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)

Entacapone, Levodopa, Carbidopa, the active ingredient in Lecigon, is a Levodopa/Carbidopa/Entacapone combination presented as an oral tablet formulation for oral use. It is indicated for the management of Parkinson's disease and helps reduce motor fluctuations in patients requiring dopaminergic therapy.
GNH India supplies Lecigon as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Stada Arzneimittel Ag

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Indications & Clinical Uses

Lecigon is a Levodopa/Carbidopa/Entacapone combination used in the Parkinson's disease treatment pathway.

  • Parkinson's disease: improves motor control and reduces OFF episodes.
  • Parkinson's disease with motor fluctuations: extends duration of ON time.
  • Parkinson's disease: enhances overall functional ability and daily activities.

How It Works

  • Lecigon delivers levodopa, a dopamine precursor, while carbidopa inhibits peripheral decarboxylation, increasing central availability. Entacapone blocks catechol‑O‑methyltransferase, reducing levodopa metabolism in the periphery. The combined actions raise and sustain dopamine levels in the brain, improving motor function and decreasing fluctuations in Parkinson's disease patients.

Side Effects

Lecigon may cause a range of adverse reactions.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Dizziness or light‑headedness: often related to orthostatic changes.
  • Headache: transient and usually resolves.
  • Insomnia: difficulty initiating or maintaining sleep.
  • Dyskinesia: involuntary movements, especially at higher levodopa doses.
  • Orthostatic hypotension: drop in blood pressure upon standing.

Serious or Rare Side Effects

  • Severe liver injury: elevated transaminases or hepatitis.
  • Neuroleptic malignant syndrome: high fever, rigidity, autonomic instability.
  • Severe depression or suicidal thoughts: monitor mental health closely.
  • Allergic reactions: rash, angioedema, or anaphylaxis.
  • Hallucinations or psychosis: especially in older patients.
  • Cardiac arrhythmias: rare but possible with concomitant drugs.

Precautions & Warnings

When prescribing or dispensing Lecigon, consider the following precautions.

  • Monitor blood pressure: watch for orthostatic hypotension, especially after dose initiation.
  • Assess liver function: entacapone may affect hepatic enzymes; periodic testing is advised.
  • Evaluate psychiatric status: be alert for depression, hallucinations, or suicidal ideation.
  • Adjust dose in renal impairment: consider renal function when titrating therapy.
  • Avoid abrupt discontinuation: sudden stop may worsen Parkinsonian symptoms.
  • Store at ambient temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Lecigon interacts with several medication classes.

Major Interactions (Avoid)

  • Non‑selective MAO inhibitors: risk of hypertensive crisis.
  • Anticholinergic agents: may diminish levodopa efficacy.
  • CNS depressants: increased sedation and respiratory depression.

Moderate Interactions (Monitor Closely)

  • Antihypertensive drugs: may potentiate hypotensive effects.
  • SSRIs or SNRIs: potential for serotonin syndrome.
  • Iron or calcium supplements: can reduce levodopa absorption; separate dosing by at least 2 hours.

Frequently Asked Questions

Lecigon is a fixed‑dose combination of entacapone, levodopa and carbidopa indicated for the treatment of Parkinson's disease. It helps improve motor symptoms and reduces OFF periods by increasing and stabilising dopamine levels in the brain.

Levodopa is converted to dopamine in the brain, while carbidopa prevents its breakdown in the periphery, allowing more levodopa to reach the central nervous system. Entacapone inhibits catechol‑O‑methyltransferase, further reducing peripheral metabolism of levodopa, which enhances and prolongs dopaminergic stimulation.

The appropriate dose of Lecigon is individualized and determined by the prescribing clinician based on disease severity, response to therapy, and patient tolerance. Patients should follow the dosage instructions provided by their healthcare professional and not adjust the regimen without medical advice.

Safety of Lecigon in pregnancy and lactation has not been established. The product carries an unknown pregnancy category, so clinicians should weigh potential benefits against risks and discuss options with the patient. Breastfeeding mothers should consult their physician before using the medication.

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 and any necessary import documentation.

Lecigon combines levodopa and carbidopa with entacapone, whereas standard levodopa/carbidopa formulations lack the COMT inhibitor. The addition of entacapone prolongs levodopa's effect, often reducing the frequency of dosing and improving control of motor fluctuations compared with levodopa/carbidopa alone.

Lecigon tablets should be stored at ambient temperature, below 25 °C, in the original blister pack or container. Keep the product away from moisture, direct sunlight and heat sources to maintain stability and potency.

Lecigon is taken orally as a whole tablet, usually with water. It may be taken with or without food, but consistent timing relative to meals can help minimise gastrointestinal side effects. Patients should swallow the tablet whole and not split or crush it unless directed by a healthcare professional.

Serious risks include severe hypotension, liver injury, neuroleptic malignant syndrome, marked depression or suicidal thoughts, and rare allergic reactions such as anaphylaxis. Patients should seek immediate medical attention if they experience sudden weakness, jaundice, high fever with rigidity, or any signs of severe allergic response.

Lecigon is contraindicated in individuals with known hypersensitivity to any of its components, severe hepatic impairment, narrow‑angle glaucoma, or those taking non‑selective MAO inhibitors. Caution is also advised for patients with a history of severe cardiovascular disease or psychiatric disorders.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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