מדינה: ארצות הברית
שפה: אנגלית
מקור: NLM (National Library of Medicine)
CARBIDOPA (UNII: MNX7R8C5VO) (CARBIDOPA ANHYDROUS - UNII:KR87B45RGH)
ANI Pharmaceuticals, Inc.
ORAL
PRESCRIPTION DRUG
Carbidopa tablets are indicated for use with carbidopa-levodopa or with levodopa in the treatment of the symptoms of idiopathic Parkinson’s disease (paralysis agitans), postencephalitic parkinsonism, and symptomatic parkinsonism, which may follow injury to the nervous system by carbon monoxide intoxication and/or manganese intoxication. Carbidopa tablets are for use with carbidopa-levodopa in patients for whom the dosage of carbidopa-levodopa provides less than adequate daily dosage (usually 70 mg daily) of carbidopa. Carbidopa tablets are for use with levodopa in the occasional patient whose dosage requirement of carbidopa and levodopa necessitates separate titration of each medication. Carbidopa tablets are used with carbidopa-levodopa or with levodopa to permit the administration of lower doses of levodopa with reduced nausea and vomiting, more rapid dosage titration, and with a somewhat smoother response. However, patients with markedly irregular (“on-off”) responses to levodopa have not been shown to ben
Carbidopa Tablets are provided as peach orange, round tablets, flat side scored and debossed with "A" above the score and "25" below the score, with convex side blank and are supplied as: Bottles of 100 (NDC 43975-220-10) Store at 20° to 25°C (68° to 77°F). [See USP Controlled Room Temperature]. Dispense in a tight, light-resistant container as defined in the USP. KEEP THIS AND ALL MEDICATIONS OUT OF THE REACH OF CHILDREN . Mfd. by: Suzhou Amerigen Pharmaceutical Co. Ltd. Jiangsu, China 215006 Dist. By: Amerigen Pharmaceuticals, Inc. Lyndhurst, NJ 07071 USA 1-877-220-3784 OS1005/01 Rev. 02/2014
Abbreviated New Drug Application
CARBIDOPA- CARBIDOPA TABLET ANI PHARMACEUTICALS, INC. ---------- CARBIDOPA TABLETS, 25 MG WHEN CARBIDOPA IS TO BE GIVEN TO CARBIDOPA-NAIVE PATIENTS WHO ARE BEING TREATED WITH LEVODOPA, THE TWO DRUGS SHOULD BE GIVEN AT THE SAME TIME, STARTING WITH NO MORE THAN 20 TO 25% OF THE PREVIOUS DAILY DOSAGE OF LEVODOPA WHEN GIVEN WITHOUT CARBIDOPA. AT LEAST TWELVE HOURS SHOULD ELAPSE BETWEEN THE LAST DOSE OF LEVODOPA AND INITIATION OF THERAPY WITH CARBIDOPA AND LEVODOPA. SEE THE WARNINGS AND DOSAGE AND ADMINISTRATION SECTIONS BEFORE INITIATING THERAPY. DESCRIPTION Carbidopa, an inhibitor of aromatic amino acid decarboxylation, is a white, crystalline compound, slightly soluble in water, with a molecular weight of 244.3. It is designated chemically as (–)-L-α-hydrazino-α-methyl-β-(3,4-dihydroxybenzene) propanoic acid monohydrate. Its empirical formula is C10H14N2O4•H2O, and its structural formula is: Carbidopa tablets contain 25 mg of carbidopa. Inactive ingredients are FD&C Yellow 6, magnesium stearate, microcrystalline cellulose, pregelatinized starch and silicon dioxide. Tablet content is expressed in terms of anhydrous carbidopa which has a molecular weight of 226.3. CLINICAL PHARMACOLOGY Parkinson’s disease is a progressive, neurodegenerative disorder of the extrapyramidal nervous system affecting the mobility and control of the skeletal muscular system. Its characteristic features include resting tremor, rigidity, and bradykinetic movements. Symptomatic treatments, such as levodopa therapies, may permit the patient better mobility. MECHANISM OF ACTION Current evidence indicates that symptoms of Parkinson’s disease are related to depletion of dopamine in the corpus striatum. Administration of dopamine is ineffective in the treatment of Parkinson’s disease apparently because it does not cross the blood- brain barrier. However, levodopa, the metabolic precursor of dopamine, does cross the blood-brain barrier, and presumably is converted to dopamine in the brain. This is thought to be the mechanism whereby le קרא את המסמך השלם