Description
Your doctor may prescribe Cuvposa to manage severe drooling in children aged 3 to 16 with certain neurologic disorders, such as cerebral palsy. Excessive drooling can cause discomfort and skin irritation, along with other complications.
The active ingredient, glycopyrrolate, is an anticholinergic drug that reduces saliva production by blocking acetylcholine receptors. Blocking acetylcholine receptors helps control drooling and improves quality of life.
Fact Table
|
Formula
|
C19H28BrNO3
|
License
|
US FDA
|
Bioavailability
|
~30%
|
Legal status
|
Prescription only (Rx)
|
Chemical Name
|
(RS)-3-(2-Cyclopentyl-2-hydroxy-2-phenylacetoxy)-1,1-dimethylpyrrolidinium bromide
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Elimination half-life
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0.6–1.2 hours
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Dosage (Strength)
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1 mg/5 mL oral solution
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Pregnancy
|
Consult a doctor
|
Brands
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Cuvposa, Robinul, Seebri, Lonhala
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Protein binding
|
38% (plasma proteins)
|
PubChem CID
|
3493
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MedlinePlus
|
a682620
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ChEBI
|
CHEBI:5546
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ATC code
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A03AB02, R03BB06
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DrugBank
|
DB00986
|
KEGG
|
D00554
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Routes of administration
|
Oral, Inhalation
|
Directions
Administer Cuvposa three times daily, ideally 1 hour before or 2 hours after meals, as instructed by your healthcare provider. The dosage depends on the child’s weight and response.
Ingredients
The active ingredient in Cuvposa is glycopyrrolate.
Interactions
Common drug-drug interactions may include:
- Aclidinium
- Amantadine
- Amifampridine
- Amitriptyline
- Amoxapine
- Atropine
- Belladonna
- Benzhydrocodone
- Benztropine
- Biperiden
- Brompheniramine
- Buprenorphine
- Bupropion
- Carbinoxamine
- Carisoprodol
- Chlorpheniramine
- Chlorpromazine
- Clemastine
- Clidinium
- Clomipramine
- Clozapine
- Codeine
- Cyclobenzaprine
- Cyclopentolate
- Cyproheptadine
- Darifenacin
- Desipramine
- Dicyclomine
- Dihydrocodeine
- Dimenhydrinate
- Diphenhydramine
- Donepezil
- Doxepin
- Fentanyl
- Fesoterodine
- Flavoxate
- Fluphenazine
- Glucagon
- Glycopyrronium Tosylate
- Homatropine
- Hydrocodone
- Hydromorphone
- Hydroxyzine
- Hyoscyamine
- Imipramine
- Ipratropium
- LetibotulinumtoxinA-wlbg
- Loxapine
- Meclizine
- Mepenzolate
- Meperidine
- Methacholine
- Methadone
- Morphine
- Morphine Sulfate Liposome
- Nortriptyline
- Olanzapine
- Oliceridine
- Orphenadrine
- Oxitropium Bromide
- Oxybutynin
- Oxycodone
- Oxymorphone
- Paroxetine
- Perphenazine
- Pimozide
- Pipenzolate Bromide
- Pirenzepine
- Potassium Chloride
- Prochlorperazine
- Procyclidine
- Promethazine
- Propantheline
- Propiverine
- Protriptyline
- Quetiapine
- Revefenacin
- Scopolamine
- Secretin Human
- Sofpironium
- Solifenacin
- Stramonium
- Sufentanil
- Tapentadol
- Terodiline
- Thioridazine
- Thiothixene
- Tiotropium
- Tizanidine
- Tolterodine
- Tramadol
- Trifluoperazine
- Trihexyphenidyl
- Trimipramine
- Tropicamide
- Trospium
- Umeclidinium
Cautions
Cuvposa can cause drowsiness or blurred vision. Avoid activities that require alertness, such as riding a bicycle, until you know how this medication affects your child.
Ensure your child stays hydrated, especially in hot weather or during physical activity, as glycopyrrolate can decrease sweating, increasing the risk of heatstroke.
Side Effects
Common side effects of Cuvposa may include:
- Angle-closure glaucoma
- Angioedema
- Atrial fibrillation
- Bradyarrhythmia
- Cardiac arrest
- Cardiac dysrhythmia
- Constipation
- Dyspnea
- Flushing
- Heat exhaustion
- Hypersensitivity reaction
- Malignant hyperthermia
- Nasal congestion
- Nasopharyngitis
- Nystagmus
- Paradoxical bronchospasm
- Pseudo-obstruction of intestine
- Respiratory arrest
- Seizure
- Somnolence
- Tachycardia
- Upper respiratory infection
- Urinary tract infectious disease
- Ventricular fibrillation
- Vomiting
- Xerostomia
References
Cuvposa [package insert]. Raleigh, NC: Merz; 2016.
About Dr. Conor Sheehy (Page Author)
Dr. Sheehy (BSc Molecular Biology, PharmD) works a clinical pharmacist specializing in cardiology, oncology, and ambulatory care. He’s a board-certified pharmacotherapy specialist (BCPS), and his experience working one-on-one with patients to fine tune their medication and therapy plans for optimal results makes him a valuable subject matter expert for our pharmacy. Read More....
IMPORTANT NOTE:
The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.
Product Code : 14921