Inbrija (levodopa) vs Neupro (rotigotine)

Inbrija (levodopa) vs Neupro (rotigotine)

Inbrija (levodopa inhalation powder) is specifically designed to treat off episodes in Parkinson's disease, acting as a fast-acting form of levodopa that can be used when symptoms re-emerge. Neupro (rotigotine), on the other hand, is a dopamine agonist in the form of a transdermal patch that provides a continuous delivery of medication to help manage the symptoms of Parkinson's disease over a longer period. When deciding between the two, it is important to consider the need for immediate relief of symptoms with Inbrija versus the steady symptom control offered by Neupro, as well as discussing with a healthcare provider about individual response to medication, side effects, and lifestyle factors.

Difference between Inbrija and Neupro

Metric Inbrija (levodopa) Neupro (rotigotine)
Generic name Levodopa Rotigotine
Indications Parkinson's disease (for off episodes) Parkinson's disease, Restless legs syndrome
Mechanism of action Dopamine precursor Dopamine agonist
Brand names Inbrija Neupro
Administrative route Inhalation Transdermal patch
Side effects Cough, upper respiratory tract infection, nausea, discolored sputum Nausea, application site reactions, somnolence, headache
Contraindications Non-selective monoamine oxidase (MAO) inhibitors Non-selective monoamine oxidase (MAO) inhibitors
Drug class Dopaminergic antiparkinsonism agents Dopaminergic antiparkinsonism agents
Manufacturer Acorda Therapeutics UCB S.A.

Efficacy

Inbrija (Levodopa) Efficacy in Parkinson's Disease

Inbrija is an inhalation powder formulation of levodopa that is used to treat off episodes in patients with Parkinson's disease (PD) who are already taking carbidopa/levodopa. Off episodes are periods when the patient's medications are not working well, causing an increase in Parkinson's symptoms such as tremor and difficulty moving. Clinical trials have shown that Inbrija can improve motor function during these off episodes. The efficacy of Inbrija was established in a 12-week, placebo-controlled clinical study in patients experiencing off episodes. Patients treated with Inbrija experienced improvements in motor scores compared to those on placebo, as measured by the Unified Parkinson's Disease Rating Scale (UPDRS).

Neupro (Rotigotine) Efficacy in Parkinson's Disease

Neupro is a transdermal patch that delivers rotigotine, a dopamine agonist, through the skin directly into the bloodstream. It is used for the treatment of Parkinson's disease symptoms. Rotigotine has been shown to be effective in controlling the early motor symptoms of Parkinson's disease and is also used as an adjunct therapy in more advanced stages of the disease. The efficacy of Neupro has been demonstrated in several randomized, double-blind, placebo-controlled trials. In these trials, patients with early-stage Parkinson's disease who received Neupro experienced significant improvements in motor function, as assessed by the UPDRS motor scores, compared to those receiving a placebo.

Both Inbrija and Neupro are important components in the management of Parkinson's disease, offering different mechanisms of action and methods of administration to help control symptoms. Inbrija's inhaled delivery system is particularly beneficial for rapid relief during off episodes, while Neupro's continuous transdermal delivery provides a steady level of medication, which can help manage symptoms consistently throughout the day.

It is important to note that while both medications have been shown to be effective in improving the motor symptoms of Parkinson's disease, they do not slow down the progression of the disease. Treatment with Inbrija, Neupro, or other Parkinson's medications should be individualized and closely monitored by a healthcare provider to optimize symptom control and minimize side effects.

Regulatory Agency Approvals

Inbrija
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Neupro
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia
  • NMPA (China)

Access Inbrija or Neupro today

If Inbrija or Neupro are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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