Product image of Levocarb-Gry (Levodopa, Carbidopa Monohydrate) supplied by GNH India

Levocarb-Gry

Active Ingredient:
Levodopa, Carbidopa Monohydrate
Origin:
EU

Levocarb-Gry (Levodopa, Carbidopa Monohydrate)

Levodopa/Carbidopa, the active ingredient in Levocarb-Gry, is a dopamine precursor/DOPA decarboxylase inhibitor combination presented as an oral tablet for oral use. It treats Parkinson's disease and Parkinsonian syndrome in adults.

GNH India supplies Levocarb-Gry as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Teva Gmbh

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Indications & Clinical Uses

Levocarb-Gry acts on the dopaminergic pathway to manage movement disorders associated with Parkinsonism.

  • Parkinson's disease: improves motor symptoms such as tremor, rigidity and bradykinesia.
  • Parkinsonian syndrome: alleviates rigidity and gait disturbances.
  • Levodopa‑responsive Parkinsonism: restores dopaminergic activity to reduce motor fluctuations.

How It Works

  • Levodopa crosses the blood‑brain barrier and is decarboxylated to dopamine, replenishing central dopaminergic tone. Carbidopa inhibits peripheral aromatic L‑amino acid decarboxylase, preventing 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

Levocarb-Gry may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Nausea
  • Vomiting
  • Dizziness
  • Orthostatic hypotension

Serious or Rare Side Effects

  • Dyskinesia (involuntary movements)
  • Hallucinations or psychosis
  • Severe allergic reactions (e.g., rash, angioedema)

Precautions & Warnings

When prescribing Levocarb-Gry, clinicians should consider several safety measures.

  • Dose titration: start low and increase gradually to minimize adverse effects.
  • Monitor blood pressure: risk of orthostatic hypotension, especially in the elderly.
  • Assess liver and kidney function: adjust dosing if organ impairment is present.
  • Avoid abrupt discontinuation: sudden stop may worsen Parkinsonian symptoms.
  • Store at ambient temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Levocarb-Gry can interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • MAO‑B inhibitors: risk of hypertensive crisis.
  • Non‑selective MAO inhibitors: severe hypertension.
  • Antipsychotics (e.g., haloperidol): reduce levodopa efficacy.
  • Antihypertensives: additive hypotensive effect.

Moderate Interactions (Monitor Closely)

  • SSRIs/SNRIs: may increase serotonin syndrome risk.
  • Iron supplements: reduce levodopa absorption.
  • High‑protein meals: decrease levodopa bioavailability.

Frequently Asked Questions

Levocarb-Gry contains levodopa and carbidopa and is prescribed to manage the motor symptoms of Parkinson's disease and related Parkinsonian syndromes. It helps improve tremor, rigidity, bradykinesia and overall movement control in patients with dopaminergic deficiency.

Levodopa is a precursor that crosses the blood‑brain barrier and is converted into dopamine, restoring depleted central dopamine levels. Carbidopa inhibits the peripheral enzyme aromatic L‑amino acid decarboxylase, preventing levodopa from being converted outside the brain and thereby increasing its central availability while reducing peripheral side effects.

The specific dose of Levocarb-Gry 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.

Safety data for levodopa/carbidopa in pregnancy and lactation are limited, and the product is classified as pregnancy category unknown. It should only be used if the potential benefit justifies the potential risk to the fetus, and breastfeeding mothers should consult their healthcare provider before use.

To place an order, submit an enquiry on the Levocarb-Gry 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.

Levocarb-Gry combines levodopa with carbidopa, offering a higher proportion of levodopa to reach the brain compared with levodopa alone. Compared with dopamine agonists, it typically provides stronger symptomatic relief but may have a higher risk of motor complications such as dyskinesia. Choice of therapy depends on individual patient factors and treatment goals.

Levocarb-Gry should be stored at ambient temperature, below 25 °C, in its original packaging to protect from moisture and light. Keep the product out of reach of children and avoid storing in areas with high humidity or direct sunlight.

Levocarb-Gry is taken orally, usually with a glass of water. It can be taken with or without food, but high‑protein meals may interfere with absorption, so spacing the dose from protein‑rich meals is often recommended. The prescribing clinician will provide specific timing instructions.

Serious risks include the development of dyskinesia (involuntary movements), hallucinations or psychotic episodes, severe hypotension, and rare allergic reactions such as rash or angioedema. Patients should be monitored regularly for these events, and any sudden changes in mental status or movement should be reported promptly.

Levocarb-Gry 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 intra‑ocular pressure.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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