Product image of Levodopa/Carbidopa/Entacapone G.L. Pharma (Entacapone, Levodopa, Carbidopa Monohydrate) supplied by GNH India

Levodopa/Carbidopa/Entacapone G.L. Pharma

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

Levodopa/Carbidopa/Entacapone G.L. Pharma (Entacapone, Levodopa, Carbidopa Monohydrate)

Levodopa, Carbidopa, Entacapone, the active ingredient in Levodopa/Carbidopa/Entacapone G.L. Pharma, is an Antiparkinson agent presented as an oral tablet for oral use. It treats Parkinson's disease and associated motor fluctuations in adult patients.

GNH India supplies Levodopa/Carbidopa/Entacapone G.L. Pharma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

G.L. Pharma Gmbh

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Indications & Clinical Uses

Levodopa/Carbidopa/Entacapone is used in the management of Parkinsonian disorders and related motor complications.

  • Parkinson's disease: improves overall motor function by increasing central dopamine levels.
  • Motor fluctuations in Parkinson's disease: reduces OFF periods and extends ON time.
  • Levodopa‑responsive Parkinsonian syndrome: provides more stable symptom control when combined with other antiparkinson agents.

How It Works

  • Levodopa is a dopamine precursor that crosses the blood‑brain barrier and is converted to dopamine in the CNS. 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 prolonging its therapeutic effect.

Side Effects

Levodopa/Carbidopa/Entacapone may cause a range of adverse reactions.

Common Side Effects

  • Nausea or vomiting
  • Dizziness or light‑headedness
  • Orthostatic hypotension
  • Insomnia or vivid dreams
  • Dyskinesia (involuntary movements)
  • Dry mouth

Serious or Rare Side Effects

  • Severe hypotension or syncope
  • Neuroleptic malignant syndrome
  • Allergic reactions such as rash, angioedema, or anaphylaxis
  • Hyperpyrexia or severe fever
  • Suicidal ideation or severe depression
  • Hallucinations or psychosis

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Blood pressure monitoring: watch for orthostatic drops, especially after dose changes.
  • Psychiatric assessment: evaluate for depression, hallucinations, or suicidal thoughts.
  • Renal/hepatic function: adjust dosing in patients with impairment.
  • Cardiac disease: use caution in patients with arrhythmias or ischemic heart disease.
  • Discontinuation: avoid abrupt cessation to reduce risk of withdrawal dyskinesia.
  • Store at room temperature: keep in the original pack, protect from moisture and direct sunlight.

Avoid Interactions

Levodopa/Carbidopa/Entacapone can interact with several drug classes.

Major Interactions (Avoid)

  • Non‑selective MAO inhibitors: risk of hypertensive crisis.
  • Other COMT inhibitors: may cause excessive levodopa levels.
  • Antipsychotics that block dopamine receptors: reduce therapeutic efficacy.

Moderate Interactions (Monitor Closely)

  • Antihypertensive agents: additive blood‑pressure lowering effect.
  • SSRIs or SNRIs: may increase risk of serotonin syndrome.
  • Iron or vitamin C supplements: can impair levodopa absorption if taken simultaneously.

Frequently Asked Questions

Levodopa/Carbidopa/Entacapone is prescribed to manage Parkinson's disease and to reduce motor fluctuations such as OFF periods in patients who respond to levodopa therapy. It helps improve overall motor control and prolongs the duration of symptom relief.

The combination works by delivering levodopa, a dopamine precursor, while carbidopa blocks its peripheral conversion, increasing brain availability. Entacapone inhibits the COMT enzyme, slowing levodopa breakdown outside the brain, which extends its therapeutic effect.

The specific dose and dosing schedule are determined by the prescribing clinician based on the individual’s disease severity, response to therapy, and other medical factors. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Safety data 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 or infant, and under close medical supervision.

Enquiries are submitted via the product page on gnhindia.com, where you specify the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and required import documentation.

Compared with levodopa alone, the addition of carbidopa and entacapone reduces peripheral metabolism, leading to more stable plasma levels and fewer OFF periods. It offers advantages over other COMT inhibitors by combining three agents in a single tablet, simplifying dosing.

Store the tablets at room temperature, below 25 °C, in the original container. Keep them away from moisture, heat, and direct sunlight. Do not use if the packaging is damaged or the tablets appear discolored.

The medication is taken orally, usually with food to reduce gastrointestinal irritation. Tablets should be swallowed whole with a glass of water and not crushed or chewed unless specifically instructed by a healthcare professional.

Serious risks include severe hypotension, neuroleptic malignant syndrome, allergic reactions such as anaphylaxis, hyperpyrexia, and psychiatric complications like severe depression or suicidal thoughts. Patients should be monitored closely for these events.

Patients with known hypersensitivity to levodopa, carbidopa, entacapone, or any excipients should avoid the product. It is also contraindicated in individuals taking non‑selective MAO inhibitors or other COMT inhibitors due to the risk of excessive levodopa exposure.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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