TheraRadar
Data updated: May 26, 2026

ORMALVI (dichlorphenamide)

Carbonic Anhydrase Inhibitors
Rare Disease Approved 2022-12-29

ORMALVI is an oral medication used for patients with primary hyperkalemic or hypokalemic periodic paralysis. It also helps those suffering from related variants of these muscle conditions. This medication provides a therapeutic option for managing these specific types of periodic paralysis.

Source: FDA Label • TORRENT • Carbonic Anhydrase Inhibitor

How ORMALVI Works

ORMALVI works by inhibiting the enzyme carbonic anhydrase. While it is classified as a carbonic anhydrase inhibitor, the exact process by which this action produces its therapeutic effects in patients with periodic paralysis is not yet known.

Source: FDA Label
1
Indication
--
Phase 3 Trials
3
Years on Market

Details

Status
Prescription
First Approved
2022-12-29
Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: DICHLORPHENAMIDE

ORMALVI Approval History

2023
2024
2025
2026
Original
New Indication
New Form
Label Update
2 FDA actions from 2022 to 2024
Feb 2024 SUPPL
Label · Labeling
Dec 2022 ORIGINAL
Update

What ORMALVI Treats

2 indications

ORMALVI is approved for 2 conditions since its original approval in 2022. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Hyperkalemic Periodic Paralysis
  • Hypokalemic Periodic Paralysis
Source: FDA Label

ORMALVI Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to ORMALVI

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

DICHLORPHENAMIDE
DICHLORPHENAMIDE
2 shared
RISING
Shared indications:
Hyperkalemic Periodic ParalysisHypokalemic Periodic Paralysis
KEVEYIS
DICHLORPHENAMIDE
2 shared
XERIS
Shared indications:
Hyperkalemic Periodic ParalysisHypokalemic Periodic Paralysis
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Active Pipeline

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Key Completed Trials

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Trial Timeline

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ORMALVI FDA Label Details

Indications & Usage

ORMALVI is indicated for the treatment of Hyperkalemic Periodic Paralysis; Hypokalemic Periodic Paralysis.

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.