Opicapone is a peripherally selective inhibitor of catechol-O-methyltransferase (COMT).1 It inhibits COMT activity in rat liver, but not brain, homogenates (ED50 = 1.05 mg/kg). Opicapone (3 mg/kg) increases plasma levels of L-DOPA and reduces plasma levels of 3-O-methyl-DOPA (3-OMD) when administered in combination with benserazide and L-DOPA.2 Formulations containing opicapone have been used as adjuvants in the treatment of “off” episodes associated with Parkinson’s disease.
1.Kiss, L.E., Ferriera, H.S., Torr?o, L., et al.Discovery of a long-acting, peripherally selective inhibitor of catechol-O-methyltransferaseJ. Med. Chem.53(8)3396-3411(2010) 2.Bonifácio, M.J., Torr?o, L., Loureiro, A.I., et al.Pharmacological profile of opicapone, a third generation nitrocatechol catechol-O-methyl transferase inhibitor, in the ratBr. J. Pharmacol.172(7)1739-1752(2014)
















