国家: 台湾
语言: 中文
来源: 衛生福利部食品藥物管理署 (Ministry of Health and Welfare, Food And Drug Administration)
CARBIDOPA;;LEVODOPA
美商默沙東藥廠股份有限公司台灣分公司 台北市信義區信義路五段106號12樓 (86683720)
N04BA02
錠劑
LEVODOPA (1208002900) MG; CARBIDOPA (2408000400) as equivqlent to Carbidopa Anhydrous 50 mgMG
瓶裝
製 劑
須由醫師處方使用
MYLAN PHARM, INC. 781 CHESTNUT RIDGE ROAD, MORGANTOWN, WEST VIRGINIA 26505 US
levodopa and decarboxylase inhibitor
.特發性帕金森氏症。.腦炎後之帕金森氏徵候群。.症狀性帕金森氏徵候群(一氧化碳或錳中毒)。.正服用含有PYRIDOXINE維他命製劑之帕金森氏症或帕金森氏徵候群的病人。可降低先前曾以levodopa/decarboxylase抑制劑之複方製劑或使用levodopa單方製劑治療的病人之無反應期,這些病人的運動功能波動特徵在藥效末期時有惡化(Wearing off)現象,尖峰劑量之運動困難,運動不能或短期運動失調之類似現象。
註銷日期: 2020/10/08; 註銷理由: 自請註銷; 有效日期: 2022/04/17; 英文品名: SINEMET CR 50/200 TABLETS
已註銷
1997-04-17
S-IPC-MK0295B-CR-082013 0295B-TWN-2014-008480 SINEMET CR 50/200 Tablets (carbidopa and levodopa) SINEMET CR is a combination of carbidopa, an aromatic amino acid decarboxylase inhibitor, and levodopa, the metabolic precursor of dopamine, in a polymer-based controlled-release tablet formulation, for use in the treatment of Parkinson's disease and syndrome. SINEMET CR is particularly useful to reduce "off" time in patients treated previously with a conventional levodopa/decarboxylase inhibitor combination who have had predictable peak-dose dyskinesias and unpredictable motor fluctuations. Patients with Parkinson's disease treated with preparations containing levodopa may develop motor fluctuations characterized by end-of-dose failure, peak dose dyskinesia, and akinesia. The advanced form of motor fluctuations ("on- off" phenomenon) is characterized by unpredictable swings from mobility to immobility. Although the causes of the motor fluctuations are not completely understood, it has been demonstrated that they can be attenuated by treatment regimens that produce steady plasma levels of levodopa. Levodopa relieves the symptoms of Parkinson's disease by being decarboxylated to dopamine in the brain. Carbidopa, which does not cross the blood-brain barrier, inhibits only the extracerebral decarboxylation of levodopa, making more levodopa available for transport to the brain and subsequent conversion to dopamine. This normally obviates the necessity for large doses of levodopa at frequent intervals. The lower dosage reduces or may help eliminate gastrointestinal and cardiovascular side effects, especially those which are attributable to dopamine being formed in extracerebral tissues. SINEMET CR is designed to release the active ingredients over a 4- to 6-hour period. With this formulation there is less variation in plasma levodopa levels and the peak plasma level is 60% lower than with conventional SINEMET. In clinical trials, patients with motor fluctuations experienced reduced "off" time with SINEMET CR when compared 阅读完整的文件