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 administration. It is indicated for the management of Parkinson's disease and Parkinsonian syndromes in adult patients, helping to restore central dopamine levels.

GNH India supplies Isicom as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation for global distribution. Customers benefit from reliable supply chains, competitive pricing, and responsive technical support.

Manufacturer / TM Owner

Desitin Arzneimittel Gmbh

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Indications & Clinical Uses

Isicom (levodopa/carbidopa) is used in the dopaminergic pathway to manage Parkinsonian disorders.

  • Parkinson's disease: improves motor symptoms by increasing central dopamine levels.
  • Parkinsonian syndrome: alleviates rigidity, bradykinesia, and tremor.
  • Motor fluctuations in Parkinson's disease: reduces "off" periods and enhances functional mobility.

How It Works

  • Levodopa crosses the blood‑brain barrier and is decarboxylated to dopamine, replenishing depleted central dopamine stores. Carbidopa inhibits peripheral aromatic L‑amino acid decarboxylase, preventing premature conversion of levodopa outside the brain, thereby increasing the amount of levodopa that reaches the central nervous system and reducing peripheral side effects.

Side Effects

Adverse reactions may occur with levodopa/carbidopa therapy.

Common Side Effects

  • Nausea
  • Vomiting
  • Orthostatic hypotension
  • Dizziness
  • Headache
  • Insomnia

Serious or Rare Side Effects

  • Dyskinesia (involuntary movements)
  • Severe hypotension or syncope
  • Psychiatric disturbances (hallucinations, confusion)
  • Cardiac arrhythmias
  • Neuroleptic malignant‑like syndrome

Precautions & Warnings

Levodopa/carbidopa requires careful monitoring to minimize risks.

  • Monitor blood pressure: watch for orthostatic hypotension, especially after dose initiation.
  • Assess psychiatric status: observe for hallucinations, confusion, or mood changes.
  • Adjust dose in renal impairment: reduced clearance may increase exposure.
  • Avoid abrupt discontinuation: taper gradually to prevent withdrawal symptoms.
  • Use with caution in elderly patients: increased susceptibility to side effects.
  • Store at room temperature: keep in the original pack, protect from moisture and light.

Avoid Interactions

Levodopa/carbidopa can interact with several medications.

Major Interactions (Avoid)

  • Non‑selective MAO inhibitors: risk of hypertensive crisis.
  • Antipsychotics (e.g., haloperidol, risperidone): may block dopaminergic effects.
  • Antihypertensive agents: additive hypotensive effect.

Moderate Interactions (Monitor Closely)

  • Selective MAO‑B inhibitors (e.g., selegiline): may enhance dopaminergic activity.
  • Iron or calcium supplements: can reduce levodopa absorption.
  • Carbonic anhydrase inhibitors (e.g., acetazolamide): may increase levodopa plasma levels.

Frequently Asked Questions

Isicom contains the levodopa/carbidopa combination and is prescribed to treat Parkinson's disease and related Parkinsonian syndromes. It works by restoring dopamine levels in the brain, which helps improve motor control, reduce rigidity, and lessen tremor in affected patients.

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 peripheral enzyme aromatic L‑amino acid decarboxylase, preventing levodopa from being metabolized before it reaches the brain, thereby increasing its central availability and reducing peripheral side effects.

The appropriate dose of Isicom is individualized by the prescribing clinician based on the patient's disease severity, response, and tolerability. Dosage adjustments are made during treatment to achieve optimal symptom control while minimizing adverse effects.

The safety of levodopa/carbidopa in pregnancy or while breastfeeding 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 direct dopamine replacement strategy. Compared with dopamine agonists, it generally provides more robust symptom relief but may have a higher risk of motor complications over time. The combination reduces peripheral side effects relative to levodopa alone, making it a common first‑line option.

Isicom should be stored at room temperature, below 25 °C, in its original packaging. Keep the product away from moisture, direct sunlight, and excessive heat to maintain stability and potency throughout its shelf life.

Isicom is taken orally, usually with a small amount of food to reduce gastrointestinal irritation. Tablets should be swallowed whole with water and not crushed or chewed unless specifically instructed by a healthcare provider.

Serious risks include dyskinesia (involuntary movements), severe orthostatic hypotension, psychiatric disturbances such as hallucinations or confusion, and rare cardiac arrhythmias. Patients should be monitored regularly for these events, and any concerning symptoms should be reported to a clinician promptly.

Isicom is contraindicated in patients with known hypersensitivity to levodopa, carbidopa, or any excipients in the formulation. It should also be avoided in individuals taking non‑selective MAO inhibitors or those with narrow‑angle glaucoma, as it may exacerbate the condition.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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