zelapar (selegiline HCl) Orally Disintegrating Tablets
About Zelapar
For Healthcare Professionals
 
 
 
 
How Zelapar Works

Once-daily Zelapar® (selegiline HCl) enhances the effects of levodopa/carbidopa therapy…

Zelapar is an MAO B inhibitor whose active ingredient is selegiline hydrochloride. Selegiline has been used as an add-on therapy for Parkinson’s disease for more than 30 years.

Put simply, selegiline makes more dopamine available in the brain by preventing its breakdown. Dopamine is the chemical in the brain responsible for the control of movement — the very substance that people with Parkinson’s disease need.

Levodopa, a dopamine replacer, is converted into dopamine by the brain. Adding Zelapar boosts the brain’s natural supply of dopamine. It is added to levodopa/carbidopa treatment to help manage the symptoms of PD when there is a reduced response to this therapy.

...without some of the downfalls associated with traditional forms of selegiline.

One concern with traditional selegiline is that so much of the active drug is broken down during digestion that too little reaches the brain to be effective. Increasing the dose to deliver more drug to the brain also increases the level of metabolites (including amphetamine and methamphetamine, substances associated with toxicity) made during digestion.

Zelapar is a new form of selegiline that passes through the body in a different way. Zelapar tablets dissolve within seconds in the mouth, and the active drug moves into the bloodstream to the brain. Because the digestive system is bypassed, there are fewer metabolites and side effects.

Important Safety Information

Once-daily Zelapar® is a special formulation of the drug selegiline that adds more active hours for patients with Parkinson’s disease (PD). Doctors may recommend adding Zelapar to levodopa/carbidopa treatment when patients are experiencing a reduced response to this therapy.

Do not take Zelapar if you are allergic to selegiline or any of the other ingredients in Zelapar. Zelapar should not be taken with certain medications. Discuss any medicine you are taking with your doctor. Zelapar should not be taken with meperedine (DEMEROL®) or other opiods. Rare cases of high blood pressure have been associated with taking conventional forms of selegiline with foods containing tyramine. Zelapar may cause you to have low blood pressure when you stand (this is more common in older patients than in younger ones). If you are pregnant, you must speak to your doctor about whether to take Zelapar. (Zelapar should be used during pregnancy only if the potential benefit to the mother justifies the potential risk to the fetus.) Do not take more than 2 tablets (2.5 mg) a day.

Zelapar was very well tolerated in clinical trials. The most commonly reported side effects were dizziness, nausea, pain, headache, trouble sleeping, runny nose, involuntary movements, back pain, skin disorders, mouth inflammation, and upper stomach pain. In addition, 5.2% of patients discontinued Zelapar therapy due to side effects (vs. 1% with placebo).

You may need your levodopa dose reduced after starting Zelapar therapy. Be sure to speak with your doctor if you experience any side effects.

Please see accompanying complete prescribing information.

Demerol® is a registered trademark of the Sanofi-Aventis Group. Prozac® is a registered trademark of Eli Lilly and Company.
Valeant Pharmaceuticals