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    • This website is for UK Healthcare Professionals only

      This promotional material is intended for UK Healthcare Professionals (HCPs) experienced in the diagnosis and management of Parkinson’s disease only. Adverse event reporting can be found below

      PRODUODOPA is indicated for the treatment of advanced levodopa-responsive Parkinson’s disease with severe motor fluctuations and hyperkinesia or dyskinesia when available combination of Parkinson’s medicinal products have not given satisfactory results.1
       

      Because levodopa may activate malignant melanoma, PRODUODOPA should not be used in patients with suspicious undiagnosed skin lesions or a history of melanoma.
       


      PRODUODOPA is indicated for the treatment of advanced levodopa-responsive Parkinson’s disease with severe motor fluctuations and hyperkinesia or dyskinesia when available combination of Parkinson’s medicinal products have not given satisfactory results.1

      Because levodopa may activate malignant melanoma, PRODUODOPA should not be used in patients with suspicious undiagnosed skin lesions or a history of melanoma.

      Some patients may not be suitable for PRODUODOPA. You are strongly advised to read the Prescribing information (PI), and Summary of Product Characteristics (SmPC) which can be found via the links above, to evaluate patient suitability for PRODUODOPA.

      PRODUODOPA safety profile1

      PRODUODOPA
      safety profile1

      Most frequent adverse reactions

      The most frequent adverse reactions (≥10%) reported in all Phase 3 studies in patients exposed to PRODUODOPA were infusion site events (infusion site erythema, infusion site cellulitis, infusion site nodule, infusion site pain, infusion site oedema, infusion site reaction, and infusion site infection), hallucination, fall, and anxiety.

      Infusion site events

      • In the Phase 3 studies, the most common AEs related to PRODUODOPA were infusion site reactions 77.6% (N=294) and infusion site infections 41.4% (N=157)
      • Infusion site events including infusion site reactions and infections, commonly seen with subcutaneous infusions, were observed with PRODUODOPA in the clinical studies
      • The majority of infusion site events were non-serious, were mild or moderate in severity, and resolved spontaneously or with treatment such as antibiotics and/or incision and drainage
      • Three subjects with infusion site infections had a complication of sepsis resulting in hospitalisation
      • Monitor for any skin changes at the infusion site that could indicate a potential infection, such as redness associated with warmth, swelling, pain, and discolouration when you apply pressure to it
      • Aseptic techniques should be followed while using this medication and consider rotating the infusion site more frequently than every 3rd day, using a new infusion set if you see these skin changes. It is recommended that new infusion sites be at least 2.5 cm from sites used within the previous 12 days

      You are strongly advised to read the prescribing information and summary of product characteristics prior to prescribing PRODUODOPA.

      Adverse reactions reported in all Phase 3 studies in patients exposed to PRODUODOPA (379 patients with total exposure of 414.3 person-years, 230 subjects exposed for ≥6 months, 204 subjects exposed for ≥12 months) or data from DUODOPA (levodopa/carbidopa intestinal gel) based on treatment emergent frequencies, regardless of causality assigned1

      System Organ Class

      Frequency

      Adverse Reactions

      Infections and infestations

      Very common (≥1/10)

      Infusion site cellulitis
      Infusion site infection
      Urinary tract infection

      Common (≥1/100 to <1/10)*

      Infusion site abscess

      Blood and lymphatic system disorders

      Common (≥1/100 to <1/10)

      Anaemia
      Uncommon (≥1/1,000 to <1/100)Leukopenia
      Thrombocytopenia
      Immune system disorder

      Not known

      Anaphylactic reaction†‖

      Metabolism and nutrition disorders

      Common (≥1/100 to <1/10)

      Decreased appetite

      Psychiatric disorders

      Very common (≥1/10)

      Anxiety
      Depression
      Hallucination
      Common (≥1/100 to <1/10)Abnormal dreams
      Agitation
      Confusional state
      Delusion
      Impulse control disorder
      Insomnia
      Paranoia
      Psychotic disorder
      Sleep attacks
      Sleep disorder
      Suicidal ideation
      Uncommon (≥1/1,000 to <1/100)Completed suicide
      Dementia
      Disorientation
      Dopamine dysregulation syndrome
      Euphoric mood
      Fear
      Libido increased
      Nightmare
      Suicide attempt
      Rare (≥1/10,000 to <1/1,000)Abnormal thinking

      Nervous system disorders

      Common (≥1/100 to <1/10)Cognitive disorder
      Dizziness
      Dizziness postural
      Dyskinesia
      Dystonia
      Headache
      Hypoaesthesia
      On and off phenomenon
      Paraesthesia
      Polyneuropathy§
      Somnolence
      Syncope
      Tremor
      Uncommon (≥1/1,000 to <1/100)Ataxia
      Convulsion
      Gait disturbance

      Eye disorders

      Uncommon (≥1/1,000 to <1/100)

      Angle closure glaucoma
      Blepharospasm
      Diplopia
      Optic ischaemic neuropathy
      Vision blurred

      Cardiac disorders

      Common (≥1/100 to <1/10)

      Heart rate irregular

      Uncommon (≥1/1,000 to <1/100)

      Palpitations

      Vascular disorders

      Common (≥1/100 to <1/10)

      Hypertension
      Hypotension
      Orthostatic hypotension

      Uncommon (≥1/1,000 to <1/100)

      Phlebitis

      Respiratory, thoracic, and mediastinal disorders

      Common (≥1/100 to <1/10)

      Dyspnoea
      Oropharyngeal pain

      Uncommon (≥1/1,000 to <1/100)

      Dysphonia

      Rare (≥1/10,000 to <1/1,000)

      Respiration abnormal

      Gastrointestinal disorders

      Common (≥1/100 to <1/10)

      Abdominal distension
      Abdominal pain
      Constipation
      Diarrhoea
      Dry mouth
      Dysgeusia
      Dyspepsia
      Dysphagia
      Flatulence
      Nausea
      Vomiting
      Uncommon (≥1/1,000 to <1/100)Salivary hypersecretion
      Rare (≥1/10,000 to <1/1,000)Bruxism
      Saliva discolouration
      Glossodynia
      Hiccups

      Skin and subcutaneous tissue disorders

      Common (≥1/100 to <1/10)

      Dermatitis contact
      Hyperhidrosis
      Pruritus
      Rash
      Uncommon (≥1/1,000 to <1/100)Alopecia
      Erythema
      Urticaria
      Rare (≥1/10,000 to <1/1,000)Sweat discolouration
      Malignant melanoma

      Musculoskeletal and connective tissue disorders

      Common (≥1/100 to <1/10)

      Muscle spasms
      Neck pain

      Renal and urinary disorders

      Common (≥1/100 to <1/10)

      Urinary incontinence
      Urinary retention
      Uncommon (≥1/1,000 to <1/100)Chromaturia
      Rare (≥1/10,000 to <1/1,000)Priapism

      General disorders and administration site conditions

      Very common (≥1/10)

      Infusion site erythema
      Infusion site reaction
      Infusion site nodule
      Infusion site oedema
      Infusion site pain
      Common (≥1/100 to <1/10)*Asthenia
      Fatigue
      Infusion site bruising
      Infusion site exfoliation
      Infusion site extravasation
      Infusion site haematoma
      Infusion site haemorrhage
      Infusion site induration
      Infusion site inflammation
      Infusion site irritation
      Infusion site mass
      Infusion site papule
      Infusion site pruritus
      Infusion site rash
      Infusion site swelling
      Malaise
      Oedema peripheral
      Pain
      Uncommon (≥1/1,000 to <1/100)Chest pain

      Investigations

      Common (≥1/100 to <1/10)

      Amino acid level increased (Methylmalonic acid increased)
      Blood homocysteine level increased
      Vitamin B6 decreased
      Vitamin B12 deficiency
      Weight decreased
      Weight increased

      Injury, poisoning, and procedural complications

      Very common (≥1/10)

      Fall

      *Common adverse reactions pertaining to infusion site events included if ≥2%. These adverse reactions were identified with DUODOPA intestinal gel as drug-related events. However, these events were not considered adverse reactions for PRODUODOPA. Hallucination includes hallucination, hallucination  visual, hallucination auditory, hallucination olfactory, hallucinations tactile, and hallucinations mixed. §Polyneuropathy includes neuropathy peripheral, polyneuropathy, decreased vibratory sense, peripheral sensory neuropathy, sensory disturbance, and sensory loss. Based on post-marketing data.

      Please refer to the PRODUODOPA Summary of Product Characteristics (SmPC) for further information on adverse events, contraindications and special warnings and precautions for use.

      References

      1. PRODUODOPA (foslevodopa/foscarbidopa solution for infusion) Summary of Product Characteristics.

      By clicking the link above you will leave the AbbVie Pro website and be taken to the eMC PI portal website

      Adverse events should be reported. Reporting forms and information can be found at yellowcard.mhra.gov.uk.

      Adverse events should also be reported to AbbVie on GBPV@abbvie.com

      UK-PRODD-240205. Date of preparation: December 2024.