接受左旋多巴(VYALEV 的活性代谢物)治疗的患者报告称,他们在从事日常生活活动(包括驾驶机动车)时会睡着,有时会导致事故。尽管许多患者报告称,服用左旋多巴时会出现嗜睡,但有些患者认为自己没有任何警示信号,例如过度嗜睡,并认为自己在事件(睡眠发作)发生前是清醒的。有些事件是在开始治疗一年多后报告的。因此,处方医生应持续评估接受 VYALEV 治疗的患者是否嗜睡或困倦。告知患者服用 VYALEV 可能会出现嗜睡,并询问可能增加嗜睡风险的因素。如果患者报告称,在需要主动参与的活动中白天嗜睡或入睡,请考虑停用 VYALEV。如果继续使用 VYALEV,应建议患者不要开车,并避免其他可能造成伤害的潜在危险活动。没有足够的信息证明减少剂量会消除日常生活活动中入睡的现象。
来自:Cynthia neuhofel,Pharm.D。 Division of Medical Services Pharmacy Program DATE: February 12, 2025 SUBJ: AR Medicaid Prior Authorization Edits approved at the AR Medicaid DUR Board January 15, 2025 meeting for the following: Preferred Drug List Full Review: Glucagon agents, GLP-1 agonists, uterine disorder agents, Duchenne Muscular Dystrophy agents, ulcerative colitis agents Preferred Drug List Abbreviated Review: Alpha glucosidase inhibitors, DPP-4 inhibitors, meglitinides, metformin products, SGLT-2 inhibitors, sulfonylureas, thiazolidinediones, amylin analogues, antiemetics, non-sedating antihistamines, intranasal rhinitis Manual Review PA Criteria: Nemluvio® (nemolizumab-ilto), Miplyffa™ (arimoclomol citrate), Aqneursa™ (levacetylleucine), Hympavzi™ (marstacimab-hncq), Vyalev™ (foscarbidopa/foslevodopa), Duvyzat™ (givinostat), Lodoco® (colchicine), Yorvipath® (palopegteriparatide), FUROSCIX®(FUOSEMIDE)更新:在PA标准文档中清理手册评论药物,更新常规药物策略来自:Cynthia neuhofel,Pharm.D。Division of Medical Services Pharmacy Program DATE: February 12, 2025 SUBJ: AR Medicaid Prior Authorization Edits approved at the AR Medicaid DUR Board January 15, 2025 meeting for the following: Preferred Drug List Full Review: Glucagon agents, GLP-1 agonists, uterine disorder agents, Duchenne Muscular Dystrophy agents, ulcerative colitis agents Preferred Drug List Abbreviated Review: Alpha glucosidase inhibitors, DPP-4 inhibitors, meglitinides, metformin products, SGLT-2 inhibitors, sulfonylureas, thiazolidinediones, amylin analogues, antiemetics, non-sedating antihistamines, intranasal rhinitis Manual Review PA Criteria: Nemluvio® (nemolizumab-ilto), Miplyffa™ (arimoclomol citrate), Aqneursa™ (levacetylleucine), Hympavzi™ (marstacimab-hncq), Vyalev™ (foscarbidopa/foslevodopa), Duvyzat™ (givinostat), Lodoco® (colchicine), Yorvipath® (palopegteriparatide), FUROSCIX®(FUOSEMIDE)更新:在PA标准文档中清理手册评论药物,更新常规药物策略