Apomorphine
آپومورفین
🧠 Nervous SystemDopamine agonist (injectable)
Market / country: 🇺🇸 USA
Apokyn (US)
🧮 Dose calculator
Parkinson's disease · Regimen source: FDA Apokyn · 2.3
- • Always express the dose in mL. First dose under medical supervision. Start 0.1–0.2 mL. No second dose for the same off episode; at least 2 h apart. Trimethobenzamide 300 mg three times daily from 3 days before. Interruption >1 week: restart at 0.2 mL. Mild/moderate renal impairment: start 0.1 mL. FDA Apokyn · 2.1FDA Apokyn · 2.3FDA Apokyn · 2.5FDA Apokyn · 2.2FDA Apokyn · 2.4
Enter age (weight is optional for this regimen).
🛡️ Safety & information
Contraindications
- ⛔ 5HT3 antagonists (ondansetron, granisetron, dolasetron, palonosetron, alosetron) — profound hypotension and loss of consciousness; hypersensitivity to apomorphine or sulfite. FDA Apokyn · 4
Warnings
- • Falling asleep during daily activities; hallucinations; hypotension and syncope; impulse-control/compulsive behaviours (gambling, shopping); dyskinesia; hyperpyrexia and confusion on abrupt withdrawal. FDA Apokyn · 5
- • Never IV (thrombosis); nausea and vomiting; haemolytic anaemia; coronary events; QTc prolongation; priapism. FDA Apokyn · 5
Formulations
- 10 mg/mL cartridge (30 mg/3 mL) for pen — injection 🇺🇸 USA FDA Apokyn · 3
👥 Special populations
- 🤰 PregnancyUse with caution
Label states no clear risk or has limited data; use only if needed, under medical advice. FDA Apokyn · 8.1
“Risk Summary There are no adequate data on the developmental risk associated with use of APOKYN in pregnant women.”
- 🤱 BreastfeedingUse with caution
Label: use with caution while breastfeeding; see the label text. FDA Apokyn · 8.2
“Risk Summary There are no data on the presence of apomorphine in human milk, the effects of apomorphine on the breastfed infant, or the effects of apomorphine on milk production.”
- 👶 ChildrenSafety not established
Label: safety and effectiveness in children have not been established. FDA Apokyn · 8.4
“Safety and effectiveness in pediatric patients have not been established.”
- 👴 Older adultsUse with caution
Label: use with caution in older adults, usually starting at the low end of the dose range. FDA Apokyn · 8.5
“In the APOKYN clinical development program, there were 239 patients less than age 65 treated with APOKYN and 311 patients who were age 65 or older.”
- ⚥ Females & males of reproductive potentialNo data
The source for this drug has no section for this group.
🔗 Reference links
- FDA (approval record)NDA021264
- DailyMed (FDA label)FDA Apokyn
- MedlinePlus (NIH)Apomorphine InjectionApomorphine Sublingual
- WHO ATC/DDDN04BC07
- Darooyab (Iran)Apomorphine
🇮🇷 Registered in Iran Darooyab · G-2482/Apomorphine
Dosage forms with Iranian generic codes, per Darooyab.
- 00101 · APOMORPHINE HCL 10MG/ML AMP · آمپول آپومورفین هیدروکلراید ۱۰ میلیگرم / میلیلیتر
- 11404 · APOMORPHINE HCL 500MG TAB · قرص آپومورفین هیدروکلراید ۵۰۰ میلیگرم
- 51973 · APOMORPHINE HCL 20MG/ML AMP · آمپول آپومورفین هیدروکلراید ۲۰ میلیگرم / میلیلیتر
📚 Reference status for this drug
Shows which sources have references recorded for this drug and which do not.
- FDA label (DailyMed)✅ PresentFDA Apokyn · 3FDA Apokyn · 2.3FDA Apokyn · 2.1FDA Apokyn · 2.5FDA Apokyn · 2.2FDA Apokyn · 2.4FDA Apokyn · 4FDA Apokyn · 5FDA Apokyn · SPL approval / marketing categoryFDA Apokyn · 8.1FDA Apokyn · 8.2FDA Apokyn · 8.4FDA Apokyn · 8.5
- UK SmPC (eMC / MHRA)❌ Not present
- Published guideline❌ Not present
- Licensed reference (medical school)❌ Not present
- Iranian leaflet (IFDA)❌ Not present
- Pharmacy website (secondary, unreliable)✅ PresentDarooyab · G-2482/Apomorphine
- Clinical review⚠ Unverified