Drug Name:
MIRVASO Rx
Generic Name and Formulations:
Brimonidine tartrate 0.33%; topical gel; contains propylene glycol.
Company:
Galderma Laboratories, Inc.
Therapeutic Use:
Indications for MIRVASO:
Persistent (nontransient) facial erythema of rosacea.
Adult:
≥18yrs: apply a pea-sized amount once daily to each of the five areas of the face (forehead, chin, nose, each cheek); spread gel smoothly and evenly in a thin layer. Wash hands after use.
Children:
<18yrs: not established.
Warnings/Precautions:
Not for oral, ophthalmic, or intravaginal use. Avoid eyes, lips, irritated skin, or open wounds. Depression. Cerebral or coronary insufficiency. Raynaud's phenomenon. Orthostatic hypotension. Thrombangiitis obliterans. Scleroderma. Sjögrens syndrome. Severe or unstable cardiovascular disease. Pregnancy (Cat.B). Nursing mothers: not recommended.
Pharmacological Class:
Alpha-2 agonist.
Interactions:
Caution with beta-blockers, other antihypertensives, cardiac glycosides. Consider possibility of additive effects with CNS depressants (eg, alcohol, barbiturates, opiates, sedatives, anesthetics). Concomitant MAOIs may affect the metabolism and uptake of circulating amines; caution.
Adverse Reactions:
Erythema, flushing, burning sensation, contact dermatitis; systemic adverse reactions (eg, bradycardia, hypotension, dizziness), local vasomotor reactions (eg, pallor and excessive whitening, hypersensitivity [discontinue if significant]).
Generic Availability:
NO
How Supplied:
Gel—30g (tube or pump), 45g (tube)
Clinical Pain Advisor Articles
- MRS May Accurately Identify Painful Disks in Chronic Low Back Pain
- Examining the Relationships Among Opioid Use, Overdose, and Suicide
- Tobacco Users More Likely to Be Co-Prescribed Opioids With Benzodiazepines, Muscle Relaxants
- Physician Burnout Tied to Ability to Address Social Needs
- Migraine Symptoms Can Improve Despite Unchanged Pain Avoidance, Endurance
- MRS May Accurately Identify Painful Disks in Chronic Low Back Pain
- Does Opioid Tapering in Chronic Pain Result in Controlled Pain at Taper Completion?
- Spinal Cord Stimulation Shows Long-Term Effectiveness for Refractory Neuropathic Pain
- Color Doppler Ultrasound for the Diagnosis of Sacroiliitis in Inflammatory Back Pain
- An Evidence-Based Road Map to Navigating the Opioid Epidemic
- Generalized Mechanical Hyperalgesia in Chronic Migraine, Temporomandibular Disorder
- World Health Organization: Five-Year Plan to Address 10 Biggest Global Health Threats
- Physician-Mothers as Caregivers Increases Risk for Burnout, Mood Disorders
- Endothelial Dysfunction Biomarkers Elevated During Migraine Attacks in Women
- After Elbow Surgery, Children May Be Overprescribed Opioids