Chemistry:Xywav

From HandWiki
Short description: Combination drug
Xywav
Combination of
Calcium oxybateCentral nervous system depressant
Magnesium oxybateCentral nervous system depressant
Potassium oxybateCentral nervous system depressant
Sodium oxybateCentral nervous system depressant
Clinical data
Trade namesXywav
Other namesJZP-258
AHFS/Drugs.comMicromedex Detailed Consumer Information
MedlinePlusa621001
License data
Routes of
administration
By mouth
ATC code
  • None
Legal status
Legal status
Identifiers
KEGG

Xywav is a medication used to treat cataplexy or excessive daytime sleepiness.[1][2] It contains a mixture the oxybate salts calcium oxybate, magnesium oxybate, potassium oxybate, and sodium oxybate.[1] It is a central nervous system (CNS) depressant and it is taken by mouth.[1]

Manufactured by the Jazz Pharmaceuticals company, it was approved for medical use in the United States in July 2020.[1][3][4]

Medical uses

Xywav is indicated for the treatment of cataplexy or excessive daytime sleepiness in people aged seven years of age and older with narcolepsy;[1][5] and for idiopathic hypersomnia.[5][6]

Side effects

The US Food and Drug Administration (FDA) label for Xywav contains a boxed warning for central nervous system depression, abuse, and misuse.[1]

Breathing problems

Slowed breathing, trouble breathing, sleep apnea.[1]

Mental health problems

Confusion, hallucination, unusual or disturbing thoughts (abnormal thinking), anxiety, depression, suicidal thoughts or actions, increased tiredness, feelings of guilt or worthlessness, and difficulty concentrating.[1]

Other

Sleepwalking.[1]

Society and culture

Legal status

The sodium oxybate component of Xywav was granted orphan drug designation in November 1994 by the FDA.[7][5] Xywav is a prescription drug and a Schedule III controlled substance in the United States.[1]

Other names

In the testing phase of the drug, it was known as JZP-258.[8]

Calcium, magnesium, potassium, and sodium oxybate is another name for gamma hydroxybutyrate (GHB).[9][10]

References

  1. 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 "Xywav - calcium, magnesium, potassium, and sodium oxybates solution". https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1e0ae43a-037f-42af-8e23-a0e51d75abe8. 
  2. "Sleep-Wake Medications". Varcarolis' Manual of Psychiatric Nursing Care. Elsevier Health Sciences. November 2021. p. 398. ISBN 978-0-323-79306-3. https://books.google.com/books?id=zNROEAAAQBAJ&pg=PA398. Retrieved 23 December 2021. 
  3. "Drug Approval Package: Xywav". 7 May 2021. https://www.accessdata.fda.gov/drugsatfda_docs/nda/2020/212690Orig1s000TOC.cfm. 
  4. "Drug Approval Package: Xywav". 7 May 2021. https://www.accessdata.fda.gov/drugsatfda_docs/nda/2020/212690Orig1s000TOC.cfm. 
  5. 5.0 5.1 5.2 "FDA Grants First of its Kind Indication for Chronic Sleep Disorder Treatment". U.S. Food and Drug Administration (FDA) (Press release). 12 August 2021. Archived from the original on 12 August 2021. Retrieved 12 August 2021.
  6. "Jazz Pharmaceuticals Announces U.S. FDA Approval of Xywav (calcium, magnesium, potassium, and sodium oxybates) Oral Solution for Idiopathic Hypersomnia in Adults" (Press release). Jazz Pharmaceuticals. 12 August 2021. Archived from the original on 12 August 2021. Retrieved 12 August 2021 – via PR Newswire.
  7. "Xywav Orphan Drug Designations and Approvals". https://www.accessdata.fda.gov/scripts/opdlisting/oopd/detailedIndex.cfm?cfgridkey=85894. 
  8. "Jazz Pharmaceuticals Announces U.S. FDA Approval of Xywav (calcium, magnesium, potassium, and sodium oxybates) Oral Solution for Cataplexy or Excessive Daytime Sleepiness Associated with Narcolepsy". https://investor.jazzpharma.com/news-releases/news-release-details/jazz-pharmaceuticals-announces-us-fda-approval-xywavtm-calcium. 
  9. "Calcium, Magnesium, Potassium, and Sodium Oxybate: MedlinePlus Drug Information". https://medlineplus.gov/druginfo/meds/a621001.html. 
  10. "F.D.A. Approves GHB, a 'Date Rape' Drug, for Narcolepsy Patients". 12 August 2021. https://www.nytimes.com/2021/08/12/health/GHB-hypersomnia-sleep-FDA.html.