Chemical structure of entacapone
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Entacapone

Entacapone is a catechol-O-methyl transferase inhibitor, marketed by Novartis for the treatment of Parkinson's disease under the trade names Comtan and Stalevo in the United States. When administered in conjunction with dopaminergic agents such as L-DOPA, entacapone increases the bioavailability of these compounds by facilitating their passage across the blood-brain barrier. more...

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It is a member of the class of nitrocatechols.

The most frequent undesirable effects caused by entacapone relate to the increased effects of L-DOPA, such as involuntary movements (dyskinesias).These occur most frequently at the beginning of entacapone treatment. Others common side effects are gastrointestinal problems, including diarrhoea, nausea and abdominal pains. The substance may cause urine to turn reddish-brown. This is a harmless side effect and is not a cause for concern. In studies with entacapone, some people have reported experiencing a dry mouth.

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Drug approved to treat Parkinson's disease
From Nurse Practitioner, 2/1/00

The FDA approved Novartis' entacapone (Comtan), a new drug for Parkinson's disease. The new drug belongs to a class of drugs known as COMT inhibitors, which enhance the benefits of levodopa by reducing its breakdown prior to reaching the brain. Entacapone is the second COMT inhibitor to be approved.

Entacapone has a favorable adverse effect profile and was generally well tolerated in clinical trials, according to Novartis. Although the drug's labeling does not require specific safety monitoring, the labeling states that cases of severe rhabdomyolysis have been reported (F-D-C Reports. 1999;October 25:3) and that it is impossible to determine what role, if any, entacapone played in their pathogenesis. The most commonly reported adverse effects were dyskinesia, nausea, diarrhea, abdominal pain, and urine discoloration.

Copyright Springhouse Corporation Feb 2000
Provided by ProQuest Information and Learning Company. All rights Reserved

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