Country: United States
Language: English
Source: NLM (National Library of Medicine)
CARBIDOPA (UNII: MNX7R8C5VO) (CARBIDOPA ANHYDROUS - UNII:KR87B45RGH)
Ingenus Pharmaceuticals NJ, LLC
CARBIDOPA
CARBIDOPA ANHYDROUS 25 mg
PRESCRIPTION DRUG
Abbreviated New Drug Application
CARBIDOPA- CARBIDOPA TABLET INGENUS PHARMACEUTICALS NJ, LLC ---------- CARBIDOPA TABLETS 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 molecular formula is C H N O •H O and its structural formula is: Carbidopa tablets contain 25 mg of carbidopa. Inactive ingredients are colloidal silicon dioxide, FD&C Red 40, microcrystalline cellulose, magnesium stearate and pregelatinized starch. 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 where Read the complete document