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Aqneursa Coupon - Aqneursa 28 packets of 1g carton

Aqneursa

levacetylleucine
Used for Inherited Metabolic Diseases

Aqneursa (levacetylleucine) is an amino acid derivative used to treat the neurological symptoms of Niemann-Pick Disease type C (NPC), such as difficulty walking and speaking. Aqneursa (levacetylleucine) comes as a powder packet that can be dissolved in water, orange juice, or almond milk. This medication is taken by mouth 2-3 times a day, as directed by your healthcare team. Common side effects include upper respiratory infections, stomach pain, and difficulty swallowing.

Reviewed by:Last reviewed on November 21, 2024
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What is Aqneursa (levacetylleucine)?

What is Aqneursa (levacetylleucine) used for?

How Aqneursa (levacetylleucine) works

Niemann-Pick Disease type C (NPC) is a genetic condition that’s caused by the body not being able to properly move and store cholesterol and other fats inside the body. Typically, cells have the ability to break down fats. But people with NPC have faulty proteins that prevent this process from happening. This leads to fats building up in various parts of the body, including the brain.

Aqneursa (levacetylleucine) is an amino acid derivative. Amino acids make up proteins that help your body with important functions. Sometimes, amino acids can be chemically changed in labs to help treat certain medical conditions. Aqneursa (levacetylleucine) is made up of an amino acid that’s been changed to help the cells make more energy. It’s thought that when cells have more energy, they’re better able to process the fat buildup. And this might help ease some symptoms of NPC.

Drug facts

Common BrandsAqneursa
Drug ClassModified amino acid
Controlled Substance ClassificationNot a controlled medication
Generic StatusNo lower-cost generic available
AvailabilityPrescription only
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Side effects of Aqneursa (levacetylleucine)

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

Less Common Side Effects

Source: DailyMed

The following Aqneursa (levacetylleucine) side effects have also been reported

Side effects that you should report to your care team as soon as possible:

Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):

  • Pain or trouble swallowing
  • Stomach pain
  • Vomiting
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Pros and cons of Aqneursa (levacetylleucine)

Pros

  • Comes in a dissolvable, flavored powder form; might be easier to take than pills
  • Medication can be stored at room temperature
  • Can be taken with or without food

Cons

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Pharmacist tips for Aqneursa (levacetylleucine)

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  • It’s important to take Aqneursa (levacetylleucine) as directed by your healthcare team. But if you miss a dose, skip that dose and take your next dose as scheduled. Don’t take 2 doses at the same time to make up for the missed dose.
  • Taking Aqneursa (levacetylleucine) might raise your risk for catching upper respiratory infections, like the common cold. You can protect yourself from getting sick by washing your hands before eating or wearing a mask when you’re in large crowds. If you experience symptoms like fever, cough, or nasal congestion that aren't improving after a week, contact your healthcare professional.
  • Some people who took Aqneursa (levacetylleucine) had difficulty swallowing, which might be a worsening symptom of NPC. Talk with your healthcare team right away if you aren’t able to properly swallow food or your medication. Depending on how severe your symptoms are, your care team might ask you to consider getting a gastronomy tube (G-tube) to lower your risk for choking.
  • Your platelet levels may drop while taking Aqneursa (levacetylleucine). If this happens, you can be at increased risk of bleeding, especially if you experience any falls or other hard contact. If you have bruises that aren't healing or bleeding that’s difficult to stop, contact your healthcare team.
  • Your healthcare team determines your dose of Aqneursa (levacetylleucine) based on your weight. If you experience any changes in body weight, let your care team know so they can see if they need to make adjustments to your dose.
  • Aqneursa (levacetylleucine) might cause harm to unborn babies. If you're able to become pregnant, you're recommended to use effective birth control during treatment and at least a week after your last dose.

More tips for taking AQNEURSA

  • You need to mix and dissolve Aqneursa (levacetylleucine) into an oral suspension before taking it. Don’t take the powder directly from the packet.
  • When you’re ready to take Aqneursa (levacetylleucine), mix each packet into 40 ml of water, orange juice, or almond milk. Stir this solution into a suspension right before you drink it.
  • If you need to take more than 1 packet of Aqneursa (levacetylleucine) for your dose, repeat the directions again to mix the medication. Don’t mix multiple packets together at the same time.
  • Don’t mix Aqneursa (levacetylleucine) with hot liquids. Doing so might affect how the medication works.
  • Once mixed, you should swallow Aqneursa (levacetylleucine) within 30 minutes. After this time, you need to throw the mixture away.
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Common questions about Aqneursa (levacetylleucine)

Niemann-Pick disease type C (NPC) is a genetic condition that’s caused by the body not being able to store cholesterol and other fats properly. As a result, they build up in different parts of the body, including the brain. This can lead to a variety of symptoms, including enlarged spleen or liver, difficulty speaking, trouble walking, and seizures. Symptoms typically worsen over time. The main way to treat NPC is by managing the symptoms. People who have NPC usually see multiple healthcare professionals to help. For example, they might work with occupational or physical therapists regularly to maintain or improve the ability to swallow and move around. Aqneursa (levacetylleucine) is one of two medications that’s FDA-approved to treat the neurological symptoms of NPC .

There’s no cure for NPC, but Aqneursa (levacetylleucine) may help with the certain symptoms of this condition. A study showed that people who take Aqneursa (levacetylleucine) might have some improvement with speaking, walking, and other movements. In general, treatments for NPC focus on easing the symptoms of this condition.

Ask your healthcare team how long you should take Aqneursa (levacetylleucine). Currently, guidelines for NPC don’t recommend a specific length of time to take this medication. But people who took Aqneursa (levacetylleucine) in the clinical study received treatment for about 3 months. So your healthcare team may ask you to try this medication for at least 3 months as well to see if it works for you. But they might ask you to stop this medication earlier if the side effects, such as vomiting or stomach pain, are too severe. Speak with your healthcare team before making any changes to your medication.

In a clinical study, researchers looked at how well Aqneursa (levacetylleucine) worked by scoring people based on how well they can do certain activities, including walking, sitting, and speaking. Results showed that when people took Aqneursa (levacetylleucine) for 3 months, they had more improvement in symptoms than when they took placebo. Though more research is needed, another study suggests that some people might experience improvements after taking Aqneursa (levacetylleucine) for 6 weeks. Ask your healthcare team about what you might expect after starting treatment.

If you experience vomiting after taking Aqneursa (levacetylleucine), let your healthcare team know. They'll talk with you about the next steps depending on how severe your symptoms are and how often you're vomiting. In general, vomiting raises your risk of losing too much fluid, which can cause you to become dehydrated and experience dizziness or fainting. Your care team will recommend ways for you to stay hydrated, such as drinking water and sports drinks to replenish fluids and electrolytes in your body. But if you continue experiencing nausea or vomiting and your symptoms make it difficult to hold down food or medication, your healthcare team might talk with you about other treatment options.

Yes, you can give Aqneursa (levacetylleucine) through a type of feeding tube called the gastrostomy tube (G-tube) that’s French size 18 or larger. To do so, first mix the medication into an oral suspension as directed by your healthcare team. Then draw it up using a G-tube syringe and inject it through the feeding tube right away. Afterwards, flush the tube with 20 mL of water to make sure no medication gets stuck in the tube. If needed, flush the feeding tube again until you no longer see any leftover suspension inside.

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Risks and warnings for Aqneursa (levacetylleucine)

Aqneursa (levacetylleucine) 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.

Harm to unborn babies

  • Risk factors: Being pregnant

Aqneursa (levacetylleucine) might cause harm to unborn babies. While this medication hasn’t been studied in human pregnancies, animal studies showed that Aqneursa (levacetylleucine) can cause miscarriage and developmental issues during pregnancy.

If you are able to get pregnant, your healthcare team will ask you to take a pregnancy test before starting Aqneursa (levacetylleucine). Because of the possible risk of harm, they’ll recommend that you use effective birth control during treatment and for at least a week after your last dose. If you’re pregnant or planning to become pregnant, discuss with your healthcare team about the risks and benefits of taking this medication during pregnancy.

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Aqneursa (levacetylleucine) dosage

The average cost for 2 cartons of 28 packets of 1g of Aqneursa (levacetylleucine) is $27,896.18 with a free GoodRx coupon.
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DosageQuantityPrice as low asPrice per unit
28 packets of 1g2 cartons$27,896.18$13,948.09

Typical dosage for Aqneursa (levacetylleucine)

Aqneursa (levacetylleucine) comes in powder form inside of a packet. Each packet contains 1 gram of medication. To take the medication, you need to first mix the powder in the packet with 40 ml of water, orange juice, or almond milk to make a solution. The solution is then taken by mouth.

Your healthcare team will determine your dose based on your body weight:

  • People weighing 15 kg to less than 25 kg: 1 packet in the morning and 1 packet in the evening.
  • People weighing 25 kg to less than 35 kg: 1 packet in the morning, 1 packet in the afternoon, and 1 packet in the evening.
  • People weighing 35 kg or more: 2 packets in the morning, 1 packet in the afternoon, and 1 packet in the evening
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What are alternatives to Aqneursa (levacetylleucine)?

There are a number of medications that your doctor can prescribe in place of Aqneursa (levacetylleucine). Compare a few possible alternatives below.
Aqneursa (levacetylleucine)
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References

Best studies we found

Bajwa, H., et al. (2023). Niemann-Pick disease. StatPearls.

Bremova-Ertl, T., et al. (2024). Trial of N-acetyl-L-leucine in Neimann-Pick disease type C. The New England Journal of Medicine.

Flaherty, J. (2013). Nutrition and you: Low-profile G-tube. LifelineLetter.

GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.

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