Clinical data | |
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Trade names | Tasmar |
AHFS/Drugs.com | Monograph |
MedlinePlus | a698036 |
License data | |
Pregnancy category |
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Routes of administration | By mouth |
Drug class | COMT inhibitor[1] |
Legal status | |
Legal status | |
Pharmacokinetic data | |
Bioavailability | 65% |
Protein binding | >99.9% |
Metabolism | Liver (mainly glucuronidation) |
Elimination half-life | 2–3 hours |
Excretion | Urine (60%), feces (40%); only 0.5% in unmetabolized form |
Identifiers | |
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Chemical and physical data | |
Formula | C14H11NO5 |
Molar mass | 273.244 g·mol−1 |
3D model (JSmol) | |
Melting point | 143 to 146 °C (289 to 295 °F) |
Solubility in water | not soluble |
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Tolcapone, sold under the brand name Tasmar, is a medication used to treat Parkinson's disease (PD).[2] It is taken together with levodopa/carbidopa.[2] It is taken by mouth.[2] If people do not see improvement within 3 weeks it should be stopped.[2]
Common side effects include nausea, loss of appetite, movement disorders, headache, increased dreams, and confusion.[3] Other side effects may include liver problems, which can be severe, and psychosis.[2] It is an inhibitor of catechol-O-methyltransferase (COMT).[1]
Tolcapone was approved for medical use in Europe in 1997 and the United States in 1998.[3][2] It is available as a generic medication.[4] In the United Kingdom 100 tablets of 100 mg costs the NHS about £95 in 2021.[5] This amount in the United States costs about 1,200 USD.[4] It is not commonly used due to side effects.[1]
References edit
- ^ a b c Antonini A, Abbruzzese G, Barone P, Bonuccelli U, Lopiano L, Onofrj M, et al. (February 2008). "COMT inhibition with tolcapone in the treatment algorithm of patients with Parkinson's disease (PD): relevance for motor and non-motor features". Neuropsychiatric Disease and Treatment. 4 (1): 1–9. doi:10.2147/NDT.S2404. PMC 2515921. PMID 18728767.
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: CS1 maint: unflagged free DOI (link) - ^ a b c d e f g h "Tolcapone Monograph for Professionals". Drugs.com. Archived from the original on 4 March 2021. Retrieved 5 October 2021.
- ^ a b c "Tasmar". Archived from the original on 10 January 2021. Retrieved 6 October 2021.
- ^ a b "Tolcapone Prices, Coupons & Savings Tips - GoodRx". GoodRx. Retrieved 6 October 2021.
- ^ BNF (80 ed.). BMJ Group and the Pharmaceutical Press. September 2020 – March 2021. p. 433. ISBN 978-0-85711-369-6.
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: CS1 maint: date format (link)