Why is this medication prescribed?

Osmolex ER (amantadine extended-release) is a medication prescribed for the treatment of Parkinson’s disease and certain movement disorders. It is also used as an adjunctive treatment for patients with Parkinson’s disease who experience “off” episodes, which are periods of decreased movement or mobility.

The active ingredient in Osmolex ER, amantadine, is an antiviral and antiparkinsonian agent. It works by increasing the levels of dopamine in the brain, which helps to improve motor control and reduce symptoms such as tremors, stiffness, and slowness of movement associated with Parkinson’s disease.

Osmolex ER is an extended-release formulation, meaning that it releases the medication slowly over time, providing a continuous and stable therapeutic effect throughout the day. This can help to maintain a consistent level of medication in the body, reducing fluctuations in symptoms and optimizing control of Parkinson’s disease.

It’s important to note that Osmolex ER should be used under the supervision of a healthcare professional who can determine the appropriate dosage and monitor its effectiveness and any potential side effects.

How should this medicine be used?

Osmolex ER (amantadine extended-release) should be used exactly as prescribed by your healthcare professional. It is important to follow the instructions provided on the prescription label and to consult your doctor or pharmacist if you have any questions.

Here are some general guidelines for using Osmolex ER:

• Dosage: The recommended starting dose for Osmolex ER is usually 129 mg taken orally once daily in the morning. Your doctor may adjust the dosage based on your individual needs and response to the medication.
• Swallow whole: Osmolex ER tablets should be swallowed whole and should not be crushed, chewed, or divided. Breaking the tablet can disrupt the extended-release mechanism and affect the medication’s effectiveness.
• Timing: Osmolex ER is typically taken in the morning with or without food. Taking it early in the day can help minimize potential sleep disturbances, as it may cause insomnia or other sleep-related side effects if taken later in the day.
• Duration: Osmolex ER is designed to provide continuous release of medication throughout the day. It is important to take it at the same time each day to maintain a consistent level in your body and optimize its effects.
• Follow-up: Regularly follow up with your healthcare professional to monitor your response to Osmolex ER and make any necessary adjustments to your dosage or treatment plan.

Remember, these are general guidelines, and it’s essential to follow the specific instructions provided by your healthcare professional. If you have any concerns or questions about the use of Osmolex ER, reach out to your doctor or pharmacist for clarification.

Other uses for this medicine

Osmolex ER is primarily prescribed for Parkinson’s disease and certain movement disorders. However, it may also have off-label or investigational uses, which means it may be used for conditions not officially approved by regulatory authorities. It is important to note that off-label use should only be done under the guidance of a healthcare professional. Some potential off-label uses of Osmolex ER include:

• Treatment of medication-induced extrapyramidal symptoms (EPS): Osmolex ER may be used to manage EPS, which are movement disorders caused by certain medications such as antipsychotics.
• Treatment of fatigue in multiple sclerosis (MS): Osmolex ER may be prescribed to alleviate fatigue in patients with MS, although further research is needed to establish its efficacy in this regard.
• Treatment of dyskinesia: Osmolex ER may be used to help manage dyskinesia, which refers to abnormal, involuntary movements that can occur as a side effect of long-term Parkinson’s disease treatment with levodopa.

What special precautions should I follow?

Regarding special precautions for Osmolex ER, here are some important considerations:

• Medical history: Inform your doctor about any medical conditions you have, especially if you have a history of heart problems, kidney disease, seizures, mental health disorders, or any other significant health issues.
• Allergies: If you are allergic to amantadine or any other ingredients in Osmolex ER, let your doctor know to avoid any potential adverse reactions.
• Interactions: Inform your doctor about all the medications you are taking, including prescription drugs, over-the-counter medications, and supplements. Some medications, such as anticholinergic drugs, may interact with Osmolex ER and require dosage adjustments or monitoring.
• Side effects: Be aware of the potential side effects of Osmolex ER, such as hallucinations, dizziness, dry mouth, constipation, and insomnia. Report any unusual or severe side effects to your doctor.
• Pregnancy and breastfeeding: Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding, as the use of Osmolex ER during pregnancy and breastfeeding should be discussed with a healthcare professional.
• Driving and operating machinery: Osmolex ER may cause dizziness or blurred vision, which can affect your ability to drive or operate machinery. Use caution and consult your doctor if you experience these side effects.

Always consult your doctor or pharmacist for a comprehensive list of precautions and potential interactions specific to your situation before starting or adjusting Osmolex ER treatment.

What special dietary instructions should I follow?

There are no specific dietary instructions associated with Osmolex ER (amantadine extended-release). However, it’s generally recommended to take Osmolex ER with or without food, as directed by your healthcare professional. If you have any specific concerns or dietary restrictions, it’s best to consult with your doctor or pharmacist for personalized advice.

What should I do if I forget a dose?

If you forget to take a dose of Osmolex ER, take it as soon as you remember. However, if it is close to the time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one.

What side effects can this medication cause?

Osmolex ER is a medication that contains the active ingredient amantadine. It is primarily used for the treatment of Parkinson’s disease and drug-induced extrapyramidal reactions. Like any medication, Osmolex ER can cause side effects, and it’s important to be aware of them. Common side effects of Osmolex ER may include:

• Dizziness: Osmolex ER can cause dizziness, lightheadedness, or a feeling of unsteadiness. It’s important to be cautious while taking the medication and avoid activities that require mental alertness or coordination until you know how it affects you.
• Insomnia: Some individuals may experience difficulty sleeping or insomnia when taking Osmolex ER. If this occurs, it is advisable to take the medication earlier in the day to minimize sleep disturbances.
• Dry mouth: Osmolex ER may cause a decrease in saliva production, leading to a dry or sticky feeling in the mouth. Maintaining good oral hygiene, staying hydrated, and using sugar-free gum or lozenges can help alleviate this symptom.
• Livedo reticularis: This is a skin condition characterized by a mottled, purplish discoloration, usually on the legs or arms. It is a less common side effect of Osmolex ER and may resolve on its own after discontinuing the medication.
• Hallucinations and confusion: In rare cases, Osmolex ER may cause hallucinations (seeing or hearing things that are not real) or confusion, particularly in older adults. If you experience these symptoms, it is important to consult your healthcare provider.
• Swelling: Osmolex ER may cause swelling in the lower legs, ankles, or feet. If you notice any significant swelling, it’s important to contact your doctor.
• Nausea and vomiting: Some individuals may experience gastrointestinal symptoms such as nausea or vomiting when taking Osmolex ER. Taking the medication with food or adjusting the dosage timing may help reduce these symptoms.

It’s important to note that this is not an exhaustive list of side effects, and individual reactions may vary. If you experience any bothersome or severe side effects while taking Osmolex ER, it is crucial to seek medical attention promptly. Your healthcare provider can provide further guidance and assistance.

What should I know about storage and disposal of this medication?

• Storage: Store Osmolex ER tablets at room temperature, away from excessive heat, moisture, and direct sunlight. Follow the specific storage instructions provided on the medication packaging or by your pharmacist.
• Keep out of reach of children: Ensure that Osmolex ER is stored in a secure location out of the reach of children and pets. Accidental ingestion can be dangerous.
• Disposal: Properly dispose of unused or expired Osmolex ER tablets. Do not flush them down the toilet or throw them in the regular trash. Follow any specific disposal instructions provided by your local waste management authorities or consult your pharmacist for guidance on proper disposal methods.

In case of emergency/overdose

• In case of an emergency or suspected overdose, immediately contact your local emergency services or a poison control center.
• Symptoms of an overdose may include severe nausea, vomiting, dehydration, electrolyte imbalances, and kidney problems.

What other information should I know?

• Dosage instructions: Follow your healthcare provider’s instructions regarding the dosage, timing, and duration of Osmolex ER. Do not alter the dosage or stop taking the medication without consulting your healthcare provider.
• Side effects: Like any medication, Osmolex ER may cause side effects. Common side effects may include nausea, dizziness, insomnia, and hallucinations. If you experience severe or persistent side effects, contact your healthcare provider.
• Drug interactions: Inform your healthcare provider about all the medications, supplements, and herbal products you are taking to avoid potential drug interactions. Certain medications may interact with Osmolex ER and affect its effectiveness or increase the risk of side effects.
• Medical conditions: Inform your healthcare provider about any pre-existing medical conditions you have, such as liver or kidney problems, congestive heart failure, or a history of seizures. These conditions may impact the use of Osmolex ER.
• Allergies: If you have known allergies or hypersensitivity to amantadine or any other ingredients in Osmolex ER, inform your healthcare provider to avoid any adverse reactions.

Remember, the information provided here is not exhaustive, and it’s always best to consult your healthcare provider or pharmacist for personalized advice and instructions regarding the storage, disposal, and usage of Osmolex ER.