Ongentys (opicapone) vs Inbrija (levodopa)
Ongentys (opicapone) vs Inbrija (levodopa)
Ongentys (opicapone) is a once-daily medication that functions as a COMT inhibitor, designed to prolong the effect of levodopa therapy by blocking its breakdown, thereby enhancing and extending its efficacy in Parkinson's disease management. Inbrija, on the other hand, is an inhaled form of levodopa that provides rapid relief of "off" episodes when Parkinson's symptoms are not well controlled by oral medications. When deciding between Ongentys and Inbrija, a patient should consider factors such as the frequency of "off" episodes, the convenience of dosing, and the goal of either extending the effect of their current levodopa treatment (Ongentys) or seeking immediate symptom relief during an "off" episode (Inbrija).
Difference between Ongentys and Inbrija
Metric | Ongentys (opicapone) | Inbrija (levodopa) |
---|---|---|
Generic name | Opicapone | Levodopa |
Indications | Parkinson's disease (as adjunct to levodopa/carbidopa) | Parkinson's disease (off periods in patients taking carbidopa/levodopa) |
Mechanism of action | COMT inhibitor (catechol-O-methyltransferase inhibitor) | Dopamine precursor |
Brand names | Ongentys | Inbrija |
Administrative route | Oral | Inhalation |
Side effects | Dyskinesia, constipation, hypotension, weight changes, insomnia | Cough, upper respiratory tract infection, nausea, discolored sputum |
Contraindications | MAO inhibitors, pheochromocytoma, non-selective MAO-A drugs | MAO inhibitors, narrow-angle glaucoma, history of melanoma |
Drug class | COMT inhibitor | Dopaminergic antiparkinsonism agent |
Manufacturer | Bial - Portela & Cª, S.A. | Acorda Therapeutics |
Efficacy
Ongentys (Opicapone) in Parkinson's Disease
Ongentys, with the active ingredient opicapone, is a medication approved for the treatment of Parkinson's disease as an adjunct therapy. It is a catechol-O-methyltransferase (COMT) inhibitor that works by prolonging the effect of levodopa, which is a primary treatment for Parkinson's disease. Opicapone is specifically designed to be used in conjunction with levodopa/carbidopa to enhance motor function and control in patients experiencing "off" episodes, where the effects of levodopa wear off and symptoms return before the next dose.
Clinical trials have demonstrated the efficacy of opicapone in reducing "off" time for patients with Parkinson's disease. These studies have shown that opicapone, when added to a stable dose of levodopa, significantly increases "on" time without troublesome dyskinesia compared to placebo. The improvement in motor function is attributed to the sustained levels of levodopa in the bloodstream, as opicapone inhibits its breakdown.
Inbrija (Levodopa) in Parkinson's Disease
Inbrija is an inhaled form of levodopa that is used to treat "off" episodes in people with Parkinson's disease who are already taking carbidopa/levodopa medication. Levodopa is the precursor to dopamine, a neurotransmitter that is deficient in the brains of Parkinson's patients. By administering levodopa, the brain can produce more dopamine, which helps to alleviate the motor symptoms of Parkinson's disease such as tremors, stiffness, and slowness of movement.
The efficacy of Inbrija has been evaluated in clinical trials where it was shown to provide rapid relief from "off" episodes. Patients using Inbrija experienced a significant improvement in motor function within 30 minutes of administration, with effects lasting up to an hour. This rapid onset of action is particularly beneficial for patients who need quick relief from sudden and unpredictable "off" periods that occur despite ongoing oral levodopa/carbidopa therapy.
Regulatory Agency Approvals
Ongentys
Inbrija
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