Warnings


What may interact with Apokyn?

Do not take this medicine with any of the following medications:

-cisapride
-dronedarone
-pimozide
-thioridazine
-some medicines for nausea/vomiting like dolasetron, granisetron, ondansetron, palonosetron

This medicine may also interact with the following medications:

-alcohol
-certain medicines for anxiety or sleep
-certain medicines for blood pressure, heart disease, irregular heartbeat
-dofetilide
-haloperidol
-metoclopramide
-narcotic medicines for pain
-phenothiazines like chlorpromazine, prochlorperazine
-nitroglycerin
-other medicines that prolong the QT interval (an abnormal heart rhythm)
-thiothixene

What should I tell my health care provider before I take Apokyn?

They need to know if you have any of these conditions:

-have trouble controlling your muscles
-heart disease
-history of irregular heartbeat
-history of stroke
-if you often drink alcohol
-kidney disease
-liver disease
-low blood pressure
-lung or breathing disease, like asthma
-mental illness
-narcolepsy
-sleep apnea
-an unusual or allergic reaction to apomorphine, sulfites, other medicines foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

What should I watch for while using Apokyn?

Visit your doctor or health care professional for regular checks on your progress. Tell your health care professional if your symptoms do not start to get better or if they get worse.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. This medicine may cause a sudden drop in blood pressure with or without symptoms such as nausea, dizziness, feeling faint, or sweating, especially when you first start treatment or after an increase in dose. Do not get up too quickly from a lying or sitting position. A drop in blood pressure may increase the risk for falling. Report any dizziness or related symptoms to your health care provider as soon as possible. Avoid alcoholic drinks. Alcohol may increase the risk of dizziness, drowsiness, or low blood pressure while taking this medicine. Do not take any medications that cause drowsiness without first checking with your health care provider.

When taking this medicine, you may fall asleep without notice. You may be doing activities like driving a car, talking, or eating. You may not feel drowsy before it happens. Contact your health care provider right away if this happens to you.

There are have been reports of increased sexual urges or other strong urges such as gambling while taking this medicine. If you experience any of these while taking this medicine, you should report this to your health care professional as soon as possible.

This medicine may cause severe nausea and vomiting. Your doctor may prescribe a medication to prevent these symptoms. Do not treat yourself. Not all medicines for nausea and vomiting can be used with this medicine. Talk to your doctor about which one may be right for you.

Using nitroglycerin while taking apomorphine may increase the risk of low blood pressure or a sudden drop in blood pressure. If you are going to take nitroglycerin under the tongue, it is important to lie down first and stay lying down for at least 45 minutes after taking it to reduce the risk of effects from low blood pressure, such as dizziness and falls.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees). Throw away any unused medicine after the expiration date.