Symmetrel Treatment Report

Category: Prescription Drugs

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Generic Name: Amantadine

What is Symmetrel?

An example of Symmetrel

Symmetrel is a brand name for amantadine, an antiviral drug used to reduce on/off fluctuations and involuntary movements (dyskinesias) in Parkinson's disease.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
22 9 Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
18 3 Efficacy_major Efficacy_slight
3 2 Efficacy_moderate Efficacy_slight
2 0
2 2 Efficacy_slight Efficacy_none
1 1 Efficacy_none

See all 35 patients currently taking Symmetrel

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Reported Side Effects

Side effects as an overall problem

Severe
3
Moderate
1
Mild
5
None
6

Reported Dosages

  daily 50 mg/5 mL daily 100 mg daily 200 mg daily 300 mg daily 400 mg daily
  1 Number of Patients: 1 1 Number of Patients: 1 10 Number of Patients: 10 19 Number of Patients: 19 4 Number of Patients: 4 2 Number of Patients: 2  

Reported Stop Reasons

Why Patients Stopped Taking Symmetrel (multiple reasons could be selected)
Reason # Patients Percentage of patients
Doctor's advice 4   Doctor's advice: 31%
Did not seem to work 3   Did not seem to work: 23%
Side effects too severe 3   Side effects too severe: 23%
Other 3   Other: 23%
Personal research 1   Personal research: 8%

See all 13 patients who’ve stopped taking Symmetrel

Currently Taking Symmetrel

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0
0

Stopped Taking Symmetrel

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Symmetrel

Always
12 80%
Usually
0 0%
Sometimes
1 7%
Never
2 13%

Burden

Difficulty being on treatment

Burden of Symmetrel

Very
0 0%
Somewhat
0 0%
A little
3 20%
Not at all
12 80%

Cost

Paid out of pocket

Cost of Symmetrel

$200+
0 0%
$100-199
0 0%
$50-99
0 0%
$25-49
1 14%
< $25
6 86%

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3 patient evaluations for Symmetrel

  • melmaky
    Sex: F
    Data Quality: 1 star
    Pain: Some
    Fatigue: Most
    Sleep: Some
    Stiffness: All
    function: None
    external_stress: Some
    Stickman: most
    Description:F40y
    CFS:24y Dx
    FM:2y Dx
  • 48288-thumb
  • See melmaky's full Symmetrel history
Purposes: Stiffness/Spasticity, Myoclonic jerking, Excessive daytime sleepiness (somnolence), and Fatigue (Started Sep 04, 2012)
Date Dosage Stiffness/Spasticity Perceived effectiveness Myoclonic jerking Perceived effectiveness Excessive daytime sleepiness (somnolence) Perceived effectiveness Fatigue Perceived effectiveness Side Effects Adherence Burden
Sep 15, 2012 200 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_default Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_default Led_efficacy_2Led_efficacy_2Led_defaultLed_default Led_efficacy_2Led_efficacy_2Led_defaultLed_default MildMildMildMild AlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at all
Sep 05, 2012 200 mg Daily ? Led_efficacy_2Led_efficacy_2Led_defaultLed_default Led_efficacy_2Led_efficacy_2Led_defaultLed_default ModerateModerateModerateModerate AlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at all
Date
Sep 15, 2012
Advice & Tips
Has given me a bit more energy and notice more clarity in thinking - although far from restored.
  • Icon_thumb_off 0 helpful marks
  • mcewthom
    Sex: M
    Data Quality: 2 stars
    MS: 5 yrs
    Type: Relapsing-Remitting
    Sensation: Moderate
    Overall: Mild
    Cognition: mild
    Vision: mild
    Speech: mild
    Swallowing: none
    Upper limb: mild
    Walking: mild
  • 13209-thumb
  • See mcewthom's full Symmetrel history
Purposes: Fatigue and Tremor in hands (Started Oct 01, 2009)
Date Dosage Fatigue Perceived effectiveness Tremor in hands Perceived effectiveness Side Effects Adherence Burden
Mar 01, 2010 100 mg Daily ?Can't tell Led_efficacy_2Led_efficacy_2Led_defaultLed_defaultSlight NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Nov 09, 2009 100 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Date
Mar 01, 2010
Advice & Tips
I think it may of worked, Reason why am Stopping them to see a difference.
Cost
< $25 monthly
Date
Nov 09, 2009
Advice & Tips
Gets rid of my brain fog, can think alot more clear, Fatigue has gone ...anoying Tremmors in hands have almost dissapeared
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks
  • server
    Sex: M
    Data Quality: 0 stars
    Parkinson's: 7 yrs
    Hoehn-Yahr 2 Type: Inherited (genetic) Parkinson's disease On
    Mouth/throat: none
    Arms: none
    Chest: none
    Legs: mild
  • 6062-thumb
  • See server's full Symmetrel history
Purpose: Parkinson's Disease (Started Nov 27, 2006)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Jun 26, 2007 200 mg Daily Led_efficacy_2Led_efficacy_2Led_defaultLed_defaultSlight MildMildMildMildMild AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Side effects:
Racing thoughts
  • Icon_thumb_off 0 helpful marks

12 additional evaluations for Symmetrel are not currently shared publicly.

What is amantadine?

Amantadine is an antiviral medication. It blocks the actions of viruses in your body.

Amantadine is used to treat and to prevent influenza A (a viral infection). There may be some flu seasons during which amantadine is not recommended because certain flu strains may be resistant to this drug.

Amantadine is also used to treat Parkinson’s disease and "Parkinson-like” symptoms such as stiffness and shaking that may be caused by the use of certain drugs.

Amantadine may also be used for other purposes not listed in this medication guide.


Precautions

You should not use this medication if you are allergic to amantadine, or if you have received a nasal flu vaccine (FluMist) within the past 14 days.

If you have certain conditions, you may need a dose adjustment or special tests to safely take this medication. Before you take amantadine, tell your doctor if you are allergic to any drugs, or if you have:

  • epilepsy or other seizure disorder;
  • congestive heart failure;
  • kidney disease;
  • liver disease;
  • low blood pressure or fainting;
  • eczema;
  • glaucoma; or
  • a history of mental illness, suicide attempt, or drug/alcohol addiction.

You may have increased sexual urges, unusual urges to gamble, or other intense urges while taking amantadine. It is not known whether the medicine actually causes this effect. Talk with your doctor if you believe you have any intense or unusual urges while taking amantadine.

Some people taking medicines for Parkinson’s disease have developed skin cancer (melanoma). However, people with Parkinson's disease may have a higher risk than most people for developing melanoma. Talk to your doctor about your specific risk and what skin symptoms to watch for. You may need to have regular skin exams.

FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before taking amantadine, tell your doctor if you are pregnant or plan to become pregnant during treatment.

Amantadine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Do not use FluMist nasal influenza "live vaccine” while you are being treated with amantadine and for at least 48 hours after you stop taking amantadine. The nasal vaccine may not be as effective if you receive it while you are taking amantadine. Before taking amantadine, tell your doctor if you have received a nasal flu vaccine within the past 14 days.

Amantadine can cause side effects that may impair your vision, thinking, or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.

Avoid drinking alcohol. It can increase some of the side effects of amantadine.

Avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor’s advice. Taking a stimulant together with amantadine can increase your risk of unpleasant side effects.

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Instructions

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of amantadine can be fatal.

Overdose symptoms may include fever, anxiety, severe headache, confusion, hallucinations, agitation, aggression, personality changes, tremor, problems with balance or walking, fast or uneven heart rate, urinating less than usual or not at all, trouble breathing, seizure (convulsion), or fainting.

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

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Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any of these serious side effects:

  • feeling short of breath, even with mild exertion;
  • swelling, rapid weight gain;
  • feeling depressed, agitated, or aggressive;
  • behavior changes, hallucinations, thoughts of hurting yourself;
  • urinating less than usual or not at all;
  • high fever, stiff muscles, confusion, sweating, fast or uneven heartbeats, rapid breathing, feeling like you might pass out;
  • restless muscle movements in your eyes, tongue, jaw, or neck; or
  • tremor (uncontrolled shaking).

Less serious side effects may include:

  • dizziness, drowsiness, headache;
  • sleep problems (insomnia), strange dreams;
  • feeling nervous;
  • nausea, diarrhea, constipation, loss of appetite;
  • dry mouth, dry nose; or
  • loss of balance or coordination.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

Before taking amantadine, tell your doctor if you are using any of the following drugs:

  • atropine (Atreza, Sal-Tropine, and others);
  • dicyclomine (Bentyl);
  • glycopyrrolate (Robinul);
  • hyoscyamine (Anaspaz, Levbid, Levsin, Nulev, and others);
  • mepenzolate (Cantil);
  • methscopolamine (Pamine);
  • propantheline (Pro-Banthine);
  • scopolamine (Maldemar, Scopace, Transderm-Scop).
  • quinine (Qualaquin);
  • quinidine (Cardioquin, Quinaglute);
  • a diuretic (water pill) such as triamterene (Dyrenium), hydrochlorothiazide (HCTZ, Dyazide, HydroDiuril, Hyzaar, Lopressor, Vasoretic, Zestoretic), and others; or
  • phenothiazines such as prochlorperazine (Compazine), thioridazine (Mellaril), and others.

This list is not complete and there may be other drugs that can interact with amantadine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Other Names

Symmetrel and amantadine

Available Strengths & Dosages


Route Form Strength
oral capsule 100 mg
oral syrup 50 mg/5 mL
oral tablet 100 mg

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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