Země: Spojené státy
Jazyk: angličtina
Zdroj: NLM (National Library of Medicine)
ENTACAPONE (UNII: 4975G9NM6T) (ENTACAPONE - UNII:4975G9NM6T)
Alembic Pharmaceuticals Inc.
ORAL
PRESCRIPTION DRUG
Entacapone tablets are indicated as an adjunct to levodopa and carbidopa to treat end-of-dose “wearing-off” in patients with Parkinson’s disease (see CLINICAL PHARMACOLOGY, Clinical Studies). Entacapone tablets effectiveness has not been systematically evaluated in patients with Parkinson’s disease who do not experience end-of-dose “wearing-off”. Entacapone tablets are contraindicated in patients who have demonstrated hypersensitivity to the drug or its ingredients. Entacapone is not a controlled substance. Animal studies to evaluate the drug abuse and potential dependence have not been conducted. Although clinical studies have not revealed any evidence of the potential for abuse, tolerance or physical dependence, systematic studies in humans designed to evaluate these effects have not been performed.
Entacapone Tablets USP, 200 mg are brownish-orange colored, oval-shaped unscored film coated tablets debossed with “L 633” on one side and plain on the other side. Tablets are provided in HDPE containers as follows: NDC 62332-478-31 bottle of 100 tablets NDC 62332-478-91 bottle of 1,000 tablets Store at 25°C (77°F); excursions permitted to 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature.] Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. For more information call Alembic Pharmaceuticals Limited at 1-866-210-9797. Manufactured by: Alembic Pharmaceuticals Limited (Formulation Division), Panelav 389350, Gujarat, India Manufactured for: Alembic Pharmaceuticals, Inc. Bedminster, NJ 07921, USA Revised: 09/2021
Abbreviated New Drug Application
ENTACAPONE - ENTACAPONE TABLET, FILM COATED ALEMBIC PHARMACEUTICALS INC. ---------- ENTACAPONE TABLETS, USP _RX ONLY_ _PRESCRIBING INFORMATION_ DESCRIPTION Entacapone is available as tablets containing 200 mg entacapone, USP. Entacapone is an inhibitor of catechol-O-methyltransferase (COMT), used in the treatment of Parkinson’s disease as an adjunct to levodopa and carbidopa therapy. It is a nitrocatechol-structured compound with a relative molecular mass of 305.29. The chemical name of entacapone is (E)-2-cyano3-(3,4-dihydroxy-5-nitrophenyl)-N,N-diethyl- 2-propenamide. Its empirical formula is C H N O and its structural formula is: The inactive ingredients of the entacapone tablets, USP are microcrystalline cellulose, mannitol, croscarmellose sodium, colloidal silicon dioxide, magnesium stearate, hydrogenated vegetable oil, hypromellose, glycerin, titanium dioxide, iron oxide yellow, sucrose, polysorbate 80 and iron oxide red. FDA approved dissolution testing specifications differ from USP. CLINICAL PHARMACOLOGY _MECHANISM OF ACTION_ Entacapone is a selective and reversible inhibitor of COMT. In mammals, COMT is distributed throughout various organs with the highest activities in the liver and kidney. COMT also occurs in the heart, lung, smooth and skeletal muscles, intestinal tract, reproductive organs, various glands, adipose tissue, skin, blood cells, and neuronal tissues, especially in glial cells. COMT catalyzes the transfer of the methyl group of S-adenosyl-L-methionine to the phenolic group of substrates that contain a catechol structure. Physiological substrates of COMT include dopa, catecholamines (dopamine, norepinephrine, and epinephrine) and their hydroxylated metabolites. The function of COMT is the elimination of biologically active catechols and some other hydroxylated metabolites. In the presence of a decarboxylase inhibitor, COMT becomes the major metabolizing enzyme for levodopa, catalyzing the metabolism to 3-methoxy-4- hydroxy-L phenylalanine (3-OMD) in the brain and periphery. The mechanis Přečtěte si celý dokument