Does bradykinin-mediated angioedema always require treatment with medication?
Whether or not it is necessary to treat symptoms of bradykinin-mediated angioedema depends on the degree to which a given patient is burdened—or endangered—by the disorder. The decision in favour of using medication to counter swelling attacks must be made on the basis of a comprehensive and frank consultation between physician and patient. Acute therapy (i.e. treatment during an attack) with medication is recommended in • Severe to life-threatening swelling attacks (e.g. attacks affecting the laryngeal area) • Painful gastrointestinal attacks • Disabling swelling that interferes with activities of daily lifePatients can also be offered the option of short-term prophylaxis, consisting of a time-limited treatment with medication aimed at reducing the risk of swelling associated with known triggers of angioedema, such a dental treatments or surgical procedures.
