MYSIMBA Prolonged-release tablet Ref.[10427] Active ingredients: Bupropion Bupropion and Naltrexone Naltrexone

Source: European Medicines Agency (EU)  Revision Year: 2020  Publisher: Orexigen Therapeutics Ireland Limited, 2nd Floor, Palmerston House, Fenian Street, Dublin 2, Ireland

Product name and form

Mysimba 8 mg/90 mg prolonged-release tablets.

Pharmaceutical Form

Prolonged-release tablet.

Blue, biconvex, round tablet of 12-12.2 mm diameter debossed with “NB-890” on one side.

Qualitative and quantitative composition

Each tablet contains 8 mg naltrexone hydrochloride, equivalent to 7.2 mg of naltrexone, and 90 mg bupropion hydrochloride, equivalent to 78 mg of bupropion.

Excipient with known effect: Each prolonged-release tablet contains 73.2 mg of lactose (see section 4.4).

For the full list of excipients, see section 6.1.

Active Ingredient Description
Bupropion

Bupropion is a selective inhibitor of the neuronal re-uptake of catecholamines (noradrenaline and dopamine) with minimal effect on the re-uptake of indolamines (serotonin) and does not inhibit either monoamine oxidase. The mechanism by which bupropion enhances the ability of patients to abstain from smoking is unknown. However, it is presumed that this action is mediated by noradrenergic and/or dopaminergic mechanisms.

Bupropion and Naltrexone

The exact neurochemical appetite suppressant effects of naltrexone/bupropion are not fully understood. Naltrexone is a mu-opioid antagonist and bupropion, a weak inhibitor of neuronal dopamine and norepinephrine reuptake. These components affect two principal areas of the brain, specifically the arcuate nucleus of the hypothalamus and the mesolimbic dopaminergic reward system.

Naltrexone

Naltrexone is an orally used, long acting specific opioid antagonist. Naltrexone binds competitively to receptors which are located in the central and peripheral nervous system and hence blocks the access for exogenously administered opioids.

List of Excipients

Tablet core:

Cysteine hydrochloride
Microcrystalline cellulose
Hydroxypropyl cellulose
Magnesium stearate
Lactose anhydrous
Lactose monohydrate
Crospovidone type A
Indigo carmine aluminium lake (E132)
Hypromellose
Edetate disodium
Colloidal silicon dioxide

Film-coating:

Polyvinyl alcohol
Titanium dioxide (E171)
Macrogol (3350)
Talc
Indigo carmine aluminium lake (E132)

Pack sizes and marketing

PVC/PCTFE/PVC/Aluminium blisters.

Pack sizes: 28, 112 tablets.

Not all pack sizes may be marketed.

Marketing authorization holder

Orexigen Therapeutics Ireland Limited, 2nd Floor, Palmerston House, Fenian Street, Dublin 2, Ireland

Marketing authorization dates and numbers

EU/1/14/988/001-002

Date of first authorisation: 26 March 2015
Date of latest renewal: 17 January 2020

Drugs

Drug Countries
MYSIMBA Austria, Cyprus, Estonia, Spain, Finland, Croatia, Ireland, Italy, Lithuania, Netherlands, Poland, Romania, United Kingdom

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