Product image of Madopar (Benserazide Hydrochloride, Levodopa) supplied by GNH India

Madopar

Active Ingredient:
Benserazide Hydrochloride, Levodopa
Origin:
EU

Madopar (Benserazide Hydrochloride, Levodopa)

Levodopa and Benserazide, the active ingredient in Madopar, is a dopamine precursor and dopa decarboxylase inhibitor presented as an oral tablet for oral use. It treats Parkinson's disease and Parkinsonian syndrome in adult patients who require symptomatic motor control.

GNH India supplies Madopar as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing reliable access to this EU‑market product.

Manufacturer / TM Owner

Roche Austria Gmbh

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Indications & Clinical Uses

Madopar is used in the management of movement disorders that respond to dopaminergic therapy.

  • Parkinson's disease: improves motor symptoms such as bradykinesia, rigidity and tremor.
  • Parkinsonian syndrome: provides symptomatic relief of similar motor deficits.
  • Secondary parkinsonism: offers clinical benefit when dopamine deficiency contributes to the presentation.

How It Works

  • Levodopa crosses the blood‑brain barrier and is enzymatically converted to dopamine, restoring deficient central dopaminergic activity. Benserazide, a peripheral aromatic L‑amino acid decarboxylase inhibitor, blocks conversion of levodopa outside the brain, increasing its central availability while reducing peripheral side effects.

Side Effects

Madopar may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Nausea: often occurs early in therapy.
  • Dizziness or light‑headedness: related to orthostatic changes.
  • Headache: transient and usually mild.
  • Insomnia: may affect sleep quality.

Serious or Rare Side Effects

  • Dyskinesia: involuntary movements that can be disabling.
  • Psychiatric disturbances: hallucinations, confusion or depression.
  • Severe hypotension: sudden drop in blood pressure requiring medical attention.
  • Allergic reactions: rash, swelling or anaphylaxis in rare cases.

Precautions & Warnings

When prescribing Madopar, clinicians should consider several safety measures.

  • Assess renal function: adjust therapy in severe impairment.
  • Monitor for dyskinesia: modify dose if excessive movements develop.
  • Screen psychiatric history: watch for hallucinations or mood changes.
  • Avoid abrupt discontinuation: taper under medical supervision to prevent withdrawal.
  • Use with food: may lessen gastrointestinal irritation.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Madopar can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Non‑selective MAO inhibitors: risk of hypertensive crisis.
  • Pyridoxine (vitamin B6): reduces levodopa efficacy.
  • Dopamine‑blocking antipsychotics: diminish therapeutic effect.

Moderate Interactions (Monitor Closely)

  • Antihypertensive agents: may enhance blood‑pressure lowering.
  • Iron or calcium supplements: can impair levodopa absorption if taken simultaneously.

Frequently Asked Questions

Madopar is prescribed to manage the motor symptoms of Parkinson's disease and related Parkinsonian syndromes. By increasing dopamine levels in the brain, it helps reduce stiffness, tremor, and slowness of movement, improving daily functioning for patients with these neurodegenerative conditions.

Levodopa is a dopamine precursor that crosses the blood‑brain barrier and is converted into dopamine, restoring deficient neurotransmission. Benserazide inhibits peripheral aromatic L‑amino acid decarboxylase, preventing levodopa’s premature conversion outside the brain, thereby enhancing central availability and reducing peripheral side effects.

The appropriate dose of Madopar is individualized by the prescribing clinician based on disease severity, patient response, and tolerability. Dosage regimens vary widely, and adjustments are made during treatment to achieve optimal symptom control while minimizing adverse effects.

The safety of Madopar in pregnancy and lactation has not been definitively established. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and decisions are made in consultation with a qualified healthcare professional.

To request Madopar, 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.

Madopar combines levodopa with benserazide, offering higher central levodopa availability than levodopa alone. Compared with dopamine agonists, it provides more potent symptom relief but may have a higher risk of motor complications such as dyskinesia. Choice of therapy depends on individual patient factors and treatment goals.

Madopar tablets should be stored at ambient temperature, below 25 °C, in their original packaging to protect from moisture and light. Keep the product out of reach of children and avoid storing in humid or excessively hot environments.

Madopar is taken orally, usually with a glass of water. It may be administered with food to reduce gastrointestinal upset, but patients should follow the specific timing instructions provided by their prescriber to maintain consistent plasma levels.

Serious risks include the development of dyskinesia (involuntary movements), severe hypotension, psychiatric disturbances such as hallucinations, and rare allergic reactions. Patients should be monitored regularly for these events, and any concerning symptoms should prompt immediate medical evaluation.

Madopar is contraindicated in patients with known hypersensitivity to levodopa, benserazide, or any excipients, and in individuals taking non‑selective MAO inhibitors. Caution is also advised for patients with severe cardiovascular disease, narrow‑angle glaucoma, or a history of malignant neuroleptic syndrome.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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