Држава: Израел
Језик: Енглески
Извор: Ministry of Health
CARBIDOPA MONOHYDRATE (AS ANHYDROUS); ENTACAPONE; LEVODOPA
TRUEMED LTD, ISRAEL
N04BA01
GEL
ENTACAPONE 20 MG / 1 ML; CARBIDOPA MONOHYDRATE (AS ANHYDROUS) 5 MG / 1 ML; LEVODOPA 20 MG / 1 ML
INTESTINAL
Required
LOBSOR PHARMACEUTICALS
LEVODOPA
Treatment of advanced Parkinson's disease with severe motor fluctuations and hyperkinesia or dyskinesia when available oral combinations of Parkinson medicinal products have not given satisfactory results.
2023-05-30
PATIENT LEAFLET IN ACCORDANCE WITH THE PHARMACISTS' REGULATIONS (PREPARATIONS) – 1986 This medicine is dispensed with a doctor’s prescription only LECIGON INTESTINAL GEL ACTIVE INGREDIENTS Each 1 ml of gel contains: • 20 mg levodopa • 5 mg carbidopa monohydrate • 20 mg entacapone Inactive ingredients and allergens in this medicine: see section 2 under ‘Important information about some of this medicine’s ingredients’, and section 6 ‘Additional information’ . READ THE ENTIRE LEAFLET CAREFULLY BEFORE YOU START USING THIS MEDICINE. This leaflet contains concise information about this medicine. If you have any further questions, consult your doctor or pharmacist. This medicine has been prescribed to treat your illness. Do not pass it on to others. It may harm them, even if it seems to you that their illness is similar to yours. 1. WHAT IS THIS MEDICINE INTENDED FOR? Lecigon is used to treat advanced Parkinson's disease with severe motor fluctuations and hyperkinesia or dyskinesia when oral combinations (medicines taken by mouth) of Parkinson medication have not achieved satisfactory results. THERAPEUTIC GROUP: Parkinson medicines; dopa and dopa derivatives. Lecigon is a gel for continuous delivery that is supplied through a pump and tube directly into your small intestine. HOW LECIGON WORKS In a person with Parkinson's disease, the levels of dopamine in the brain are low. Levodopa is converted into dopamine in the brain, thereby relieving the symptoms of Parkinson's disease. Carbidopa and entacapone improve the effect that levodopa has on Parkinson's disease. 2. BEFORE USING THIS MEDICINE DO NOT USE THIS MEDICINE IF: - you are sensitive (allergic) to the active ingredients (levodopa, carbidopa, entacapone) or any of the other ingredients in this medicine (see section 6). - you have an eye problem called narrow-angle glaucoma (an acute type of glaucoma). - you have severe heart failure. - you have severely irregular heartbeat (arrhythmia). - you recently had a stroke. - you have a serious liver dise Прочитајте комплетан документ
1. NAME OF THE MEDICINAL PRODUCT Lecigon 2. QUALITATIVE AND QUANTITATIVE COMPOSITION 1 ml contains 20 mg levodopa, 5 mg carbidopa monohydrate (equivalent to 4.6 mg of anhydrous carbidopa) and 20 mg entacapone. 47 ml (1 cartridge) contains 940 mg levodopa, 235 mg carbidopa monohydrate and 940 mg entacapone. Excipients with known effects: 1 ml gel contains 3.5 mg sodium. (1 cartridge contains 166 mg sodium) For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Intestinal gel. Yellow or yellowish-red opaque viscous gel. pH: 4.5-5.5 4. CLINICAL PARTICULARS 4.1 Therapeutic indications Treatment of advanced Parkinson's disease with severe motor fluctuations and hyperkinesia or dyskinesia when available oral combinations of Parkinson's medicinal products have not given satisfactory results. 4.2 Posology and method of administration Posology For intestinal use (see section 6.6). The dose should be titrated to achieve the optimal clinical response in the individual patient, which involves maximising the functional ON-time during the day by minimising the number and duration of OFF episodes (bradykinesia) and minimising ON-time with disabling dyskinesia. The total dose/day of Lecigon is composed of three individually adjusted doses: the morning bolus dose, the continuous maintenance dose, and extra bolus doses. Treatment is usually limited to the patient's awake period. If medically justified, Lecigon can be administered up to 24 hours/day. The maximum recommended daily dose is 100 ml (which corresponds to 2000 mg levodopa, 500 mg carbidopa monohydrate and 2000 mg entacapone – see also section 4.4). During the maintenance dose, the plasma concentration/time profile of levodopa has a somewhat different appearance, with a gradually increasing levodopa concentration in plasma over the course of the day, than previously observed from intestinal gel with levodopa/carbidopa alone. An example of a plasma concentration/time profile when using Lecigon can be found in section 5.2. If individual needs exist, the Прочитајте комплетан документ