Dopamine Agonists Both Stimulate and Inhibit Prolactin Release In
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Australian Product Information Parlodel® (Bromocriptine Mesilate)
AUSTRALIAN PRODUCT INFORMATION PARLODEL® (BROMOCRIPTINE MESILATE) TABLET AND HARD CAPSULE 1 NAME OF THE MEDICINE Bromocriptine mesilate 2 QUALITATIVE AND QUANTITATIVE COMPOSITION • Parlodel tablets and capsules contain bromocriptine mesilate • Oral tablets: ➢ 2.5 mg bromocriptine (present as 2.9 mg mesilate). • Oral capsules: ➢ 10 mg bromocriptine (present as 11.5 mg mesilate). ➢ 5 mg bromocriptine (present at 5.735 mg mesilate). • List of excipients with known effect: lactose and sugars. • For the full list of excipients, see Section 6.1 List of excipients. 3 PHARMACEUTICAL FORM Oral tablets: • White, coded XC with breakline on one side, SANDOZ on the other side. Oral capsules: • 5 mg: opaque white and opaque blue, marked PS • 10 mg: opaque white 4 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS • Prevention of onset of lactation in the puerperium for clearly defined medical reasons. Therapy should be continued for 14 days to prevent rebound lactation. Parlodel should not be used to suppress established lactation. • Treatment of hyperprolactinaemia where surgery and/or radiotherapy are not indicated or have already been used with incomplete resolution. Precautions should be taken to ensure that the hyperprolactinaemia is not due to severe primary hypothyroidism. Where the cause of hyperprolactinaemia is a prolactin-secreting microadenoma or macroadenoma, Parlodel is indicated for conservative treatment; prior to surgery in order to reduce tumour size and to facilitate removal; after surgery if prolactin level is still elevated. • Adjunctive therapy in the management of acromegaly when: (1) The patient refuses surgery and/or radiotherapy (2) Surgery and/or radiotherapy has been unsuccessful or full effects are not expected for some months (3) A manifestation of the acromegaly needs to be brought under control pending surgery and/or radiotherapy. -
Schizophrenia Care Guide
August 2015 CCHCS/DHCS Care Guide: Schizophrenia SUMMARY DECISION SUPPORT PATIENT EDUCATION/SELF MANAGEMENT GOALS ALERTS Minimize frequency and severity of psychotic episodes Suicidal ideation or gestures Encourage medication adherence Abnormal movements Manage medication side effects Delusions Monitor as clinically appropriate Neuroleptic Malignant Syndrome Danger to self or others DIAGNOSTIC CRITERIA/EVALUATION (PER DSM V) 1. Rule out delirium or other medical illnesses mimicking schizophrenia (see page 5), medications or drugs of abuse causing psychosis (see page 6), other mental illness causes of psychosis, e.g., Bipolar Mania or Depression, Major Depression, PTSD, borderline personality disorder (see page 4). Ideas in patients (even odd ideas) that we disagree with can be learned and are therefore not necessarily signs of schizophrenia. Schizophrenia is a world-wide phenomenon that can occur in cultures with widely differing ideas. 2. Diagnosis is made based on the following: (Criteria A and B must be met) A. Two of the following symptoms/signs must be present over much of at least one month (unless treated), with a significant impact on social or occupational functioning, over at least a 6-month period of time: Delusions, Hallucinations, Disorganized Speech, Negative symptoms (social withdrawal, poverty of thought, etc.), severely disorganized or catatonic behavior. B. At least one of the symptoms/signs should be Delusions, Hallucinations, or Disorganized Speech. TREATMENT OPTIONS MEDICATIONS Informed consent for psychotropic -
4 Supplementary File
Supplemental Material for High-throughput screening discovers anti-fibrotic properties of Haloperidol by hindering myofibroblast activation Michael Rehman1, Simone Vodret1, Luca Braga2, Corrado Guarnaccia3, Fulvio Celsi4, Giulia Rossetti5, Valentina Martinelli2, Tiziana Battini1, Carlin Long2, Kristina Vukusic1, Tea Kocijan1, Chiara Collesi2,6, Nadja Ring1, Natasa Skoko3, Mauro Giacca2,6, Giannino Del Sal7,8, Marco Confalonieri6, Marcello Raspa9, Alessandro Marcello10, Michael P. Myers11, Sergio Crovella3, Paolo Carloni5, Serena Zacchigna1,6 1Cardiovascular Biology, 2Molecular Medicine, 3Biotechnology Development, 10Molecular Virology, and 11Protein Networks Laboratories, International Centre for Genetic Engineering and Biotechnology (ICGEB), Padriciano, 34149, Trieste, Italy 4Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy 5Computational Biomedicine Section, Institute of Advanced Simulation IAS-5 and Institute of Neuroscience and Medicine INM-9, Forschungszentrum Jülich GmbH, 52425, Jülich, Germany 6Department of Medical, Surgical and Health Sciences, University of Trieste, 34149 Trieste, Italy 7National Laboratory CIB, Area Science Park Padriciano, Trieste, 34149, Italy 8Department of Life Sciences, University of Trieste, Trieste, 34127, Italy 9Consiglio Nazionale delle Ricerche (IBCN), CNR-Campus International Development (EMMA- INFRAFRONTIER-IMPC), Rome, Italy This PDF file includes: Supplementary Methods Supplementary References Supplementary Figures with legends 1 – 18 Supplementary Tables with legends 1 – 5 Supplementary Movie legends 1, 2 Supplementary Methods Cell culture Primary murine fibroblasts were isolated from skin, lung, kidney and hearts of adult CD1, C57BL/6 or aSMA-RFP/COLL-EGFP mice (1) by mechanical and enzymatic tissue digestion. Briefly, tissue was chopped in small chunks that were digested using a mixture of enzymes (Miltenyi Biotec, 130- 098-305) for 1 hour at 37°C with mechanical dissociation followed by filtration through a 70 µm cell strainer and centrifugation. -
Bromocriptine-A Changing Scene
LONDON, SATURDAY 20 DECEMBER 1975 Br Med J: first published as 10.1136/bmj.4.5998.667 on 20 December 1975. Downloaded from MEDICAL JOURNAL Bromocriptine -a changing scene Ergot, known to man since ancient times, is a product of the Levodopa has been used to lower prolactin levels, but its fungus Claviceps purpurea that grows on rye and grain. A action does not last long enough; bromocriptine has a much symposium' at the Royal College of Physicians last May longer action and is therefore more effective. reviewed the pharmacology and clinical uses of the older as Since bromocriptine has been shown not to be teratogenic it well as the more recently introduced ergot compounds. All the has been used recently in restoring fertility. Its place has still ergot alkaloids are derivatives of lysergic acid: the best known finally to be defined, but it appears to be effective not only in are the oxytocic ergometrine and the mixed ao-adrenergic patients with hyperprolactinaemia but also in some with agonist and antagonist ergometrine compounds. Nevertheless, normal prolactin levels, as described by M 0 Thorner et al,14 the first group of ergot compounds isolated by Barger, Carr, at p 694 of this issue. There is, however, some danger in and Dale in 1906, and called ergotoxine,2 is a mixture of ergot restoring fertility in women with small pituitary tumours, alkaloids: ergocornine, ergocristine, and ergokryptine. since such lesions may rapidly enlarge, with visual impairment, The inhibition oflactation by ergot was described by Dodart3 during pregnancy. Arguably the tumour should be irradiated in 1676. -
Helping Pets Take the Medications They Need a Discussion Guide for You and Your Veterinarian
Helping pets take the medications they need A discussion guide for you and your Veterinarian WE CARE THE WAY YOU CARE™. You know that making certain your pet receives her n Difficulty administering any oral preparation medicine exactly as prescribed by your veterinarian is key to helping her live a long, healthy life. We understand these concerns, and that’s why we use methods such as non-bitter versions of the But what if your pet simply won’t cooperate? active ingredients, flavoring and flavor masking First of all… relax! You’re not alone. It is not and why we developed three easy-to-give — and unusual that your pet doesn’t want to take her economical — dosing alternatives to discuss with medicine, but it is important to recognize why your veterinarian. As always, your veterinarian your pet may be having trouble complying. Based on will make the final recommendation on your pet’s our experience, the most common reasons for care. After consideration, your veterinarian will refusing medication are: determine if one of these dosage form options is n Bitter, unpleasant taste appropriate for your pet. n Large, hard-to-swallow pill size For pets with discriminating taste… Gourmeds™ are a tasty, chewable alternative. Gourmeds are chewable, natural chicken- or fish-flavored tablets that taste delicious and help mask the taste of the medication. For pets who have trouble swallowing larger pills… Tiny Tabs® deliver big. Some pets (like some people) simply can’t swallow a regular size pill. This can cause serious stress at pill-taking time. For these pets, we recommend Tiny Tabs pillable tablets. -
2021 Formulary List of Covered Prescription Drugs
2021 Formulary List of covered prescription drugs This drug list applies to all Individual HMO products and the following Small Group HMO products: Sharp Platinum 90 Performance HMO, Sharp Platinum 90 Performance HMO AI-AN, Sharp Platinum 90 Premier HMO, Sharp Platinum 90 Premier HMO AI-AN, Sharp Gold 80 Performance HMO, Sharp Gold 80 Performance HMO AI-AN, Sharp Gold 80 Premier HMO, Sharp Gold 80 Premier HMO AI-AN, Sharp Silver 70 Performance HMO, Sharp Silver 70 Performance HMO AI-AN, Sharp Silver 70 Premier HMO, Sharp Silver 70 Premier HMO AI-AN, Sharp Silver 73 Performance HMO, Sharp Silver 73 Premier HMO, Sharp Silver 87 Performance HMO, Sharp Silver 87 Premier HMO, Sharp Silver 94 Performance HMO, Sharp Silver 94 Premier HMO, Sharp Bronze 60 Performance HMO, Sharp Bronze 60 Performance HMO AI-AN, Sharp Bronze 60 Premier HDHP HMO, Sharp Bronze 60 Premier HDHP HMO AI-AN, Sharp Minimum Coverage Performance HMO, Sharp $0 Cost Share Performance HMO AI-AN, Sharp $0 Cost Share Premier HMO AI-AN, Sharp Silver 70 Off Exchange Performance HMO, Sharp Silver 70 Off Exchange Premier HMO, Sharp Performance Platinum 90 HMO 0/15 + Child Dental, Sharp Premier Platinum 90 HMO 0/20 + Child Dental, Sharp Performance Gold 80 HMO 350 /25 + Child Dental, Sharp Premier Gold 80 HMO 250/35 + Child Dental, Sharp Performance Silver 70 HMO 2250/50 + Child Dental, Sharp Premier Silver 70 HMO 2250/55 + Child Dental, Sharp Premier Silver 70 HDHP HMO 2500/20% + Child Dental, Sharp Performance Bronze 60 HMO 6300/65 + Child Dental, Sharp Premier Bronze 60 HDHP HMO -
Pharmaceuticals As Environmental Contaminants
PharmaceuticalsPharmaceuticals asas EnvironmentalEnvironmental Contaminants:Contaminants: anan OverviewOverview ofof thethe ScienceScience Christian G. Daughton, Ph.D. Chief, Environmental Chemistry Branch Environmental Sciences Division National Exposure Research Laboratory Office of Research and Development Environmental Protection Agency Las Vegas, Nevada 89119 [email protected] Office of Research and Development National Exposure Research Laboratory, Environmental Sciences Division, Las Vegas, Nevada Why and how do drugs contaminate the environment? What might it all mean? How do we prevent it? Office of Research and Development National Exposure Research Laboratory, Environmental Sciences Division, Las Vegas, Nevada This talk presents only a cursory overview of some of the many science issues surrounding the topic of pharmaceuticals as environmental contaminants Office of Research and Development National Exposure Research Laboratory, Environmental Sciences Division, Las Vegas, Nevada A Clarification We sometimes loosely (but incorrectly) refer to drugs, medicines, medications, or pharmaceuticals as being the substances that contaminant the environment. The actual environmental contaminants, however, are the active pharmaceutical ingredients – APIs. These terms are all often used interchangeably Office of Research and Development National Exposure Research Laboratory, Environmental Sciences Division, Las Vegas, Nevada Office of Research and Development Available: http://www.epa.gov/nerlesd1/chemistry/pharma/image/drawing.pdfNational -
Drugs for Parkinson's Disease
Australian Prescriber Vol. 24 No. 4 2001 Drugs for Parkinson’s disease V.S.C. Fung, M.A. Hely, Department of Neurology, G. De Moore, Department of Psychiatry and J.G.L. Morris, Department of Neurology, Westmead Hospital, Westmead, New South Wales SYNOPSIS Levodopa commonly causes nausea, especially when treatment Levodopa is the most effective drug available for treating begins. This nausea results from the conversion of levodopa to the motor symptoms of idiopathic Parkinson’s disease. It dopamine which stimulates the dopamine receptors in the area is usually combined with a peripheral dopa decarboxylase postrema (‘vomiting centre’) in the brainstem, a structure which inhibitor. Early treatment with dopamine agonists can lies outside the blood-brain barrier. The nausea is minimised by reduce the risk of developing dyskinesia. Dopamine agonists introducing levodopa slowly, starting with a low dose, taking it and catechol-O-methyltransferase inhibitors can with food and giving it in combination with a peripheral dopa significantly reduce motor fluctuations. Amantadine decarboxylase inhibitor such as carbidopa or benserazide. A reduces the severity of dyskinesia in some patients. No minimum daily dose of 75 mg is necessary to adequately inhibit treatment has been proven to delay disease progression. the production of dopamine outside the blood-brain barrier. Metoclopramide and prochlorperazine should be avoided as Index words: amantadine, dopamine, entacapone, they are dopamine antagonists and make parkinsonism worse. levodopa, selegiline. If an antiemetic is required, domperidone 10–20 mg three times (Aust Prescr 2001;24:92–5) daily is the drug of choice as it is a dopamine antagonist which does not cross the blood-brain barrier. -
Bromocriptine Inhibits Pro-Opiomelanocortin Mrna and ACTH Precursor Secretion in Small Cell Lung Cancer Cell Lines
Bromocriptine inhibits pro-opiomelanocortin mRNA and ACTH precursor secretion in small cell lung cancer cell lines. W E Farrell, … , S R Crosby, A White J Clin Invest. 1992;90(3):705-710. https://doi.org/10.1172/JCI115941. Research Article We have previously reported that a human small cell lung cancer (SCLC) cell line (COR L103) that expresses the proopiomelanocortin (POMC) gene and secretes ACTH precursor peptides is relatively resistant to glucocorticoid regulation. Using this model, we have now examined alternative regulatory mechanisms of the POMC gene and found that both the mRNA and ACTH precursor peptides were stimulated four- and two-fold, respectively, after 48 h incubation with db-cAMP. Next, we examined the dopamine agonist, bromocriptine, which acts predominantly through D2 receptors linked to adenyl cyclase to cause a reduction in intracellular cAMP. Bromocriptine suppressed cAMP levels and inhibited precursor peptide secretion within 24 h in a dose-dependent manner (0.15-15 microM). At the highest dose, peptide secretion was inhibited from 95 to 53 pmol/mg protein, and POMC mRNA was reduced by 50%, while beta-actin mRNA remained unchanged. This effect could not be mimicked by incubation of cells with the alpha-adrenergic antagonist, phenoxybenzamine, suggesting that the alpha-adrenergic effects of bromocriptine were not responsible for this observation. These cells also secrete estradiol, but the secretory rate was unaffected by bromocriptine, suggesting, with the beta-actin data, that the POMC inhibition was not a cytotoxic effect. No recovery in precursor peptide secretion was seen in a 48-h period after the removal of bromocriptine. -
Molecular Properties of Drugs Interacting with SLC22 Transporters OAT1, OAT3, OCT1, and OCT2: a Machine-Learning Approach S
Supplemental material to this article can be found at: http://jpet.aspetjournals.org/content/suppl/2016/08/03/jpet.116.232660.DC1 1521-0103/359/1/215–229$25.00 http://dx.doi.org/10.1124/jpet.116.232660 THE JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS J Pharmacol Exp Ther 359:215–229, October 2016 Copyright ª 2016 by The American Society for Pharmacology and Experimental Therapeutics Molecular Properties of Drugs Interacting with SLC22 Transporters OAT1, OAT3, OCT1, and OCT2: A Machine-Learning Approach s Henry C. Liu, Anne Goldenberg, Yuchen Chen, Christina Lun, Wei Wu, Kevin T. Bush, Natasha Balac, Paul Rodriguez, Ruben Abagyan, and Sanjay K. Nigam Departments of Bioengineering (H.C.L.), Pediatrics (A.G., Y.C., C.L., K.T.B., S.K.N.), Medicine (W.W., S.K.N.), Cellular and Molecular Medicine (S.K.N.), and Pharmacology (R.A.), and the San Diego Supercomputer Center (N.B., P.R.), University of California San Diego, La Jolla, California Downloaded from Received February 2, 2016; accepted July 20, 2016 ABSTRACT Statistical analysis was performed on physicochemical descrip- ligands; this was confirmed by quantitative atomic property field tors of ∼250 drugs known to interact with one or more SLC22 analysis. Virtual screening with this pharmacophore, followed by “drug” transporters (i.e., SLC22A6 or OAT1, SLC22A8 or OAT3, transport assays, identified several cationic drugs that selectively jpet.aspetjournals.org SLC22A1 or OCT1, and SLC22A2 or OCT2), followed by applica- interact with OAT3 but not OAT1. Although the present analysis tion of machine-learning methods and wet laboratory testing of may be somewhat limited by the need to rely largely on inhibition novel predictions. -
Bromocriptine Monograph, Compendium of Pharmaceuticals and Specialties
Bromocriptine DRUG NAME: Bromocriptine SYNONYM(S): COMMON TRADE NAME(S): APO-BROMOCRIPTINE®, PMS-BROMOCRIPTINE® CLASSIFICATION: hormonal agent Special pediatric considerations are noted when applicable, otherwise adult provisions apply. MECHANISM OF ACTION: Bromocriptine is a dopaminergic ergot derivative.1 Bromocriptine may decrease hormone production and the size of prolactin-dependent pituitary adenomas2,3 by inhibiting the release and synthesis of prolactin from the anterior pituitary gland.1 PHARMACOKINETICS: Interpatient variability variable GI absorption and first pass metabolism contributes to variability in plasma concentrations and dose response Oral Absorption rapidly absorbed, 28-95%4 Distribution only 7% of the dose reaches systemic circulation unchanged due to first pass metabolism cross blood brain barrier?5 yes volume of distribution no information found plasma protein binding 96% Metabolism primarily hepatic, high hepatic extraction rate and first pass metabolism active metabolite(s) no information found inactive metabolite(s)2 lysergic acid and a peptide fragment Excretion primarily hepatic urine2 3-6% feces2,4,6 95% via bile terminal half life 2-8 h; metabolites: 50-70 h clearance no information found Adapted from standard reference1 unless specified otherwise. USES: Primary uses: Other uses: *Pituitary tumours *Health Canada approved indication SPECIAL PRECAUTIONS: Contraindications1,7: • history of hypersensitivity reaction to ergot derivatives • uncontrolled hypertension Caution: • may cause hypotension1; see paragraph -
Name of Medicine
HALDOL® haloperidol decanoate NEW ZEALAND DATA SHEET 1. PRODUCT NAME HALDOL haloperidol decanoate 50 mg/mL Injection HALDOL CONCENTRATE haloperidol decanoate 100 mg/mL Injection 2. QUANTITATIVE AND QUALITATIVE COMPOSITION HALDOL 50 mg/ml Haloperidol decanoate 70.52 mg, equivalent to 50 mg haloperidol base, per millilitre. HALDOL CONCENTRATE 100 mg/ml Haloperidol decanoate 141.04 mg, equivalent to 100 mg haloperidol base, per millilitre. For a full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Injection (depot) HALDOL Injection (long acting) is a slightly amber, slightly viscous solution, free from visible foreign matter, filled in 1 mL amber glass ampoules. 4. CLINICAL PARTICULARS 4.1 Therapeutic indications HALDOL is indicated for the maintenance therapy of psychoses in adults, particularly for patients requiring prolonged parenteral neuroleptic therapy. 4.2 Dose and method of administration Administration HALDOL should be administered by deep intramuscular injection into the gluteal region. It is recommended to alternate between the two gluteal muscles for subsequent injections. A 2 inch-long, 21 gauge needle is recommended. The maximum volume per injection site should not exceed 3 mL. The recommended interval between doses is 4 weeks. DO NOT ADMINISTER INTRAVENOUSLY. Patients must be previously stabilised on oral haloperidol before converting to HALDOL. Treatment initiation and dose titration must be carried out under close clinical supervision. The starting dose of HALDOL should be based on the patient's clinical history, severity of symptoms, physical condition and response to the current oral haloperidol dose. Patients must always be maintained on the lowest effective dose. CCDS(180302) Page 1 of 16 HALDOL(180712)ADS Dosage - Adults Table 1.