Description
Depen is a prescription medication and chelating agent that removes certain toxic substances from the body. It can be prescribed to treat:
- Cysteinura: abnormally high cysteine in the urine
- Lead poisoning
- Wilson disease: abnormally high copper in the body
Depen works by attaching to the substance, and the compound is then excreted in the urine.
Fact Table |
Formula |
C5H11NO2S |
License |
US FDA |
Bioavailability |
Variable |
Legal status |
Rx-only |
Chemical Name |
Penicillamine |
Elimination half-life |
1 hour |
Dosage (Strength) |
250mg |
Pregnancy |
Not Recommended |
Brands |
Depen |
Protein binding |
50% |
PubChem CID |
5852 |
MedlinePlus |
a618021 |
ChEBI |
7959 |
ATC code |
M01CC01 |
DrugBank |
DB00859 |
KEGG |
D00496 |
Routes of administration |
By mouth |
Directions
Take Depen exactly as prescribed by your doctor. The dosage ranges from 250 mg to 4000 mg per day and is divided into one to four doses.
Take the Depen (penicillamine) dosage on an empty stomach one hour before and two hours after meals.
Ingredients
The active ingredient in Depen is penicillamine.
Interactions
Drug interactions with this medication may include:
- Digoxin
- Gold sodium thiomalate
- Polyvalent cation containing products
Cautions
Depen should only be used under the close supervision of a physician experienced in using it because it has many potential side effects and toxicities.
Quickly report any fever, sore throat, chills, bruising, or bleeding to your doctor if you experience them while taking this medication.
You may need to take pyridoxine (vitamin B6) while taking this medication.
Older adults are more susceptible to taste alterations and skin rash while taking this medication.
Tell your doctor if you have a history of kidney problems.
Side Effects
Depen has many possible side effects, including:
- Agitation
- Alopecia
- Amprexoa
- Anxiety
- Arthralgia
- Asthma
- Blood cell abnormalities
- Cheilosis
- Diarrhea
- Dysgeusia
- Dystonia
- Epigastric pain
- Exfoliative dermatitis
- Fever
- Fragile skin
- Glossitis
- Guillain-Barre syndrome
- Hyperpyrexia
- Hypoglycemia
- Increase lactate dehydrogenase
- Leukopenia
- Lichen planus
- Local thrombophlebitis
- Myasthenia
- Myasthenia gravis
- Nausea
- Neurological deterioration
- Neuropathy
- Oral mucosa ulcer
- Pancreatitis
- Papule
- Pemphigus
- Peptic ulcer
- Proteinuria
- Pruritus
- Psychiatric disturbance
- Renal failure
- Skin atrophy
- Skin rash
- Stomatitis
- Thrombocytopenia
- Thyroiditis
- Tinnitus
- Toxic epidermal necrolysis
- Urticaria
- Vasculitis
- Vomiting
- Wrinkling of skin
- Yellow nail syndrome
References
- Depen [package insert]. Somerset, NJ: Meda; 2019.
Frequently Asked Questions about Depen (Penicillamine)
What is Depen (Penicillamine) medication used for?
Depen is primarily used to treat Wilson's disease, a rare genetic disorder that causes copper buildup in the body.
How does Depen work?
Depen works by binding to copper and promoting its excretion from the body through urine.
What are the common side effects of Depen?
Common side effects may include skin rashes, gastrointestinal disturbances, and loss of taste or smell.
How is Depen usually administered?
Depen is typically taken orally in the form of capsules or tablets.
Can I take Depen with food?
It is generally recommended to take Depen on an empty stomach, at least one hour before or two hours after meals.
Are there any dietary restrictions while on Depen?
A low-copper diet is often recommended alongside Depen treatment to manage Wilson's disease.
How long is Depen treatment typically required?
Treatment with Depen for Wilson's disease is usually long-term and may continue for life.
Can I drink alcohol while taking Depen?
It is advisable to avoid alcohol while on Depen, as it can interfere with the medication's effectiveness.
Is Depen safe to use during pregnancy or breastfeeding?
Depen should be used during pregnancy or breastfeeding only if the potential benefits outweigh the risks and under the guidance of a healthcare professional.
What should I do if I miss a dose of Depen?
If you miss a dose, take it as soon as you remember. However, do not take two doses at once to make up for the missed one, and follow your healthcare provider's instructions.
About Dr. Conor Sheehy (Page Author)
Dr. Sheehy (BSc Molecular Biology, PharmD) works a clinical pharmacist specializing in cardiology, oncology, and ambulatory care. Heās 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 : 1456