Amantadine is an NMDA antagonist. It's used to treat symptoms of movement disorders in adults, including Parkinson’s disease (PD). It works by raising the levels of dopamine in your body, which helps coordinate movements. Amantadine is taken by mouth, typically once or twice daily. Some side effects of this medication include nausea, dizziness, and trouble sleeping.
Parkinsonism, including Parkinson's disease (PD)
Extrapyramidal symptoms (uncontrolled body movements)
Amantadine is an N-methyl-D-aspartate (NMDA) antagonist. The way it treats Parkinson's disease isn't well-understood. But it's thought to work by blocking NMDA receptor in the brain, which raises dopamine levels. This helps to relieve some movement symptoms, such as trembling, stiffness, and slowness of movement.
Source:Â DailyMed
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
More common
Bladder pain
bloody or cloudy urine
blurred vision
confusion
difficult, burning, or painful urination
dizziness or lightheadedness
fainting
falls
frequent urge to urinate
lower back or side pain
seeing, hearing, or feeling things that are not there
swelling of the hands, feet, or lower legs
Less common
Inability to move the eyes
increased blinking or spasms of the eyelid
sticking out of the tongue
trouble breathing, speaking, or swallowing
uncontrolled twisting movements of the neck, trunk, arms, or legs
unusual facial expressions
Rare
Chills
decreased vision or any change in vision
difficulty in coordination
increased blood pressure
increase in body movements
irritation and swelling of the eye
loss of memory
mental depression
seizures
severe mood or mental changes
skin rash
slurred speech
thoughts of suicide or attempts at suicide
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common
Agitation
difficulty concentrating
headache
irritability
loss of appetite
nervousness
nightmares
purplish red, net-like, or blotchy spots on the skin
trouble with sleeping
Less common
Blindness
blurred vision
decrease in sexual desire
decreased vision
drowsiness
dryness of the mouth, nose, and throat
false sense of well-being
joint swelling
unusual tiredness or weakness
vomiting
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
Taken by mouth
Might need to take only once daily
Available as a solution for people who've trouble swallowing pills
Might not be a safe option during pregnancy
Not recommended to take with alcohol because can lead to dizziness and confusion
Can cause unusual urges or changes in mood
Amantadine can cause some people to feel very sleepy. Don't drive do anything that requires a lot of focus until you know how this medication affects you. Avoid drinking alcohol while taking amantadine because it can worsen sleepiness.
Amantadine can also cause blurry vision and sudden dizziness. Get up slowly from a sitting or lying down position to prevent a sudden drop in blood pressure. If you experience problems with vision, talk to your provider right away.
Get medical help immediately if you experience symptoms of depression or worsening mood while taking amantadine. Though not common, some people have reported thoughts of self-harm while taking amantadine.
If you want to stop amantadine after taking it regularly, talk with your provider first. Don't stop taking amantadine suddenly, because doing so can raise your risk for serious withdrawal symptoms, such as delusion, anxiety, and depression. Your provider can help you stop this medication safely by lowering your dose slowly over time.
Don't take more amantadine than what your provider prescribed. Taking too much of this medication can be life-threatening and cause serious heart or lung problems.
If you're taking the amantadine solution use a medication measuring device to measure out your dose. Don't use a kitchen spoon, because it might not be accurate. If you don't have a medication measuring device, you can purchase one at the pharmacy or ask your pharmacist.
Amantadine can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Risk factors: History of sleep problems | Taking sedatives or medications that make you drowsy
Amantadine can cause you to fall asleep during the day, even if you don't feel sleepy. This can sometimes lead to accidents if you're driving a car or operating machinery. Before starting treatment, talk to your provider if you've history of sleep disorder or if you take medications that make you drowsy. Avoid drinking alcohol while taking amantadine because it can worsen sleepiness. Don't do activities that require your full attention, like driving, until you know how this medication affects you. If you experience falling asleep while doing normal activities, let your provider know right away.
Risk factor: History of depression
Amantadine can raise the risk of suicidal thoughts or behavior. Watch for worsening depression or any unusual changes in mood or behavior, especially during the beginning of treatment or when the dose changes. Be aware of changes in behavior that could lead to suicidal thoughts or depression, and report anything concerning to your provider right away.
Risk factor: History of psychosis | Taking or suddenly stopping amantadine
Amantadine can sometimes cause you to see or hear things that are not real. This is because it can raise your dopamine levels, which can cause changes in mood, confusion, agitation, and aggressive behavior. The risk is higher if you've a history of mental health conditions or if you suddenly stop taking this medication. Let your provider know if you have certain mental health conditions before starting amantadine.
Risk factors: Drinking alcohol | Taking higher dose of amantadine
Amantadine can lower your blood pressure, which can put you at risk of fainting. Some medical conditions and medications can raise your risk for these side effects. Tell your providers about your medical history and all your medications so they can decide whether amantadine is safe for you to take.
While you're taking amantadine, it's important that you watch out for symptoms of dizziness, lightheadedness, and feeling faint when you change positions too quickly. Tell your provider right away if you have these symptoms so your provider can adjust your dose as needed. Get up slowly from a sitting or lying down position to prevent a sudden drop in blood pressure.
Although rare, suddenly stopping amantadine or lowering your dose can cause side effects similar to those of neuroleptic malignant syndrome (NMS). This is a life-threatening condition that's caused by certain mental health medications. It can cause very high fevers, confusion, irregular pulse, sweating, muscle stiffness, and changes in blood pressure. In addition, suddenly stopping amantadine can also worsen your symptoms of Parkinson’s disease, which can lead to delirium, agitation, delusions, hallucinations. Don't stop taking amantadine or lower your dose without talking to your provider, so they can instruct you on how to stop the medication safely.
Amantadine can cause changes in people's behavior, including strong sexual or gambling urges, urges to spend money, and binge eating. This medication can also make it harder to control these urges. If these urges start to have a negative impact on your life, let your provider know. Typically stopping this medication or taking it at a lower dose can help these urges to go away. You might not know you have these urges while taking amantadine, so your provider might ask you if you've recently had these behaviors at your next visit.
Risk factors: Kidney problems
Rarely, people have died from overdosing on amantadine. This has happened with doses of at least 1 gram, and is more likely if you have kidney problems. It's important to take amantadine exactly as prescribed by your provider. Before starting treatment, let your provider know if you've a history of kidney disease so they can prescribe the appropriate dose.
Risk factor: History of seizures
If you've had seizures in the past or you take medications to control seizures, amantadine might raise your risk of having a seizure. If you experience a seizure during treatment, stop taking this medication and get medical help right away.
Risk factors: History of heart failure | Swelling in the arms or legs
Some people developed heart failure while taking amantadine. Your risk might be higher if you've a history of heart failure or swelling in your arms or legs. Let your provider know if you experience shortness of breath or swelling in these areas of your body during treatment, as these can be symptoms of heart failure.
Amantadine is cleared from your body by your kidneys. If you've a history of kidney problems or if you're 65 years and older, your body might not clear amantadine as well. This can raise your risk of side effects. To lower this risk, your provider will need to lower your dose of amantadine.
While rare, amantadine can cause liver problems. This can be problematic for people with a history of liver disease. Let your provider know if you've liver problems before you start taking amantadine because they might need to order blood work to check your liver labs from time to time.
Studies show that people with Parkinson's disease have a higher risk of skin cancer. Although it's not clear whether the risk is due to the condition itself or the medications. Let your provider know if you have any new or unusual growths on your skin or a change in one of your moles. Your provider might recommend occasional skin examinations during treatment with amantadine.
Parkinsonism, including Parkinson's disease: The typical starting dose is 100 mg by mouth once daily. If needed, your provider might raise your dose to 100 mg twice daily. The maximum total dose is 400 mg daily, taken in divided doses.
Extrapyramidal symptoms: The typical starting dose is 100 mg by mouth twice daily. The maximum total dose is 300 mg daily, taken in divided doses.
Your dose might differ if you've kidney problems.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Parkinsonism, including Parkinson's disease (PD)
Extrapyramidal symptoms (uncontrolled body movements)
Parkinson's disease (PD)
Parkinsonism (conditions that cause people to have signs and symptoms of PD, including slowness, stiffness, shakiness, and imbalance)
Parkinson's disease (add-on medication)
Movement problems (extrapyramidal symptoms, or EPS) caused by antipsychotic medications
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