Product image of Isicom (Levodopa, Carbidopa Monohydrate) supplied by GNH India

Isicom

Active Ingredient:
Levodopa, Carbidopa Monohydrate
Origin:
EU

Isicom (Levodopa, Carbidopa Monohydrate)

Levodopa/Carbidopa, the active ingredient in Isicom, is a Levodopa/Carbidopa combination presented as an oral tablet for oral use. It is used to treat Parkinson's disease and Parkinsonian syndromes by increasing central dopamine levels while reducing peripheral side effects. The formulation pairs levodopa, a dopamine precursor, with carbidopa, an inhibitor of peripheral dopa decarboxylase, to enhance brain availability of dopamine.

GNH India supplies Isicom as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Desitin Arzneimittel Gmbh

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Indications & Clinical Uses

Isicom (levodopa/carbidopa) is used in the management of movement disorders related to dopamine deficiency.

  • Parkinson's disease: improves motor symptoms such as tremor, rigidity and bradykinesia.
  • Parkinsonian syndrome: restores functional ability by augmenting central dopamine.
  • Levodopa‑responsive Parkinsonism: provides symptomatic relief in conditions that respond to dopamine replacement.

How It Works

  • Levodopa crosses the blood‑brain barrier and is decarboxylated to dopamine within the central nervous system. Carbidopa inhibits peripheral aromatic L‑amino acid decarboxylase, preventing levodopa conversion outside the brain, thereby increasing the amount of levodopa that reaches the CNS and reducing peripheral adverse effects such as nausea and hypotension.

Side Effects

Levodopa/carbidopa therapy is associated with a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Orthostatic hypotension: dizziness upon standing.
  • Dyskinesia: involuntary movements, especially with long‑term use.
  • Dry mouth: reduced salivation.

Serious or Rare Side Effects

  • Neuroleptic malignant syndrome: life‑threatening hyperthermia and rigidity.
  • Severe psychiatric disturbances: hallucinations or psychosis.
  • Cardiac arrhythmias: uncommon but potentially serious.
  • Severe allergic reactions: rash, angioedema or anaphylaxis.

Precautions & Warnings

When prescribing or dispensing levodopa/carbidopa, clinicians should consider several safety measures.

  • Monitor blood pressure: watch for orthostatic drops, especially after dose initiation.
  • Assess psychiatric status: be alert for hallucinations or mood changes.
  • Evaluate renal and hepatic function: adjust therapy if impairment is present.
  • Review concomitant medications: avoid drugs that may exacerbate dyskinesia.
  • Store below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Levodopa/carbidopa may interact with other medicines, requiring attention to avoid reduced efficacy or increased toxicity.

Major Interactions (Avoid)

  • Non‑selective MAO inhibitors: risk of hypertensive crisis.
  • Antipsychotics with strong dopamine blockade: may negate therapeutic effect.

Moderate Interactions (Monitor Closely)

  • Antihypertensives: may enhance orthostatic hypotension.
  • Iron or vitamin B6 supplements: can reduce levodopa absorption.
  • SSRIs and SNRIs: may increase risk of serotonin syndrome when combined with MAO‑B inhibitors.

Frequently Asked Questions

Isicom contains levodopa and carbidopa and is prescribed to manage the motor symptoms of Parkinson's disease and related Parkinsonian syndromes. By increasing dopamine levels in the brain, it helps reduce tremor, stiffness, and slowness of movement, improving overall functional ability.

Levodopa is a precursor that crosses the blood‑brain barrier and is converted into dopamine, the neurotransmitter deficient in Parkinson's disease. Carbidopa inhibits the enzyme that converts levodopa to dopamine outside the brain, allowing more levodopa to reach the central nervous system and minimizing peripheral side effects.

The appropriate dose of Isicom is individualized by the treating physician based on disease severity, patient response, and tolerability. Dosage adjustments are made during therapy to achieve optimal symptom control while limiting adverse effects.

The safety of levodopa/carbidopa in pregnancy and lactation has not been definitively established. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To place an order, submit an enquiry on the Isicom product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Isicom combines levodopa with carbidopa, offering a higher proportion of levodopa to reach the brain compared with levodopa alone. Compared with dopamine agonists, it provides more potent symptom relief but may have a higher risk of motor complications such as dyskinesia over long‑term use.

Isicom tablets should be stored below 25 °C in a dry environment. Keep them in the original container, protect from moisture and direct sunlight, and ensure they are out of reach of children.

Isicom is taken orally, usually with a small amount of food to reduce gastrointestinal upset. Tablets are swallowed whole with water and the dosing schedule is set by the prescriber, often multiple times per day to maintain steady dopamine levels.

Serious risks include neuroleptic malignant syndrome, severe psychiatric reactions such as hallucinations or psychosis, and cardiac arrhythmias. Patients should be monitored closely for any sudden changes in mental status, temperature, muscle rigidity, or heart rhythm.

Isicom is contraindicated in patients with known hypersensitivity to levodopa, carbidopa, or any excipients, and in individuals taking non‑selective monoamine oxidase inhibitors. Caution is also advised for patients with severe cardiovascular disease, narrow‑angle glaucoma, or a history of malignant melanoma.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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