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Entacapone
| Question | Answer |
|---|---|
| Entacapone T/P | T: Antiparkinson agent P:L Catecholo O methyltransferase inhibitor |
| MOA of Entacapone | Selectively and reversily inhibits catechol - O methyltransferase |
| What is Entacapone used for? | Parkinsons; it prolongs the effects of levadopa |
| Adverse effects of Entacapone | Brown urine, dyskinesia |
| Serious reactions to Entacapone | NMS, Rhabdo, pulomonary infiltrates, retroperitoneal fibrosis, hypotension |
| Contraindications to Entacapone | Hypersensitivity, non selective MAOI therapy, psychotic disorder |
| Precautions to Entacapone | Use cautiously in hepatic impairment, can cause increased HR/BP with other COMT, may interfere with biliary elimination of drug |
| What is it administered alongside? | It is administered alongside levodopa/carbidopa. Monitor for parkinsonian symptoms, EPS, NMS, dyskinesia, wean gradually. |