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Anrikefon

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Anrikefon

Supplied with complete CDSCO-approved import and customs documentation, including Form 12A & 12B, CDEC, GST Bill of Entry, Commercial Invoice, and Packing List.

Medicine Name: Anrikefon
Generic Name (API): Anrikefon
Dosage Form & Strength: 0.1 mg/1 mL
Route: Intravenous (IV) injection
Drug Class: Peripheral kappa opioid receptor (KOR) agonist

Manufacturer / Innovator:

China

Regulatory Approval:

  • NMPA (China)
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What Is Anrikefon Used For?

Anrikefon is a new injection that calms itch in people on kidney dialysis and also relieves pain after surgery. It was developed in China by Haisco Pharmaceutical Group and is sold there as 思舒静® (Sishujing), with the Chinese name 安瑞克芬注射液. In research it was called HSK21542.

China's National Medical Products Administration (NMPA) has approved it for two uses in adults:

  • Moderate to severe itch (pruritus) linked to chronic kidney disease in adults on maintenance haemodialysis, approved in September 2025 after a priority review
  • Mild to moderate pain after abdominal surgery, its first approval, on 13 May 2025

It is a prescription kidney care medicine for the itch use, given by the dialysis team, and a hospital medicine for the pain use.

How It Works

Anrikefon switches on kappa opioid receptors outside the brain and spinal cord. Acting there, it eases itch and relieves visceral (gut-type) pain after surgery. It is built on a small peptide core that hardly crosses into the brain: in animal tracer studies, none of it was found in the brain or spinal cord. It does not act on the mu or delta opioid receptors, which are behind the breathing problems and addiction risk of usual opioids. Because of this, it is not handled as a narcotic in China and is prescribed on an ordinary prescription.

What the Trials Showed

Itch in dialysis: Haisco reports that in its phase 3 trial both the main and the secondary results were significantly better than placebo; the full numbers have not yet been published. In the earlier phase 2 trial (90 patients, published in Frontiers in Pharmacology, 2025), 62.1% of patients on the 0.3 µg/kg dose had at least a 3-point drop in itch score after 12 weeks, against 44.4% on placebo, though the main result did not reach statistical significance. The 0.3 µg/kg dose was taken forward into phase 3.

Pain after abdominal surgery: in the placebo-controlled phase 3 trial, pain relief over the first 24 hours was clearly better than placebo, and fewer patients needed a rescue painkiller (33.1% vs 46.7%). In a second trial, 24% were pain-free at 24 hours against 14% with a comparison painkiller.

Recommended Dosage

  • Pain after abdominal surgery (Chinese label): 1.0 µg per kg of body weight, diluted 5 to 20 times and injected into a vein over about 2 minutes, 1 to 3 times a day, at least 8 hours apart.
  • Itch in dialysis: in the studies it was given into a vein within 10 minutes after each dialysis session, three times a week, with the dose based on dry weight. The nephrologist follows the approved Chinese label for the exact dose.
  • No dose change is needed for older people or for liver problems. In severe kidney impairment the pain dose is halved.

Each 1 mL ampoule holds 0.1 mg. As an example, a 60 kg patient needs 60 µg (0.6 mL) for one pain dose. Your doctor sets the exact plan.

This information is not a treatment plan. For personalized medical advice, consult your doctor and refer to the full prescribing information.

Warnings and Precautions

In the surgery trials the Chinese label lists these common side effects (1% or more):

  • Nausea 5.1% to 7.8% and vomiting 2.2% to 8.5%, both lower than in the comparison groups
  • Lower thyroid-stimulating hormone (TSH) on blood tests, 3.7% to 8.5%, and small changes in other thyroid values
  • Low blood potassium 2.2% to 2.3%

No grade 3 or higher side effects, no serious side effects and no withdrawals because of side effects were seen in those two studies.

In dialysis patients (phase 2 trial, 12 weeks): side effects judged related to treatment affected 16.7% in every group, including placebo. Dizziness was reported in 6.7% on the 0.3 µg/kg dose and 3.3% on placebo. High potassium was common in all groups (about 23% to 27%), as expected in dialysis. None of the serious events was linked to the medicine and there were no deaths.

  • Kidney function: the pain dose is halved in severe kidney impairment. Dialysis patients receive the dose set for them by the nephrologist.
  • Other medicines: it is hardly broken down by the liver and showed a low risk of interactions in lab studies, but your doctor still needs a full list of what you take.
  • Handling: once an ampoule is opened it must be used straight away; diluted solution must be used within 24 hours and must not be frozen.
  • There are no data in people under 18. Safety in pregnancy and breastfeeding has not been established.

How to Access Anrikefon in India: A 6-Step Process

Step 1 – Search & request your medicine: The patient or treating doctor submits a request with basic details to initiate the access process.

Step 2 – Verification & eligibility review: The team verifies availability and reviews eligibility against regulatory and clinical requirements to ensure a compliant pathway.

Step 3 – Receive quote & delivery timeline: A transparent quotation is shared, covering medicine cost, logistics, and a clear delivery timeline.

Step 4 – Regulatory approval process: Assistance is provided to secure the approvals and documentation required for legal cross-border access.

Step 5 – Temperature-controlled import & handling: The medicine is sourced and transported under strict GDP-compliant, cold-chain conditions to maintain product integrity.

Step 6 – Secure delivery: The medicine is delivered to the patient or treating hospital, with updates provided at each stage.

Note: From request to delivery, every step is designed to ensure your treatment reaches you safely, compliantly, and without unnecessary delays.

Documentation & Availability

What documents are required to import Anrikefon to India?

The injection can be imported only in the patient's name, by the patient or a government hospital, in line with India's import regulations for unapproved medicines. You will need:

  • A valid prescription from a qualified nephrologist (or, for the pain use, the treating surgeon or anaesthetist)
  • Reports confirming chronic kidney disease on maintenance haemodialysis and the itch problem, with the dialysis schedule and dry weight
  • Patient ID proof (issued by the Government of India)

How is the order confirmed?

Once we have received and checked a valid prescription and, where needed, an import permit.

Is Anrikefon available in India?

No. It is approved only in China. It has no CDSCO approval, it is not sold in Indian pharmacies, and the US FDA and European Medicines Agency have not approved it either.

Patients can still get it legally through the Named Patient Program (NPP), which allows a medicine not registered in India to be imported for one specific patient on a prescription. For people on dialysis, our page on Evrenzo covers another imported kidney care medicine, used for anaemia in chronic kidney disease.

It can be made available to patients, doctors, and hospitals across major cities in India, including Gurgaon, Delhi, Bangalore, Mumbai, Navi Mumbai, Thane, Hyderabad, Mysore, Kerala, Chennai, Coimbatore, Madurai, Kolkata, Ahmedabad, Surat, Vadodara, Pune, Nagpur, Nashik, Jaipur, Udaipur, Lucknow, Kanpur, Gorakhpur, Chandigarh, Mohali, Faridabad, Noida, Ghaziabad, Kochi, Trivandrum, Kozhikode, Thrissur, Kannur, Mangalore, Bhubaneswar, Patna, Ranchi, Raipur, Guwahati, Visakhapatnam, Vijayawada, Goa, Jammu, Srinagar, Dehradun, Bhopal, Indore, Ludhiana, Amritsar, and others — and can facilitate delivery to the patient's treating hospital. Orders are confirmed only after receipt of a valid doctor's prescription and an import permit, where applicable.

Sourcing & Delivery

NamedPatientProgram.com (NPP) sources this medicine through the manufacturer's authorised supply channels in China and arranges supply to patients, doctors, and hospitals under applicable legal provisions. The ampoules travel sealed in their original packs under temperature-controlled shipping and are stored as directed on the pack. Because dialysis patients need a dose after every session, we plan quantities month by month and deliver to the dialysis unit or treating hospital. All prescriptions are dispensed and checked by registered pharmacists and dispatched from New Delhi, India, after legal requirements are fulfilled.

For the current cost in India and availability, contact NPP via WhatsApp at +91 98104 69557 | Toll-Free: 1800-1200-365 or email info@namedpatientprogram.com.

Availability Across Major Cities in India

Patients across India can access this medicine through regulated import pathways, with delivery arranged to the dialysis unit or treating hospital on a valid specialist's prescription.

Delhi

Large dialysis centres here can request the injection for a named patient, and our New Delhi dispatch point keeps transit short.

Mumbai

Supply can be sent to the dialysis unit so doses are ready for each session.

Bangalore

Nephrologists in Bangalore can share the prescription and dialysis schedule to start the import.

Chennai

We plan repeat deliveries so a patient on three sessions a week does not run short.

Hyderabad

The quote is based on dry weight and the number of sessions, and is shared before anything is ordered.

Kolkata

Deliveries to Kolkata and the eastern states go to the treating hospital with full batch records.

Pune

Patients in Pune can use the same documented import route, with updates at each stage.

Ahmedabad

The treating nephrologist can send us the reports and prescription to begin.

Vellore

Patients treated at hospitals in Vellore can have supply delivered directly to the dialysis unit.

Chandigarh

Serves patients from Punjab, Haryana and Himachal Pradesh, with delivery to the treating hospital.

Lucknow

We coordinate delivery to public and private dialysis centres across Uttar Pradesh.

Kochi

Patients across Kerala can receive the medicine at their dialysis centre in Kochi and nearby cities.

Access can also be coordinated for patients in other Indian cities, subject to a valid prescription and regulatory requirements.

Author Details

Nitin Goswami

Written By

Nitin Goswami

Deputy Manager – Content & Social Media, Ikris Pharma Network

Sources: NMPA • CDSCO

Dr. Chirag C Shah

Medically Reviewed By

Dr. Chirag C Shah

MBBS

Last Updated: 19 October 2026

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