Generic Name: loxapine
Date of Approval: December 21, 2012
Company: Alexza Pharmaceuticals, Inc.
Treatment for: Agitation Associated with Schizophrenia or Bipolar Disorder
FDA Approves Adasuve
The U.S. Food and Drug Administration (FDA) has approved Adasuve (loxapine) Inhalation Powder 10 mg for the acute treatment of agitation associated with schizophrenia or bipolar I disorder in adults. Adasuve combines the Staccato® delivery system with the antipsychotic drug, loxapine. The Staccato system is a hand-held inhaler that delivers a drug aerosol to the deep lung that results in rapid systemic delivery and absorption of a drug.
Adasuve Medication Guide
Read this Medication Guide before you start taking Adasuve and each time it is given to you. There may be new information.
This Medication Guide does not take the place of talking to your healthcare provider about your medical condition or your treatment. You should share this information with your family members and caregivers.
Adasuve is available only through the Adasuve Risk Evaluation and Mitigation Strategy (REMS) Program. The healthcare facility must be enrolled in the Adasuve REMS Program before you can be given Adasuve.
Adasuve may cause serious side effects, including:
- Narrowing of the airways (bronchospasm) that can cause you to have problems breathing or to stop breathing. People who have asthma or other airway or lung problems, such as chronic obstructive pulmonary disease (COPD), have a higher risk of bronchospasm when taking Adasuve. Symptoms of bronchospasm may include:
- shortness of breath
Your healthcare provider should check you for breathing problems before and after you take Adasuve.
- Increased risk of death in elderly patients with dementia-related psychosis. Medicines like Adasuve can raise the risk of death in elderly people who have lost touch with reality (psychosis) due to confusion and memory loss (dementia). Adasuve is not approved for the treatment of patients with dementia-related psychosis.
What is Adasuve?
Adasuve is a prescription medicine that is inhaled through your mouth and is used to treat acute agitation in adults with schizophrenia or bipolar I disorder. It is not known if Adasuve is safe and effective in children.
Who should not take Adasuve?
Do not take Adasuve if you:
- have or have had asthma, chronic obstructive pulmonary disease (COPD), or other airway or lung problems that can cause bronchospasm
- are having problems with wheezing, coughing, chest tightness, or shortness of breath
- are taking medicines to treat asthma or COPD
- have taken Adasuve before and had bronchospasm
- are allergic to loxapine or amoxapine
What should I tell my healthcare provider before taking Adasuve?
Before you take Adasuve, tell your healthcare provider if you:
- have high or low blood pressure
- have or have had heart problems or stroke
- have or have had seizures (convulsions)
- drink alcohol or use street drugs
- have any other medical conditions
- are pregnant or plan to become pregnant. It is not known if Adasuve will harm your unborn baby.
- are breastfeeding or plan to breastfeed. It is not known if Adasuve passes into your breast milk. You and your healthcare provider should decide if you will take Adasuve if you are breastfeeding.
Tell your doctor about all medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.
- Adasuve and other medicines may affect each other causing side effects. Adasuve may affect the way other medicines work, and other medicines may affect the way Adasuve works.
Ask your healthcare provider or pharmacist for a list of these medicines if you are not sure.
Know the medicines you take. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.
How should I take Adasuve?
- Your healthcare provider will show you how to take Adasuve right before you take it.
- Take Adasuve exactly as your healthcare provider shows you to take it.
- Adasuve is for oral inhalation only.
What should I avoid?
- Do not drive, operate heavy machinery, or do other dangerous activities until you know how Adasuve affects you.
- Do not drink alcohol while taking Adasuve. It can increase your chances of getting serious side effects.
Adasuve side effects
Adasuve can serious side effects, including:
- See Important information about Adasuve
- neuroleptic malignant syndrome (NMS). NMS is a rare but serious condition that may cause death. Symptoms of NMS may include:
- high fever
- stiff muscles
- changes in pulse, heart rate, and blood pressure
- low blood pressure (hypotension), lightheadedness, or fainting
- seizures (convulsions)
- severe sleepiness and difficulty with potentially dangerous activities such as driving
- worsening of glaucoma
- difficulty urinating
The most common side effects of Adasuve include:
- bad, bitter, or metallic taste in your mouth (dysgeusia)
- sleepiness (especially when used with other drugs that cause sleepiness)
- sore throat
Tell your healthcare provider if you have any side effect that bothers you or that does not go away.
These are not all the possible side effects of Adasuve. For more information ask your healthcare provider or pharmacist.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)
General information about the safe and effective use of Adasuve
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide.
This Medication Guide summarizes the most important information about Adasuve. If you would like more information, talk to your healthcare provider. You can ask your pharmacist or healthcare provider for information about Adasuve that is written for health professionals.
For more information, go to www.Adasuve.com or call 1-800-284-0062.
What are the ingredients in Adasuve?
Active Ingredient: loxapine
Inactive Ingredients: none
- Other brands: Loxitane