en.wikipedia.org/wiki/Buspirone
2 corrections found
Metabolic acidosis, as in diabetes
Buspirone’s official contraindications do not include metabolic acidosis or diabetes. Current FDA labeling lists hypersensitivity and MAOI-related use, not metabolic acidosis.
Full reasoning
The article states that "Metabolic acidosis, as in diabetes" is a contraindication for buspirone. That does not match current authoritative drug labeling.
- The current U.S. FDA-approved prescribing information on DailyMed lists buspirone’s contraindications as hypersensitivity to buspirone hydrochloride and use with/around MAOIs because of serotonin syndrome and/or elevated blood pressure risk.
- The same labeling does not list metabolic acidosis or diabetes as a contraindication.
- NCBI’s StatPearls review, which summarizes FDA product labeling and standard clinical references, likewise lists buspirone contraindications as prior hypersensitivity and MAOI-related situations, again not metabolic acidosis.
Because contraindications are explicitly enumerated in prescribing information, adding "metabolic acidosis, as in diabetes" is factually incorrect and likely a mix-up with contraindications for other medications (for example, some antidiabetic drugs), not buspirone.
2 sources
- DailyMed: Buspirone Hydrochloride Tablets, USP
CONTRAINDICATIONS Buspirone hydrochloride tablets are contraindicated in patients hypersensitive to buspirone hydrochloride. The use of monoamine oxidase inhibitors (MAOIs) intended to treat depression with buspirone ... is contraindicated because of an increased risk of serotonin syndrome and/or elevated blood pressure.
- Buspirone - StatPearls - NCBI Bookshelf
Contraindications for Buspirone include the following: History of hypersensitivity reaction with buspirone in the past. Avoid the use of monoamine oxidase inhibitors (MAOI) within 14 days before or after buspirone therapy ... Avoid buspirone in patients receiving reversible MAOIs such as linezolid or IV methylene blue ...
but was not patented until 1980
Buspirone-related patents predate 1980. A U.S. patent covering buspirone-class compounds was filed in 1969 and published in 1973; the 1980/1981 patent was for a later buspirone process, not the first patenting of buspirone.
Full reasoning
The wording "but was not patented until 1980" is misleadingly late.
Two patent records show that buspirone was already covered before 1980:
- U.S. Patent 3,717,634 (assigned to Mead Johnson) was filed on November 24, 1969 and published on February 20, 1973. Google Patents identifies buspirone directly in the patent record for this earlier patent.
- The later GB2089341A / Buspirone Process patent has a 1980-12-11 priority date, but its own description explicitly says it is a new process for the preparation of buspirone and that prior art U.S. Patent No. 3,717,634 disclose[s] synthesis of the relevant compounds. In other words, the 1980-era patent was not the first patenting of buspirone; it was a later process patent.
So the article’s wording is incorrect as written: buspirone-related patent protection existed before 1980, and the 1980 date refers to a later process patent rather than the first patenting of buspirone.
2 sources
- US3717634A - N-(heteroarcyclic)piperazinylalkyl-azaspiroalkanediones - Google Patents
Priority date 1969-11-24 ... Publication date 1973-02-20 ... QWCRAEMEVRGPNT-UHFFFAOYSA-N buspirone Chemical compound
- GB2089341A - Busipirone Process - Google Patents
Priority date 1980-12-11 ... Description of the Prior Art Yao Hua Wu, et al., U.S. Patent No. 3,717,634 disclose synthesis of N-(heteroarcyclic)piperazinylalkylazaspiroalkanediones ... Broadly described, this invention is concerned with a process for preparation of ... also referred to herein by the United States Adopted Name 'buspirone'.