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, the active ingredient in Lecigon, is a dopamine precursor combination (MAO‑B inhibitor + DOPA decarboxylase inhibitor) presented as an oral tablet for intestinal use. It is used to treat Parkinson's disease by enhancing and prolonging the effect of levodopa in adult patients.

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 is a combination therapy that targets motor symptoms in Parkinson's disease and related levodopa‑induced fluctuations.

  • Parkinson's disease: improves overall motor control and reduces OFF periods.
  • Levodopa‑induced wearing‑off: prolongs levodopa plasma half‑life, decreasing dosing frequency.
  • Advanced Parkinson's disease with motor fluctuations: helps maintain more consistent dopaminergic stimulation.

How It Works

  • Levodopa crosses the blood‑brain barrier and is converted 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 blocks catechol‑O‑methyltransferase (COMT), reducing peripheral levodopa metabolism and extending its plasma half‑life, thereby providing more stable dopaminergic stimulation.

Side Effects

Lecigon may cause a range of adverse reactions, most of which are dose‑related and reversible.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Dyskinesia: involuntary movements, especially at higher levodopa levels.
  • Dizziness: may occur when standing quickly.
  • Constipation: reduced bowel motility.
  • Dry mouth: decreased salivation.
  • Headache: transient cranial discomfort.

Serious or Rare Side Effects

  • Severe hypotension: marked blood pressure drop requiring medical attention.
  • Neuroleptic malignant syndrome: rare but life‑threatening reaction.
  • Hepatic dysfunction: elevated liver enzymes or hepatitis.
  • Agranulocytosis: dangerously low white‑blood‑cell count.
  • Severe allergic reactions: rash, angioedema, or anaphylaxis.
  • Psychiatric disturbances: hallucinations or confusion, especially in the elderly.

Precautions & Warnings

Before initiating Lecigon, clinicians should evaluate patient‑specific factors and monitor for potential complications.

  • Renal impairment: assess kidney function and adjust monitoring as needed.
  • Hepatic impairment: use with caution; monitor liver enzymes regularly.
  • Cardiovascular disease: observe blood pressure for orthostatic changes.
  • Psychiatric history: watch for hallucinations, confusion, or mood swings.
  • Concomitant MAO‑B inhibitors: avoid combined use to prevent excessive dopaminergic activity.
  • Store at ambient temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Lecigon interacts with several drug classes; awareness of the interaction level guides clinical decisions.

Major Interactions (Avoid)

  • Non‑selective MAO inhibitors: risk of hypertensive crisis.
  • Certain antihypertensives (e.g., alpha‑blockers): may cause severe hypotension.
  • Antipsychotics with strong dopamine blockade: can diminish therapeutic effect.

Moderate Interactions (Monitor Closely)

  • SSRIs and SNRIs: may increase risk of serotonin syndrome.
  • Other dopaminergic agents (e.g., pramipexole): may enhance dopaminergic side effects.
  • Iron or calcium supplements: can reduce levodopa absorption; separate dosing by at least 2 hours.

Frequently Asked Questions

Lecigon is indicated as an adjunct to levodopa therapy for the treatment of Parkinson's disease. It helps improve motor symptoms and reduces the duration of OFF periods that can occur as the disease progresses.

Levodopa is converted to dopamine in the brain, restoring deficient neurotransmission. Carbidopa blocks peripheral conversion of levodopa, increasing its availability to the central nervous system. Entacapone inhibits the COMT enzyme, slowing levodopa breakdown and extending its plasma half‑life, resulting in more stable dopaminergic stimulation.

The dose of Lecigon is individualized by the prescribing clinician based on the patient’s disease stage, response to therapy, and tolerability. Healthcare professionals determine the appropriate strength and dosing schedule for each patient.

Safety data for Lecigon in pregnancy and lactation are limited. 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 provider.

To place an order, 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 required import documentation.

Lecigon combines a COMT inhibitor (entacapone) with levodopa and carbidopa, offering longer levodopa exposure than levodopa/carbidopa alone. Compared with other COMT inhibitors, it provides a similar efficacy profile, while the fixed‑dose combination simplifies dosing and may improve adherence.

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

Lecigon is taken orally, usually with food to reduce gastrointestinal discomfort. The tablets are swallowed whole with a glass of water. Dosing frequency and timing are determined by the prescriber to align with the patient’s levodopa regimen.

Serious risks include severe hypotension, neuroleptic malignant syndrome, hepatic dysfunction, agranulocytosis, severe allergic reactions, and psychiatric disturbances such as hallucinations. Patients should be monitored closely for any of these events, especially during treatment initiation or dose adjustments.

Lecigon is contraindicated in patients with known hypersensitivity to entacapone, levodopa, carbidopa, or any excipients. It should also be avoided in individuals taking non‑selective MAO inhibitors or those with a history of severe hypotension or neuroleptic malignant syndrome.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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