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

Lecigon

Active Ingredient:
Entacapone, Levodopa, Carbidopa Monohydrate
Origin:
EU

Lecigon (Entacapone, Levodopa, Carbidopa Monohydrate)

Levodopa/Carbidopa/Entacapone, the active ingredients in Lecigon, is a combination antiparkinson agent presented as an oral tablet for intestinal use. The formulation combines a dopamine precursor, a peripheral decarboxylase inhibitor, and a COMT inhibitor to enhance central dopamine availability. It is employed to improve motor symptoms and reduce off‑periods in adults with Parkinson's disease who are receiving levodopa therapy.

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

Manufacturer / TM Owner

Lobsor Pharmaceuticals Ab

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Indications & Clinical Uses

  • Lecigon, a levodopa/carbidopa/entacapone combination, is indicated for Parkinson's disease management as part of levodopa therapy.
  • Parkinson's disease (adjunct to levodopa): improves motor fluctuations and extends levodopa effect.
  • Early-stage Parkinson's disease (combined therapy): enhances dopaminergic response to reduce symptom onset.
  • Advanced Parkinson's disease with wearing‑off phenomena: decreases off‑time and improves daily functioning.

How It Works

  • Levodopa crosses the blood‑brain barrier and is decarboxylated to dopamine, restoring deficient neurotransmission in Parkinson's disease. Carbidopa inhibits peripheral aromatic L‑amino‑acid decarboxylase, preventing premature conversion of levodopa and increasing its central availability. Entacapone reversibly blocks catechol‑O‑methyltransferase (COMT) in the periphery, reducing levodopa methylation and prolonging its plasma half‑life, thereby sustaining dopaminergic stimulation.

Side Effects

Lecigon may be associated with a range of adverse reactions, which are categorized by frequency.

Common Side Effects

  • Nausea
  • Vomiting
  • Dyskinesia
  • Orthostatic hypotension
  • Insomnia
  • Constipation

Serious or Rare Side Effects

  • Severe liver injury
  • Neuroleptic malignant syndrome
  • Anaphylactic or severe allergic reactions
  • Suicidal ideation or severe depression

Precautions & Warnings

  • When prescribing Lecigon, clinicians should observe several precautionary measures to ensure patient safety.
  • Monitor blood pressure: watch for orthostatic hypotension, especially at therapy initiation.
  • Assess hepatic function: entacapone may affect liver enzymes; periodic liver tests are recommended.
  • Evaluate psychiatric status: monitor for depression, hallucinations, or suicidal thoughts.
  • Adjust dose in renal impairment: reduced clearance may require careful titration.
  • Avoid use in patients with narrow‑angle glaucoma: dopaminergic activity can increase intra‑ocular pressure.
  • Store at room temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Lecigon can interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • MAO‑B inhibitors (e.g., selegiline, rasagiline): risk of hypertensive crisis when combined with levodopa.
  • Non‑selective MAO inhibitors (e.g., phenelzine): may cause severe hypertension.
  • High‑dose anticholinergic drugs (e.g., benztropine): can mask levodopa side effects and increase confusion.

Moderate Interactions (Monitor Closely)

  • Antihypertensive agents: additive blood pressure lowering may require dose adjustment.
  • SSRIs or other serotonergic drugs: may increase risk of serotonin syndrome.
  • NSAIDs: may enhance risk of gastrointestinal bleeding.
  • Iron or vitamin B6 supplements: can reduce levodopa absorption; separate dosing times.

Frequently Asked Questions

Lecigon is a prescription combination of levodopa, carbidopa, and entacapone used as an adjunct to levodopa therapy for adults with Parkinson's disease. It helps reduce motor fluctuations, prolongs the effect of levodopa, and improves overall daily functioning.

Levodopa is converted to dopamine in the brain, restoring deficient neurotransmission. Carbidopa blocks peripheral conversion of levodopa, increasing the amount that reaches the central nervous system. Entacapone inhibits the COMT enzyme, slowing peripheral metabolism of levodopa and extending its plasma half‑life, which together provide more stable dopaminergic stimulation.

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

Safety of Lecigon in pregnancy and lactation has not been established. Because the effects on the fetus or infant are unknown, it is generally advised to avoid use unless the potential benefit justifies the potential risk, and only under close medical supervision.

To order Lecigon, submit an enquiry on the 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 (including any cold‑chain requirements) and necessary import documentation.

Standard levodopa/carbidopa provides dopamine replacement but is limited by rapid peripheral metabolism, leading to motor fluctuations. Adding entacapone, as in Lecigon, inhibits COMT, prolonging levodopa plasma levels and reducing off‑time. This often results in smoother symptom control without increasing the levodopa dose.

Lecigon should be stored at room temperature, below 25 °C, in its original packaging. Protect the tablets from moisture, excessive heat, and direct light. Keep out of reach of children and do not use after the expiry date.

Lecigon is taken orally, usually with a glass of water. It can be taken with or without food, but consistent timing relative to meals helps maintain stable drug levels. Patients should follow the prescriber’s instructions regarding dosing frequency and any dose‑timing adjustments.

Serious risks include severe liver injury, neuroleptic malignant syndrome, and psychiatric complications such as suicidal thoughts or severe depression. Patients should be monitored regularly for hepatic function, changes in mood or behavior, and any signs of hyperthermia or muscle rigidity, and seek immediate medical attention if these occur.

Lecigon is contraindicated in patients with narrow‑angle glaucoma, those currently taking non‑selective MAO inhibitors, or individuals with severe hepatic impairment. Caution is also advised for patients with a history of severe psychiatric disorders, uncontrolled hypertension, or significant cardiovascular disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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