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Generic Artane Information
Introduction
Artane (trihexyphenidyl) is an anticholinergic medication used primarily to control the motor symptoms of Parkinson’s disease and drug‑induced extrapyramidal reactions. In Hong Kong, Artane is classified under the “General health” drug group and is supplied by several licensed manufacturers, with Sanofi‑Aventis historically recognized as the original brand‑owner. The drug may also be prescribed off‑label for certain movement disorders where excessive cholinergic activity contributes to muscle rigidity or tremor.
What is Artane?
Artane is a synthetic anticholinergic agent whose active ingredient is trihexyphenidyl hydrochloride. It belongs to the class of centrally acting muscarinic receptor antagonists. The compound was first synthesized in the 195s and later commercialized under the trademark Artane by Sanofi‑Aventis (formerly Aventis Pharma).
Trihexyphenidyl is also marketed in other regions under brand names such as Artane, Trihexy, and Trihex. In Hong Kong, the medication is available in tablet form (1 mg, 2 mg, and 5 mg strengths) and is dispensed only with a valid prescription.
How Artane Works
Trihexyphenidyl exerts its therapeutic effect by competitively blocking muscarinic acetylcholine receptors (M1–M5) in the central nervous system, especially within the basal ganglia. In Parkinson’s disease, dopaminergic deficiency leads to a relative excess of cholinergic activity, which contributes to tremor, rigidity, and bradykinesia. By reducing acetylcholine‑mediated neurotransmission, Artane restores a more balanced cholinergic‑dopaminergic tone, thereby diminishing involuntary movements.
Key pharmacokinetic points:
- Onset of action: Clinical benefit may be observed within 30–60 minutes after oral administration.
- Peak plasma concentration: Reached in 1–2 hours.
- Half‑life: Approximately 3–5 hours in healthy adults; prolonged in the elderly or those with hepatic impairment.
- Excretion: Primarily renal; dose adjustment is advised for severe renal dysfunction.
Conditions Treated with Artane
- Parkinson’s disease (PD): Adjunct to levodopa or dopamine agonists for tremor control and reduction of rigidity.
- Drug‑induced extrapyramidal symptoms (EPS): Management of acute dystonia, akathisia, or parkinsonism caused by antipsychotics, antiemetics, or lithium.
- Other movement disorders: Occasionally used for tardive dyskinesia, Huntington’s disease, and essential tremor when first‑line agents are unsuitable.
In Hong Kong, the prevalence of Parkinson’s disease is estimated at 1.5 % of the population over 65 years, creating a steady demand for symptom‑controlling agents such as Artane.
Patient Groups Most Likely to Benefit
- Adults with early‑to‑moderate Parkinson’s disease who experience predominant tremor or rigidity not fully controlled by dopaminergic therapy.
- Patients developing acute dystonic reactions after initiation of high‑potency antipsychotics (e.g., haloperidol, fluphenazine).
- Elderly individuals with mild EPS where dose‑sparing strategies are preferred over higher‑dose antipsychotics.
Contra‑indications or cautionary scenarios:
- Patients with narrow‑angle glaucoma, severe urinary retention, or uncontrolled tachyarrhythmias.
- Individuals with known hypersensitivity to trihexyphenidyl or other anticholinergics.
- Pregnant or breastfeeding women (use only if potential benefit justifies risk).
Risks, Side Effects, and Interactions
Common
- Dry mouth
- Blurred vision (especially at initiation)
- Constipation
- Urinary retention
- Sedation or mild drowsiness
Rare
- Hallucinations or psychotic symptoms, particularly in the elderly
- Exacerbation of pre‑existing glaucoma
- Severe constipation leading to ileus
Serious
- Acute angle‑closure glaucoma (medical emergency)
- Severe arrhythmias (e.g., tachycardia, atrioventricular block)
- Hyperthermia or heat intolerance due to impaired sweating
Drug–Drug Interactions
- Other anticholinergics (e.g., atropine, scopolamine) – additive anticholinergic burden, increasing risk of cognitive impairment and constipation.
- Antihistamines with anticholinergic properties (e.g., diphenhydramine) – similar additive effect.
- Quinidine, digoxin, or class Ia antiarrhythmics – may potentiate cardiac conduction effects.
- Levodopa – trihexyphenidyl may mask levodopa‑induced dyskinesia, requiring careful monitoring.
- Alcohol – enhances central nervous system depression and dizziness.
Patients should disclose all prescription, over‑the‑counter, and herbal products before initiating Artane.
Practical Use: Dosing, Missed Dose, Overdose
- Initial dose (Parkinson’s disease): 1 – 2 mg at bedtime; titrate up to 4 – 6 mg/day divided into two doses based on symptom control and tolerability.
- EPS treatment: 2 – 4 mg single dose, may be repeated after 4 hours if required, not to exceed 12 mg per day.
- Elderly or renal‑impaired patients: Start at .5 – 1 mg at night; increase slowly.
Missed dose: Take the missed tablet as soon as remembered unless the next scheduled dose is within 4 hours; in that case, skip the missed dose and resume the regular schedule. Do not double‑dose.
Overdose: Symptoms may include severe anticholinergic toxicity – hyperthermia, delirium, wide‑pupil dilation, urinary retention, and cardiac arrhythmias. Immediate medical attention is required. Gastric lavage or activated charcoal may be considered within the first hour; supportive care and atropine antagonism are standard.
Precautions:
- Take with food if gastrointestinal upset occurs.
- Avoid driving or operating machinery until individual response is known.
- Limit alcohol consumption.
- Monitor intra‑ocular pressure if a history of glaucoma exists.
Buying Artane from Our Online Pharmacy
Patients in Hong Kong can obtain Artane conveniently through our online pharmacy. Our service offers:
- Affordable pricing: Near‑manufacturer cost, often 20 % lower than retail pharmacy rates.
- Verified quality: Sourced exclusively from licensed overseas suppliers that comply with GMP standards.
- Guaranteed delivery: Discreet, temperature‑controlled packaging with options for 7‑day express or ~3‑week regular airmail.
- Online‑only access: Ideal for individuals without regular pharmacy access, limited insurance coverage, or those seeking a reliable generic alternative.
As a pharmacy broker service, we collaborate with internationally accredited pharmacies, enabling a privacy‑focused, prescription‑assisted fulfillment pathway. While a local prescription is required by law, our platform can arrange a qualified prescriber’s review and electronic prescription without the need for an in‑person visit, subject to regulatory compliance.
FAQ
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Is Artane covered by the Hong Kong public health insurance scheme?
The Hospital Authority’s Drug Formulary includes trihexyphenidyl for specific Parkinson’s disease indications, but coverage depends on clinical assessment and eligibility criteria. Patients should consult their treating physician for reimbursement details. -
Can Artane be mailed to Hong Kong for personal use without a prescription?
Importation of prescription‑only medicines into Hong Kong requires a valid prescription. Our online pharmacy facilitates a qualified prescriber’s electronic prescription, ensuring compliance with local regulations before shipping. -
What is the typical shelf‑life of Artane tablets after receipt?
Unopened Artane tablets retain full potency for up to 36 months when stored at room temperature (15 °C – 30 °C) away from moisture and direct sunlight. Check the expiration date on the packaging. -
Are there differences in tablet formulation between regions (e.g., EU vs. US)?
The active ingredient, trihexyphenidyl, is identical worldwide, but excipients such as binders or dyes may vary. Such differences are usually clinically insignificant but can affect patients with specific allergies. -
Does Artane interact with traditional Chinese medicines commonly used in Hong Kong?
Some herbal preparations contain anticholinergic compounds (e.g., belladonna). Co‑administration could increase anticholinergic load, heightening the risk of dry mouth, constipation, or cognitive changes. Always disclose herbal supplement use to your prescriber. -
Can Artane be used as a long‑term maintenance therapy for Parkinson’s disease?
Yes, it can be continued indefinitely when benefits outweigh side effects. Periodic assessment (every 6–12 months) is advised to evaluate efficacy, tolerability, and potential cognitive effects, especially in older adults. -
What are the signs of anticholinergic toxicity that require emergency care?
Key warning signs include high fever, flushed skin, dilated pupils, confusion or hallucinations, severe urinary retention, and rapid heart rate. Seek immediate medical attention if these occur. -
Is it safe to stop Artane abruptly after long‑term use?
Sudden discontinuation may lead to rebound cholinergic symptoms such as increased tremor or rigidity. A gradual taper, under medical supervision, is recommended to minimize withdrawal effects. -
Can Artane be combined with levodopa/carbidopa therapy?
Trihexyphenidyl is frequently prescribed alongside levodopa/carbidopa to improve tremor control. The combination is generally well tolerated, but clinicians monitor for excessive dopaminergic side effects such as dyskinesia. -
How does our online pharmacy verify the authenticity of Artane shipments?
Each batch is accompanied by a certificate of analysis and a serial number traceable to the original manufacturer. Our quality assurance team cross‑checks these documents before dispatch, ensuring genuine, uncontaminated medication reaches the patient.
Glossary
- Anticholinergic
- A class of drugs that block the action of the neurotransmitter acetylcholine at muscarinic receptors, reducing parasympathetic nervous system activity.
- Extrapyramidal symptoms (EPS)
- Drug‑induced movement disorders that include dystonia, akathisia, parkinsonism, and tardive dyskinesia, often resulting from dopamine blockade.
- Gastrointestinal (GI) motility
- The coordinated movement of the digestive tract that propels food; anticholinergics can slow GI motility, leading to constipation.
⚠️ Disclaimer
The information provided about Artane is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Artane for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.
Information about ordering Generic Artane in online pharmacy asia
Please note that this medicine is a generic version of Artane.One can buy Generic Artane online by accepting the following conditions:
- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to trihexyphenidyl and fully familiar with medication Artane;
- No paper instructions about side effect warnings or usage directions are sent with Generic Artane medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.