As your Parkinson’s disease (PD) progresses, you may experience OFF time

OFF time is when a patient’s medications for PD are not working well, which can mean that PD symptoms, such as tremor and difficulty walking, are increased.

Off time experience
  • In PD, dopamine levels are decreased and adenosine A2A receptors become overactive
  • Levodopa helps to replace dopamine in the brain, but over time, most patients will experience OFF time

NOURIANZ can help reduce OFF time

In clinical trials:

  • All patients were on levodopa. Most were also taking other PD medications. All of them were still experiencing OFF time
  • All patients in the trials were also given NOURIANZ or placebo (sugar pill)
  • NOURIANZ reduced OFF time by 0.96-1.58 hours per day*
  • Placebo reduced OFF time by 0.23-0.66 hours per day*
  • NOURIANZ reduced OFF time significantly more than placebo
*Mean baseline OFF time was about 6 hours per day. In Study 3 and Study 4.
NOURIANZ has been tested in more than 700 patients with Parkinson's disease (PD) across multiple clinical studies.

NOURIANZ has been tested in more than 700 patients with Parkinson’s disease (PD) across multiple clinical studies.

Off time experience

NOURIANZ: Adverse reactions

The safety profile of NOURIANZ has been demonstrated in multiple clinical studies.

Patients taking NOURIANZ may experience:

  • Uncontrolled movements (dyskinesia)
  • Dizziness
  • Constipation
  • Nausea
  • Hallucinations
  • Problems sleeping (insomnia)

NOURIANZ and other medicines may affect each other causing side effects.


NOURIANZ may affect the way other medicines work, and other medicines may affect how NOURIANZ works.

safety man
 

What is NOURIANZ?

NOURIANZ is a prescription medicine used with levodopa and carbidopa to treat adults with Parkinson’s disease (PD) who are having “off” episodes.

Before you take NOURIANZ, tell your healthcare provider about all your medical conditions, including if you:

  • have a history of abnormal movement (dyskinesia)
  • have a history of psychotic thinking or behavior
  • have reduced liver function
  • smoke cigarettes or use other tobacco products
  • are pregnant or plan to become pregnant. NOURIANZ may harm your unborn baby
  • are breastfeeding or plan to breastfeed

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

NOURIANZ and other medicines may affect each other causing side effects. NOURIANZ may affect the way other medicines work, and other medicines may affect how NOURIANZ works.

What are the possible side effects of NOURIANZ?
NOURIANZ may cause serious side effects, including:

  • uncontrolled sudden movements (dyskinesia). Uncontrolled sudden movements is one of the most common side effects.
  • hallucinations and other symptoms of psychosis. NOURIANZ can cause abnormal thinking and behavior, including:
    • being overly suspicious or feeling people want to harm you (paranoid ideation)
    • believing things that are not real (delusions)
    • seeing or hearing things that are not real (hallucinations)
    • confusion
    • increased activity or talking (mania)
    • disorientation
    • aggressive behavior
    • agitation
    • delirium (decreased awareness of things around you)
  • unusual urges (impulse control or compulsive behaviors). Some people taking NOURIANZ get urges to behave in a way unusual for them. Examples of this are unusual urges to gamble, increased sexual urges, strong urges to spend money, binge eating, and the inability to control these urges.

If you notice or your family notices that you are developing any new or unusual symptoms or behaviors, talk to your healthcare provider.

The most common side effects of NOURIANZ include uncontrolled movements (dyskinesia), dizziness, constipation, nausea, hallucinations, and problems sleeping (insomnia).

These are not all the possible side effects of NOURIANZ.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Please see Patient Information for NOURIANZ.

Reference: 1. NOURIANZ [package insert]. Kyowa Kirin, Inc., Bedminster, NJ, USA.

References: 1. Hickey P, Stacy M. Available and emerging treatments for Parkinson’s disease: a review. Drug Des Devel Ther. 2011;5:241-254. 2. The voice of the patient: Parkinson’s disease. Silver Spring, MD: US Food and Drug Administration; April 2016. https://www.fda.gov/media/124392/download. Accessed June 11, 2019. 3. Parkinson’s Foundation. Statistics. https://parkinson.org/Understanding-Parkinsons/Statistics. Accessed May 5, 2019. 4. Stocchi F, Antonini A, Barone P, et al. Early DEtection of wEaring off in Parkinson disease: the DEEP study. Parkinsonism Relat Disord. 2014;20(2):204-211. 5. NOURIANZ [package insert]. Kyowa Kirin, Inc., Bedminster, NJ, USA.

References: 1. Data on file. 2. NOURIANZ [package insert]. Kyowa Kirin, Inc., Bedminster, NJ, USA.

Reference: 1. NOURIANZ [package insert]. Kyowa Kirin, Inc., Bedminster, NJ, USA.