrum AB (publ), Eton Pharmaceuticals, Inc. and Cycle Pharmaceuticals Ltd.

What Nitisinone is used for

Quoted from the “Indications and Usage” section of the FDA-approved label.

ORFADIN ® is indicated for the treatment of adult and pediatric patients with hereditary tyrosinemia type 1 (HT-1) in combination with dietary restriction of tyrosine and phenylalanine. ORFADIN is a hydroxy-phenylpyruvate dioxygenase inhibitor indicated for the treatment of adult and pediatric patients with hereditary tyrosinemia type 1 (HT-1) in combination with dietary restriction of tyrosine and phenylalanine.

— FDA label: Orfadin, Swedish Orphan Biovitrum AB (publ), effective December 18, 2025. Read the full label on DailyMed →

The FDA has 9 labels for products of this medicine (different makers and forms); uses can differ between them. Check the label that comes with your own medicine.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

Boxed warning

A boxed warning (“black box”) is the FDA’s strongest warning on a drug label, for serious or life-threatening risks.

The label quoted above has no boxed warning.

0 of 9 FDA labels for this medicine have a boxed warning.

Forms and how it is given

Dosage formsCapsule · Tablet · Suspension
RouteOral
Prescription products23 in the FDA NDC Directory
Brand namesOrfadin, Nityr, Harliku

Companies that list this medicine

Labelers in the FDA NDC Directory: the company named on the package (maker or distributor), with the number of prescription products.

FDA approval history

  • NDA: New Drug Application: how a new (usually brand-name) medicine is approved.
  • ANDA: Abbreviated New Drug Application: how a generic version is approved.
Brand and biologic applications
ApplicationSponsorApprovedLater changes approved
NDA021232
ORFADIN
Swedish OrphanJanuary 18, 2002 12, latest May 17, 2019
2019: Labeling · 2017: Efficacy · 2017: Manufacturing (CMC)
NDA206356
ORFADIN
Swedish OrphanApril 22, 2016 4, latest May 17, 2019
2019: Labeling · 2017: Efficacy · 2017: Labeling
NDA209449
HARLIKU, NITYR
CycleJuly 26, 2017 4, latest June 10, 2025
2025: Efficacy · 2024: Labeling · 2020: Efficacy

Generic approvals (3)

Shortage status

The FDA drug shortage list does not show these products.

FDA Drug Shortages database →

Recalls

No recall linked to these products (by their NDC code) appears in the FDA enforcement reports.

Official identifiers

RxCUI (RxNorm)351173, 351174, 351175, 352119, 352120, 352121, 1790310, 1790317, 1798999, 1799001 … (+2)
SPL set ID of the quoted label00307f42-748d-4227-8c6f-ed5f0a89ae0a
FDA labels (SPL)9
FDA applicationsNDA021232, NDA206356, NDA209449, 3 ANDA
Active ingredients (FDA)NITISINONE

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Orfadin, Swedish Orphan Biovitrum AB (publ), effective December 18, 2025; via openFDA, FDA data exported October 30, 2026, retrieved October 31, 2026
  2. NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  3. Drugs@FDA (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  4. Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
  5. Drug shortages (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026

openFDA data is provided by the FDA as is; it may be incomplete. Always rely on the label that comes with your medicine. FDA Enforcement Report search →

Report an error → · Information for medicine makers