Opicapone

Generic name: Opicapone
Brand names: Ongentys
Dosage form: oral capsule (25 mg; 50 mg)
Drug class: Dopaminergic antiparkinsonism agents

Usage of Opicapone

Opicapone is used together with Carbidopa and levodopa to treat symptoms of "off" episodes (stiffness, tremors, muscle spasms, poor muscle control) in people with Parkinson's disease.

Opicapone may also be used for purposes not listed in this medication guide.

Opicapone side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Opicapone may cause serious side effects. Call your doctor at once if you have:

  • a light-headed feeling, like you might pass out;
  • confusion, hallucinations (hearing or seeing something that is not there);
  • aggression, agitation, unusual thoughts or behavior;
  • uncontrolled muscle movements in your face (chewing, lip smacking, frowning, tongue movement, blinking or eye movement); or
  • worsening tremors, stiffness, or muscle spasms.
  • You may have increased sexual urges, unusual urges to gamble, or other intense urges while taking opicapone. Talk with your doctor if this occurs.

    Common side effects of opicapone may include:

  • feeling light-headed;
  • uncontrolled muscle movement;
  • abnormal blood tests;
  • constipation; or
  • weight loss.
  • When you stop taking opicapone, watch for withdrawal symptoms such as: stiff muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, or feeling like you might pass out.

    This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

    Before taking Opicapone

    You should not use opicapone if you are allergic to it, or if you have a certain type of tumor that secretes hormones, such as:

  • pheochromocytoma (tumor of the adrenal gland); or
  • paraganglioma (tumor of the nerve cells).
  • Do not use opicapone if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, and tranylcypromine.

    Tell your doctor if you have ever had:

  • a sleep disorder that causes daytime sleepiness;
  • narcolepsy or other conditions that cause sudden sleepiness;
  • uncontrolled muscle movements;
  • unusual and intense urges to act on impulse (such as gambling, binge-eating, or compulsive shopping);
  • mental illness, hallucinations, or psychosis;
  • liver disease; or
  • kidney disease.
  • Tell your doctor if you are pregnant or breastfeeding.

    Relate drugs

    How to use Opicapone

    Usual Adult Dose for Parkinson's Disease:

    50 mg orally once a day at bedtimeUse: As adjunctive treatment to levodopa/carbidopa in patients with Parkinson's disease (PD) experiencing "off" episodes

    Warnings

    Use only as directed. Tell your doctor if you use other medicines or have other medical conditions or allergies.

    What other drugs will affect Opicapone

    Using opicapone with other drugs that make you drowsy can worsen this effect. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.

    Tell your doctor about all your other medicines, especially:

  • dobutamine;
  • dopamine;
  • epinephrine, norepinephrine; or
  • isoproterenol.
  • This list is not complete. Other drugs may affect opicapone, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

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