Sublingual Semaglutide (generic Ozempic®) now available! Get Started
Dashboard
Formulas

Apomorphine HCl 10 mg/mL Nasal Solution

Apomorphine HCl 10 mg/mL Nasal Solution is a liquid formulation specifically designed for nasal administration. It is intended for the targeted treatment of conditions such as Parkinson's disease, providing relief from motor fluctuations and "off" episodes. This solution is administered using a dropper or other suitable nasal delivery device, ensuring precise delivery to the nasal cavity.

Want a different strength?
Click the Text Us button below.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
Starting at
Must be E-Prescribed
Get Started
Generate LeafletShow Leaflet
This medication requires a prescription from your doctor
Trusted by 60,357 patients to date.
A group of faces of our past satisfied patients.
A svg symbol of a mortar and pestle with ingredients going in.
Custom made in our compounding labs.
Sliders that show the customization of ingredients.
Personalized treatment for better results.
User with a gear showing the personalization of the formulation.
All strengths and ingredients are tailored to your needs.
This medication is not available at retail pharmacies. It is compounded, and may be more effective at treating you or your patient.
Apomorphine Hydrochloride
Nasal Solution
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Dosing Calculator

Get general dosing information for a patient by using this calculator.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Loading icon rotating.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Formula Information

A small arrow pointing down

Apomorphine HCl 10 mg/mL Nasal Solution is a specially formulated medication intended for administration through the nasal cavity. This liquid formulation is designed to deliver apomorphine hydrochloride directly to the richly vascularized nasal mucosa, enabling rapid absorption into the systemic circulation. The nasal route offers a non-invasive and convenient alternative to other administration methods, potentially improving patient compliance and providing swift symptom relief.

Apomorphine is a potent non-ergoline dopamine agonist that primarily stimulates D2-type dopamine receptors in the brain. It is traditionally used in the management of Parkinson's disease, particularly for the acute treatment of "off" episodes characterized by reduced mobility, stiffness, and tremor. By activating dopamine receptors, apomorphine helps to restore motor function and improve quality of life for patients experiencing these sudden episodes.

The 10 mg/mL concentration allows for precise dosing adjustments based on individual patient needs. The nasal solution enables a rapid onset of action due to the high permeability and extensive blood supply of the nasal mucosa, which can be particularly beneficial during acute "off" periods when immediate symptom control is desired. This route bypasses the gastrointestinal tract, reducing the variability of absorption associated with oral medications and avoiding first-pass metabolism.

For patients, the nasal solution provides a user-friendly method of self-administration without the discomfort associated with injections. It is important for patients to receive proper instruction on the use of nasal delivery devices to ensure effective dosing and minimize potential irritation to the nasal passages. Patients should also be aware of possible side effects such as nasal congestion, irritation, or runny nose, and report any persistent or severe symptoms to their healthcare provider.

For prescribers, it is essential to consider the patient's overall health status, including any nasal conditions that may affect drug absorption, such as chronic rhinitis or nasal obstructions. Monitoring for systemic side effects is crucial, as apomorphine can cause nausea, vomiting, orthostatic hypotension, and somnolence. Pre-treatment with antiemetic medications may be advised to mitigate gastrointestinal side effects. Additionally, clinicians should be vigilant for signs of neuropsychiatric complications like hallucinations or impulse control disorders, adjusting therapy as necessary.

Apomorphine may interact with other medications, such as serotonergic or antihypertensive agents, potentially leading to adverse effects. A comprehensive review of the patient's medication regimen is recommended to identify and manage potential drug interactions. Regular follow-up appointments are important to assess the efficacy of the treatment, adjust dosing, and monitor for any adverse reactions.

If you have any questions about Apomorphine HCl 10 mg/mL Nasal Solution or need further information on its use and administration, please reach out to us. Our team is dedicated to providing support and guidance to ensure optimal therapeutic outcomes for both patients and healthcare providers.

Drug Interactions

A small arrow pointing down

Apomorphine HCl 10 mg/mL Nasal Solution is a specialized formulation designed for nasal administration, providing targeted treatment for conditions such as nasal congestion, allergies, and post-nasal drip. While this formulation offers significant therapeutic benefits, it is crucial to be aware of potential drug interactions that may affect its efficacy and safety. Patients and prescribers should be informed about these interactions to ensure optimal treatment outcomes.

Apomorphine is a dopamine agonist, and its interaction profile is primarily influenced by its effects on the central nervous system and its metabolism. One of the most significant interactions occurs with medications that also affect dopamine pathways, such as antipsychotics. These drugs, including but not limited to haloperidol, risperidone, and olanzapine, may antagonize the effects of apomorphine, potentially reducing its efficacy in treating the intended nasal conditions. Patients using these medications should be closely monitored, and dose adjustments may be necessary.

Additionally, apomorphine may interact with other central nervous system depressants, such as benzodiazepines, opioids, and alcohol. The concurrent use of these substances can enhance sedative effects, leading to increased drowsiness, dizziness, or even respiratory depression. Patients should be advised to avoid or limit the use of such depressants while using apomorphine nasal solution, and prescribers should consider alternative therapies if necessary.

Another important consideration is the interaction with antiemetic drugs, particularly those that are 5-HT3 antagonists like ondansetron. These medications can lead to severe hypotension and loss of consciousness when used concomitantly with apomorphine. It is recommended to avoid the use of 5-HT3 antagonists in patients receiving apomorphine nasal solution. If antiemetic treatment is required, alternative agents that do not interact with apomorphine should be considered.

Furthermore, apomorphine is metabolized by the liver, and its interaction with other drugs that affect hepatic enzyme activity should be considered. Inhibitors of cytochrome P450 enzymes, such as certain antifungal agents (e.g., ketoconazole) and macrolide antibiotics (e.g., erythromycin), may increase apomorphine plasma levels, potentially leading to enhanced side effects. Conversely, inducers of these enzymes, such as rifampin, may decrease apomorphine levels, reducing its effectiveness. Monitoring and possible dose adjustments are advised when these drugs are co-administered.

Patients with cardiovascular conditions should be cautious, as apomorphine can cause orthostatic hypotension. The use of antihypertensive medications may exacerbate this effect, necessitating careful monitoring of blood pressure and possible adjustments in therapy. Prescribers should evaluate the risk-benefit ratio in patients with pre-existing cardiovascular issues.

In summary, while Apomorphine HCl 10 mg/mL Nasal Solution offers targeted relief for nasal conditions, awareness of its potential drug interactions is essential for safe and effective use. Patients and prescribers should engage in open communication regarding all medications being taken to mitigate risks and optimize treatment. If you have any questions or require further information, please reach out to us.

How Does it Work

A small arrow pointing down

Apomorphine HCl 10 mg/mL Nasal Solution is a specialized liquid formulation designed for nasal administration, providing a targeted approach to delivering medication directly to the nasal cavity. This formulation is particularly beneficial for conditions that require rapid onset of action, as the nasal route allows for quick absorption into the bloodstream through the rich vascular network present in the nasal mucosa. The nasal solution is intended for use with a dropper or other suitable nasal delivery device, ensuring precise dosing and effective delivery of the medication.

Apomorphine is a non-selective dopamine agonist, which means it stimulates dopamine receptors in the brain. This mechanism of action is particularly useful in the management of Parkinson's disease, where dopamine levels are significantly reduced. By activating these receptors, apomorphine helps to alleviate symptoms such as motor fluctuations, rigidity, and tremors, providing patients with improved motor control and quality of life. The nasal delivery of apomorphine offers a non-invasive alternative to subcutaneous injections, which can be advantageous for patients who experience difficulty with injections or prefer a more discreet method of administration.

In addition to its use in Parkinson's disease, apomorphine nasal solution may also be explored for other conditions where dopamine modulation is beneficial. The formulation's ability to provide rapid relief makes it a potential option for managing acute episodes of symptoms. The nasal solution is also formulated to ensure optimal pH and osmolality, minimizing irritation to the nasal mucosa and enhancing patient comfort during administration.

For prescribers, it is important to consider the patient's overall treatment plan and any potential interactions with other medications. Apomorphine can interact with certain medications, such as those that affect dopamine pathways or have sedative effects. Monitoring for side effects, such as nausea or orthostatic hypotension, is also crucial, and patients may require adjunctive treatments to manage these effects. The nasal solution offers flexibility in dosing, allowing for adjustments based on the patient's response and needs.

Patients using Apomorphine HCl 10 mg/mL Nasal Solution should be instructed on the proper technique for administration to ensure maximum efficacy and safety. This includes understanding how to use the nasal delivery device, the importance of adhering to prescribed dosing schedules, and recognizing any signs of adverse reactions. Patients should also be aware of the potential for nasal irritation and the importance of maintaining nasal hygiene to prevent complications.

If you have any questions about Apomorphine HCl 10 mg/mL Nasal Solution or its use in treating specific conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to make informed decisions about your treatment options.

Other Uses

A small arrow pointing down

Apomorphine HCl 10 mg/mL Nasal Solution, while primarily formulated for the treatment of specific nasal conditions, allergies, congestion, or post-nasal drip, may have other potential uses that could be of interest to both patients and prescribers. This formulation, due to its unique delivery method and pharmacological properties, may be explored for off-label uses in certain neurological conditions. Apomorphine is a potent dopamine agonist, and its systemic effects have been utilized in the management of Parkinson's disease, particularly for the acute treatment of "off" episodes. Although traditionally administered subcutaneously, the nasal delivery of apomorphine could offer a non-invasive alternative for patients who experience difficulty with injections or require rapid onset of action. The nasal route may provide a quicker absorption and onset compared to oral administration, which is beneficial in managing sudden and severe symptoms.

Additionally, the nasal solution could be considered for research or experimental use in other dopamine-related disorders, such as restless legs syndrome or certain types of dystonia, where dopaminergic therapy has shown efficacy. However, it is crucial to note that such uses should be approached with caution and under strict medical supervision, as the safety and efficacy of nasal apomorphine for these conditions have not been extensively studied. Patients and prescribers should weigh the potential benefits against the risks, considering factors such as dosing, frequency of administration, and possible side effects, which may include nausea, dizziness, or local irritation at the site of administration.

For those interested in exploring these alternative uses, it is essential to engage in a thorough discussion with a healthcare provider to ensure that the treatment plan is tailored to the individual's specific needs and medical history. As with any off-label use, informed consent and close monitoring are paramount to ensure patient safety and optimal therapeutic outcomes. If you have any questions or require further information about the potential uses of Apomorphine HCl 10 mg/mL Nasal Solution, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Frequently Asked Questions

A small arrow pointing down

What is Apomorphine HCl 10 mg/mL Nasal Solution used for?

Apomorphine HCl 10 mg/mL Nasal Solution is a liquid formulation specifically designed for nasal use. It is intended for the administration of medication, irrigation, or moisturization to the nasal cavity, providing targeted treatment for nasal conditions, allergies, congestion, or post-nasal drip.

How is Apomorphine HCl 10 mg/mL Nasal Solution administered?

This nasal solution is typically administered using a dropper or another appropriate nasal delivery device to ensure accurate dosing and effective delivery to the nasal cavity.

Can Apomorphine HCl 10 mg/mL Nasal Solution be used for conditions other than nasal issues?

Apomorphine HCl 10 mg/mL Nasal Solution is specifically formulated for nasal use and is intended to treat nasal conditions, allergies, congestion, or post-nasal drip. It should not be used for other conditions unless directed by a healthcare professional.

Is a prescription required for Apomorphine HCl 10 mg/mL Nasal Solution?

Yes, a prescription is typically required for Apomorphine HCl 10 mg/mL Nasal Solution, as it is a compounded medication tailored to specific patient needs. Consult with a healthcare provider for more information.

What are the potential side effects of using Apomorphine HCl 10 mg/mL Nasal Solution?

Potential side effects may include nasal irritation, dryness, or discomfort. If you experience any severe or persistent side effects, contact your healthcare provider immediately.

How should Apomorphine HCl 10 mg/mL Nasal Solution be stored?

Store Apomorphine HCl 10 mg/mL Nasal Solution in a cool, dry place away from direct sunlight and out of reach of children. Follow any specific storage instructions provided by your pharmacist or healthcare provider.

Can I use Apomorphine HCl 10 mg/mL Nasal Solution if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using Apomorphine HCl 10 mg/mL Nasal Solution to ensure it is safe for you and your baby.

What should I do if I miss a dose of Apomorphine HCl 10 mg/mL Nasal Solution?

If you miss a dose, use it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Can Apomorphine HCl 10 mg/mL Nasal Solution be used in children?

The use of Apomorphine HCl 10 mg/mL Nasal Solution in children should be determined by a healthcare provider. It is important to follow the guidance of a healthcare professional when administering this medication to children.

What should I do if I experience an allergic reaction to Apomorphine HCl 10 mg/mL Nasal Solution?

If you experience signs of an allergic reaction, such as rash, itching, swelling, severe dizziness, or difficulty breathing, seek immediate medical attention. Discontinue use and inform your healthcare provider about the reaction.

Related Formulas

Related Products
Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.