Страна: США
мова: англійська
Джерело: NLM (National Library of Medicine)
CARBIDOPA (UNII: MNX7R8C5VO) (CARBIDOPA ANHYDROUS - UNII:KR87B45RGH), LEVODOPA (UNII: 46627O600J) (LEVODOPA - UNII:46627O600J)
TruPharma, LLC
ORAL
PRESCRIPTION DRUG
Carbidopa and levodopa tablets are indicated in the treatment of Parkinson's disease, post-encephalitic parkinsonism, and symptomatic parkinsonism that may follow carbon monoxide intoxication or manganese intoxication. Carbidopa allows patients treated for Parkinson's disease to use much lower doses of levodopa. Some patients who responded poorly to levodopa have improved on carbidopa and levodopa tablets. This is most likely due to decreased peripheral decarboxylation of levodopa caused by administration of carbidopa rather than by a primary effect of carbidopa on the nervous system. Carbidopa has not been shown to enhance the intrinsic efficacy of levodopa. Carbidopa may also reduce nausea and vomiting and permit more rapid titration of levodopa. Nonselective monoamine oxidase (MAO) inhibitors are contraindicated for use with carbidopa and levodopa tablets. These inhibitors must be discontinued at least two weeks prior to initiating therapy with carbidopa and levodopa tablets. Carbidopa and levodopa tablets
Carbidopa and levodopa tablets USP 10 mg/100 mg are light blue to blue, speckled, round, uncoated tablets, debossed with “Λ” on one side and plain on other. They are supplied as follows: 46 NDC 52817-390-10, bottles of 100. NDC 52817-390-50, bottles of 500. Carbidopa and levodopa tablets USP 25 mg/100 mg are light yellow to yellow, speckled, round, uncoated tablets, debossed with “Λ” on one side and plain on other. They are supplied as follows: 47 NDC 52817-391-10, bottles of 100. NDC 52817-391-50, bottles of 500. NDC 52817-391-00, bottles of 1000. Carbidopa and levodopa tablets USP 25 mg/250 mg are light blue to blue, speckled, round, uncoated tablets, debossed with “Λ” on one side and plain on other. They are supplied as follows 49 NDC 52817-392-10, bottles of 100. NDC 52817-392-50, bottles of 500. NDC 52817-392-00, bottles of 1000. Storage and Handling Store at 20° to 25°C (68° to 77°F); excursions permitted 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature]. Store in a tightly closed container, protected from light and moisture. Dispense in a tightly closed, light-resistant container. All trademarks are the property of their respective owners. Manufactured by: Rubicon Research Private Limited Ambernath, Dist: Thane, 421506 India Distributed by: TruPharma, LLC Tampa, FL 33609 Revision: 02/23
Abbreviated New Drug Application
CARBIDOPA-LEVODOPA- CARBIDOPA AND LEVODOPA TABLET TRUPHARMA, LLC ---------- CARBIDOPA AND LEVODOPA TABLETS, USP DESCRIPTION Carbidopa and Levodopa tablets, USP are a combination of carbidopa and levodopa for the treatment of Parkinson's disease and syndrome. 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 C H N O •H O, and its structural formula is: Tablet content is expressed in terms of anhydrous carbidopa which has a molecular weight of 226.3. Levodopa, an aromatic amino acid, is a white, crystalline compound, slightly soluble in water, with a molecular weight of 197.2. It is designated chemically as (—)-L-α-amino-β- (3,4-dihydroxybenzene) propanoic acid. Its empirical formula is C H NO , and its structural formula is: Carbidopa and levodopa tablets, USP are supplied in three strengths: Carbidopa and levodopa tablets USP 10/100 mg containing 10 mg of carbidopa and 100 mg of levodopa. Carbidopa and levodopa tablets USP 25/100 mg containing 25 mg of carbidopa and 100 mg of levodopa. Carbidopa and levodopa tablets USP 25/250 mg containing 25 mg of carbidopa and 250 mg of levodopa. Inactive ingredients are hydroxypropyl cellulose, crospovidone, microcrystalline cellulose, and magnesium stearate. Carbidopa and levodopa tablets 10 mg/100 mg and 25 mg/250 mg also contain FD&C Blue 2 aluminium lake. Carbidopa and levodopa tablets 25 mg/100 mg also contain D&C Yellow 10 aluminium lake. FDA approved dissolution test specifications differ from USP. CLINICAL PHARMACOLOGY _MECHANISM OF ACTION_ 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 treatment Прочитайте повний документ