1 What is Akeniton?

Brand: Akeniton

Generic: Biperiden

Akeniton is used alone or together with other medications to treat Parkinson’s disease. This medication allows more normal movements of the body by improving control and reducing stiffness.

Biperiden is also used to control severe muscle reactions and side effects from certain medication that are used to treat severe nausea or anxiety, mental or emotional conditions.

This medication is only available with your doctor’s prescription. This product is available in the tablet form.

2 What To Know Before Using

As with all medicines, the risks of using Akeniton must be compared to how much it will help you. This is a decision that you and your doctor will make together.

For this medication, there are many things that need to be considered:

  • Allergies: Inform your doctor if you have ever had an allergic reaction to Doxorubicin or to any other medications. It is also important to inform your doctor of any non-medicine allergies such as foods, dyes, preservatives or animals.
  • Pediatric Usage: No appropriate studies have been performed on the relationship of age to the effects of this medication in children. Safety and efficacy have not been established.
  • Geriatric Usage: No appropriate studies have been performed on the relationship of age to the effects of this medication in children. However, elderly men are more likely to have age-related prostate problems, which may require caution in patients receiving this medication.
  • Pregnancy: This medication is listed as Pregnancy Category C. This means that animal studies have shown an adverse effect and no studies have been performed on pregnant women OR there are no adequate studies on pregnant animals and pregnant women.
  • Breastfeeding: There are no up-to-date studies in women for determining infant risk when using this medication while breastfeeding. Weigh the potential risks with the benefits before taking this medication while breastfeeding.
  • Drug Interactions: Certain medications should not be used together. However, in certain cases, two medications may be used together, even if an interaction might occur.In these cases, your doctor may want to change your dose or take other precautions. When taking this medication, it is important that you inform your doctor if you are taking any of the medications listed below.The following interactions were selected on the basis of potential significance and are not all-inclusive. Using this medication with any of the following is not recommended.Your doctor may decide not to treat you with this medication, or change some of the other medications you take:
    • Potassium, using this medication with any of the following medication is not recommended, but may be required in some cases.
    • Oxymorphone, using this medication with any of the following medications may increase your risk of side effects.However, using both medications may be the best treatment for you. If both medications are prescribed together, your doctor may change the dose or how often you take one or both medications.
  • Other Interactions: Certain medications should not be used while eating, or while eating certain foods in the case of negative interactions. Using alcohol or tobacco with certain medications may also cause negative interactions. Talk with your doctor about the use of your medication with food, alcohol or tobacco.
  • Other Medical Problems: Pre-existing medical problems may affect the use of this medication. Be sure to tell your doctor if you have any other medical problems, especially:
    • Bowel blockage
    • Glaucoma
    • Megacolon (enlarged colon) - Should not be used in patients with these conditions..
    • Enlarged prostate
    • Epilepsy (seizures)
    • Glaucoma
    • Heart rhythm problems - Use with caution. May make these conditions worse.

3 Proper Usage

Only take Akeniton as directed by your doctor. Do not take more, less or for a longer or shorter period of time than your doctor tells you.


Different patients will be given a different dose of this medication based on the strength of the medication.

The number of doses you take each day, the time between doses and the length of time you take this medication depends on the reason you are taking this medication.

The following information only includes the average dose of this medication. If your dose is different, do not change it without first speaking to your doctor.

  • For side effects caused by other medications:
    • Adults - 2mg 1-3 times a day
    • Children - Use and dose must be determined by your doctor
  • For Parkinson’s disease:
    • Adults - Start with 2mg 3-4 times a day. Your doctor may increase your dose as needed. The dose is not normally more than 16mg per day.
    • Children - Use and dose must be determined by your doctor

Missed Dose

If you miss a dose of this medication, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and resume your normal dosing schedule. Do not double dose.


Store this medication in a closed container at room temperature. Keep it away from heat, moisture, and direct light. Do not freeze.

Keep out of the reach of children. Do not keep expired medication or medication you no longer need. Ask your doctor how to dispose of any medication you do not use.

4 Precautions To Take

It is very important that your doctor checks in with you often while you are receiving Akeniton to make sure that it is working properly.

If you develop any unusual or strange thoughts and behaviour while taking Biperiden, inform your doctor.

Some changes that have occurred in people taking this medication are similar to those seen in people who drink too much alcohol. Other changes might be confusion, worsening depression, visual hallucinations (seeing things that are not there), suicidal thoughts and unusual excitement, nervousness or irritability.

This medication may cause drowsiness, trouble controlling movements or trouble with thinking or seeing clearly.

Make sure you know how you react to this medication before you drive, use machinery or do other activities that require you to be alert, well-coordinated or able to think and see clearly.

This medication will exacerbate the effects of alcohol and other CNS depressants (medications that make you drowsy or less alert).

Some examples of CNS depressants are antihistamines, sedatives, tranquilizers, sleeping medication, prescription pain medication or narcotics, barbiturates or medication for seizures, muscle relaxants or anaesthetics.

Ask your doctor before taking any of the above while you take this medication.

5 Potential Side Effects

Akeniton may produce unwanted effects along with the intended effects. Although not all of these side-effects may occur, if they do occur they may need medical attention.

Get emergency help immediately if any of the following symptoms of overdose occur:

  • Change in consciousness
  • Chest pain or discomfort
  • Convulsions
  • Decreased awareness or responsiveness
  • Decreased secretions of the mouth, pharynx, nose, or bronchi
  • Delusions of persecution, mistrust, suspiciousness, or combativeness
  • Dizziness
  • Dry mouth
  • Enlarged pupils
  • Face is warm or hot to touch
  • Facial flushing
  • Fainting (syncope)
  • Fast, slow, pounding, or irregular heartbeat or pulse (tachycardia, bradycardia, palpitations)
  • Foul-smelling breath
  • Holding false beliefs that cannot be changed by fact
  • Lightheadedness
  • Loss of memory
  • No breathing
  • Seeing, hearing, or feeling things that are not there (visual, auditory, tactile hallucinations)
  • Severe fatigue
  • Tremors and unsteady walk or other problems with muscle control or coordination
  • Trouble sitting still
  • Unusual excitement, nervousness, or restlessness
  • Warm, dry skin

Some side effects that may occur do not normally need medical attention. These may leave as your body becomes accustomed to treatment.

Ask your doctor about ways to prevent or reduce some of these side effects.

Some patients may experience other side effects that are not listed. Check with your doctor if you notice any other side effects.

Ask your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.