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FDA approves rotigotine patches for Parkinson’s disease

Dopamine agonist provides additional option in patients with early disease.

Rotigotine (Neupro—Schwarz Pharma), a dopamine agonist formulated in a transdermal patch, has been approved by FDA for treatment of the signs and symptoms of early-stage idiopathic Parkinson’s disease. Applied once daily, the patch will be available in the United States in three strengths, 2, 4, and 6 mg. The drug was approved in Europe in March 2006 and is currently available in 14 countries there.

The effectiveness of rotigotine was demonstrated in one fixed-dose response study and two flexible-dose studies. The parallel group studies were randomized, double-blinded, and placebo-controlled, and involved 1,154 patients with early Parkinson’s disease who were not taking other antiparkinsonian medications. The trials demonstrated safety and efficacy of the drug and indicated a low potential for drug interactions.

The most common adverse effects in rotigotine clinical trials included skin reactions at the patch site, dizziness, nausea, vomiting, drowsiness, and insomnia, most of which are typical of this class of drugs. Other potential safety concerns include sleep attacks (sudden onset of sleep while engaged in routine activities, including driving or operating machinery), hallucinations, and postural hypotension.

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Contact the writer: L. Michael Posey, BPharmPharmacy Today

Posted May 10, 2007, 5:10pm EDT