Product image of Levodopa/Carbidopa/Entacapone Teva (Carbidopa, Entacapone, Levodopa) supplied by GNH India

Levodopa/Carbidopa/Entacapone Teva

Active Ingredient:
Carbidopa, Entacapone, Levodopa
Origin:
EU

Levodopa/Carbidopa/Entacapone Teva (Carbidopa, Entacapone, Levodopa)

Levodopa/Carbidopa/Entacapone, the active ingredient in Levodopa/Carbidopa/Entacapone Teva, is an antiparkinson agent presented as a tablet for oral use. It treats Parkinson's disease by improving motor function in adult patients.
GNH India supplies Levodopa/Carbidopa/Entacapone Teva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Teva Nederland B.V.

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Indications & Clinical Uses

Levodopa/Carbidopa/Entacapone is an antiparkinson combination that targets dopaminergic pathways in Parkinson's disease.

  • Parkinson's disease: improves motor symptoms and reduces "off" periods.
  • Levodopa‑responsive Parkinsonism: provides more stable central dopamine levels.
  • Fluctuating Parkinsonian symptoms: helps smooth daily symptom control.

How It Works

  • Levodopa crosses the blood‑brain barrier and is decarboxylated to dopamine. Carbidopa inhibits peripheral aromatic L‑amino acid decarboxylase, increasing the amount of levodopa that reaches the brain. 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: mild to moderate upset stomach.
  • Dizziness: especially when standing quickly.
  • Orthostatic hypotension: drop in blood pressure upon standing.
  • Headache: transient cranial discomfort.
  • Insomnia: difficulty falling or staying asleep.
  • Dry mouth: reduced salivation.

Serious or Rare Side Effects

  • Dyskinesia: involuntary, erratic movements.
  • Hallucinations: visual or auditory disturbances.
  • Severe hypotension: marked drop in blood pressure requiring medical attention.
  • Cardiac arrhythmias: irregular heart rhythms.
  • Neuroleptic malignant syndrome: rare but life‑threatening reaction.
  • Anaphylaxis: severe allergic response.

Precautions & Warnings

When prescribing Levodopa/Carbidopa/Entacapone, clinicians should consider several safety factors.

  • Renal or hepatic impairment: monitor liver and kidney function regularly.
  • Cardiovascular disease: observe blood pressure and heart rate for instability.
  • Psychiatric history: watch for emergence of hallucinations or confusion.
  • Pregnancy: use only if potential benefit outweighs unknown risk to the fetus.
  • Elderly patients: increased risk of falls and orthostatic hypotension.
  • Store below 25°C: keep in the original packaging, protect from moisture and light.

Avoid Interactions

Levodopa/Carbidopa/Entacapone can interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • Non‑selective MAO‑B inhibitors: may precipitate hypertensive crisis.
  • Antipsychotics (dopamine antagonists): can block therapeutic benefit.
  • Anticholinergic agents: may diminish motor improvement.

Moderate Interactions (Monitor Closely)

  • SSRIs or SNRIs: increased risk of serotonin syndrome.
  • Diuretics: may exacerbate orthostatic hypotension.
  • Iron or calcium supplements: can reduce levodopa absorption if taken simultaneously.

Frequently Asked Questions

Levodopa/Carbidopa/Entacapone is prescribed to manage the motor symptoms of Parkinson's disease. By combining a dopamine precursor with agents that enhance its availability, the medication helps reduce stiffness, tremor, and bradykinesia, providing smoother daily control for patients.

Levodopa is converted to dopamine in the brain, restoring deficient neurotransmission. Carbidopa blocks peripheral conversion of levodopa, allowing more to reach the central nervous system. Entacapone inhibits the COMT enzyme, slowing levodopa breakdown and extending its therapeutic action.

The exact dose is individualized and set by the prescribing clinician based on disease severity, patient response, and tolerability. Dosage adjustments are made during treatment to achieve optimal symptom control while minimizing side effects.

Safety data are limited; the medication should be used during pregnancy or lactation only if the potential benefit justifies the potential risk to the fetus or infant. Clinicians typically evaluate alternatives and discuss risks with the patient.

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 necessary import documentation.

Standard levodopa/carbidopa provides dopamine replacement but is metabolized quickly, leading to fluctuations. Adding entacapone (a COMT inhibitor) reduces peripheral breakdown, prolonging levodopa’s effect and often decreasing "off" periods, which can improve daily symptom stability compared with levodopa/carbidopa alone.

Store the tablets at temperatures below 25 °C in their original container, protecting them from moisture and direct light. Do not refrigerate or freeze. Keep out of reach of children and dispose of any expired product according to local regulations.

The medication is taken orally as a whole tablet, usually with a glass of water. It may be taken with or without food, but consistent timing relative to meals can help reduce gastrointestinal side effects. Patients should follow the dosing schedule prescribed by their healthcare provider.

Serious risks include dyskinesia (involuntary movements), hallucinations or psychosis, severe orthostatic hypotension, cardiac arrhythmias, and rare events such as neuroleptic malignant syndrome or anaphylaxis. Prompt medical attention is required if any of these symptoms develop.

Patients with known hypersensitivity to levodopa, carbidopa, entacapone, or any formulation components should avoid the drug. It is also contraindicated in individuals currently taking non‑selective MAO‑B inhibitors, and caution is advised for those with severe cardiovascular disease, uncontrolled psychiatric disorders, or significant hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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