Product image of Kynmobi (Anhydrous Apomorphine Hydrochloride) supplied by GNH India

Kynmobi

Active Ingredient:
Anhydrous Apomorphine Hydrochloride
Origin:
EU

Kynmobi (Anhydrous Apomorphine Hydrochloride)

Apomorphine hydrochloride, the active ingredient in Kynmobi, is a dopamine agonist presented as a 10 mg sublingual film for sublingual use. It treats OFF episodes in Parkinson's disease in adult patients.

GNH India supplies Kynmobi as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Bial - Portela & Cª , Sa

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Indications & Clinical Uses

Apomorphine hydrochloride is used to manage motor fluctuations in Parkinson's disease by stimulating dopaminergic pathways.

  • OFF episodes in Parkinson's disease: rapid reversal of motor symptoms during OFF periods.
  • Motor fluctuations in Parkinson's disease: reduces frequency and severity of OFF episodes.
  • Parkinson's disease patients with delayed levodopa response: provides supplemental dopaminergic stimulation.

How It Works

  • Apomorphine hydrochloride acts as a non‑selective dopamine receptor agonist, binding to D1 and D2 receptors in the central nervous system. By directly stimulating these receptors, it bypasses the need for endogenous dopamine synthesis and provides rapid activation of dopaminergic pathways, leading to improved motor function when administered sublingually.

Side Effects

Apomorphine may cause a range of adverse reactions, some of which are common and others that are serious or rare.

Common Side Effects

  • Nausea
  • Vomiting
  • Dizziness
  • Orthostatic hypotension
  • Headache
  • Somnolence

Serious or Rare Side Effects

  • Severe hypotension or syncope
  • Hallucinations or psychosis
  • Impulse control disorders
  • Severe nausea or vomiting requiring medical attention
  • Cardiac arrhythmias
  • Pulmonary edema

Precautions & Warnings

When using Kynmobi, several safety considerations should be observed.

  • Dose titration: start low and increase gradually under medical supervision.
  • Cardiovascular monitoring: watch for hypotension and syncope.
  • Nausea prophylaxis: consider antiemetic before first dose.
  • Contraindication in severe cardiac disease: avoid use in patients with unstable heart conditions.
  • Pregnancy and breastfeeding: use only if benefit outweighs potential risk (category unknown).
  • Store below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Apomorphine can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis.
  • Antihypertensive agents: additive hypotensive effect.
  • Other dopamine agonists: increased risk of cumulative side effects.

Moderate Interactions (Monitor Closely)

  • Antiemetics such as metoclopramide: may antagonize apomorphine's effect.
  • Antipsychotics (e.g., haloperidol): may reduce therapeutic efficacy.
  • Alcohol: may enhance central nervous system depression.

Frequently Asked Questions

Kynmobi is indicated for the rapid reversal of OFF episodes in Parkinson's disease. It provides supplemental dopaminergic stimulation to improve motor function when patients experience sudden worsening of symptoms despite ongoing therapy.

Apomorphine, the active ingredient in Kynmobi, is a non‑selective dopamine D1/D2 receptor agonist. By directly activating these receptors in the brain, it bypasses the need for endogenous dopamine and quickly restores dopaminergic signaling, alleviating motor impairment.

The prescribed dose of Kynmobi is individualized by the treating physician. The prescriber determines the appropriate strength, frequency, and titration schedule based on the patient’s clinical response and tolerance.

The safety of Kynmobi in pregnancy and lactation has not been established. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and this decision must be made by a qualified healthcare professional.

To order Kynmobi, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Kynmobi offers a rapid, sublingual route of administration, which can be faster than oral levodopa or transdermal therapies. It is particularly useful for patients who need immediate relief of OFF episodes, whereas other dopamine agonists may have slower onset or require different dosing schedules.

Kynmobi should be stored below 25 °C in its original packaging, protected from moisture and direct sunlight. Maintaining these conditions helps preserve the film’s stability and ensures consistent drug delivery.

Kynmobi is a sublingual film placed under the tongue. The film dissolves rapidly, allowing the drug to be absorbed directly into the bloodstream through the oral mucosa, providing quick onset of action without the need for swallowing.

Serious risks include severe hypotension, syncope, hallucinations or psychosis, impulse control disorders, and cardiac arrhythmias. Patients should be monitored closely for these events, especially during dose titration or when combined with other cardiovascular or psychiatric medications.

Kynmobi is contraindicated in patients with severe cardiac disease, uncontrolled hypertension, known hypersensitivity to apomorphine, or those taking monoamine oxidase inhibitors. It should also be used with caution in individuals with a history of psychosis or impulse control disorders.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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