neupro

neupro Uses, Dosage, Side Effects, Food Interaction and all others data.

neupro (Neupro) is a non-ergoline dopamine agonist indicated for the treatment of Parkinson's disease (PD) and restless legs syndrome (RLS) in Europe and the United States. It is formulated as a once-daily transdermal patch which provides a slow and constant supply of the drug over the course of 24 hours.

Like other dopamine agonists, rotigotine has been shown to possess antidepressant effects and may be useful in the treatment of depression as well.

neupro was developed by Aderis Pharmaceuticals. In 1998 Aderis licensed worldwide development and commercialization rights to Schwarz Pharma of Germany. It was approved by the European Medicines Agency in 2006 and by the FDA in 2007. However, all Neupro patches in the United States and some of Europe were recalled in 2008 due to delivery mechanism issues. neupro has been authorized as a treatment for RLS since August 2008.

Trade Name neupro
Availability Prescription only
Generic Rotigotine
Rotigotine Other Names Rotigotina, Rotigotine
Related Drugs Neupro, Azilect, Duopa, Apokyn, Xadago, Ongentys, Gocovri, Rytary, Sinemet, Sinemet CR
Weight 4mg, 6mg, 8mg, 2mg, , 1mg/24hr, 2mg/24hr, 3mg/24hr, 4mg/24hr, 6mg/24hr, 8mg/24hr
Type Patch, Extended Release, Transdermal Film, Transdermal
Formula C19H25NOS
Weight Average: 315.48
Monoisotopic: 315.165685603
Protein binding

92% in vitro and 89.5% in vivo.

Groups Approved
Therapeutic Class
Manufacturer Ucb Manufacturing, Ucb Pharma Limited, Schwarz Pharma Ltd, Ucb, Ucb-pharma
Available Country Saudi Arabia, Canada, United Kingdom, United States, France, Netherlands, Portugal, Spain, Switzerland,
Last Updated: September 19, 2023 at 7:00 am
neupro
neupro

Uses

neupro is a non-selective dopamine agonist used for the treatment of Parkinson's Disease and Restless Leg Syndrome.

For use/treatment in neurologic disorders and parkinson's disease as well as moderate-to-severe primary Restless Legs Syndrome.

neupro is also used to associated treatment for these conditions: Parkinson's Disease (PD), Severe restless legs syndrome (RLS), Moderate restless leg syndrome

How neupro works

neupro, a member of the dopamine agonist class of drugs, is delivered continuously through the skin (transdermal) using a silicone-based patch that is replaced every 24 hours. A dopamine agonist works by activating dopamine receptors in the body, mimicking the effect of the neurotransmitter dopamine. The precise mechanism of action of rotigotine as a treatment for Restless Legs Syndrome is unknown but is thought to be related to its ability to stimulate dopamine

Toxicity

The most likely symptoms of overdose would be those related to the pharmacodynamic profile of a dopamine agonist, including nausea, vomiting, hypotension, involuntary movements, hallucinations, confusion, convulsions, and other signs of excessive dopaminergic stimulation.

Food Interaction

No interactions found.

[Moderate] GENERALLY AVOID: Alcohol may potentiate some of the pharmacologic effects of CNS-active agents.

Use in combination may result in additive central nervous system depression and
MANAGEMENT: Patients receiving CNS-active agents should be warned of this interaction and advised to avoid or limit consumption of alcohol.

Ambulatory patients should be counseled to avoid hazardous activities requiring complete mental alertness and motor coordination until they know how these agents affect them, and to notify their physician if they experience excessive or prolonged CNS effects that interfere with their normal activities.

Volume of Distribution

The weight normalized apparent volume of distribution, (Vd/F), in humans is approximately 84 L/kg after repeated dose administration.

Elimination Route

Bioavailability varies depending on the application site. Differences in bioavailability were very small between the abdomen and hip (<1%). In contrast, the shoulder and thigh had a very large different in measured bioavailability (46%), with the shoulder showing the higher value. Tmax, 8 mg dose = 15 - 18 hours (it take approximately 3 hours until rotigotine reaches detectable levels in the plasma). The peak concentration cannot be observered. Steady state is reached in 2-3 days.

Half Life

After removal of the patch, plasma levels decreased with a terminal half-life of 5 to 7 hours. The pharmacokinetic profile showed a biphasic elimination with an initial half-life of 3 hours.

Elimination Route

Urine (71%), Fecal (23%). Most of rotigotine that is excreted in the urine is in the form of inactive conjugates. Unchanged drug made up less <1%.

Innovators Monograph

You find simplified version here neupro

*** Taking medicines without doctor's advice can cause long-term problems.
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