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

Madopar

Active Ingredient:
Benserazide Hydrochloride, Levodopa
Origin:
EU

Madopar (Benserazide Hydrochloride, Levodopa)

Levodopa, the active ingredient in Madopar, is an antiparkinson agent presented as an oral tablet for oral use. It is combined with benserazide hydrochloride to treat Parkinson's disease and related Parkinsonian syndromes by restoring dopamine levels in the brain and reducing peripheral side effects.

GNH India supplies Madopar as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Roche Pharma Ag

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Indications & Clinical Uses

Madopar is an antiparkinson medication used to manage motor symptoms in disorders characterized by dopamine deficiency.

  • Parkinson's disease: improves rigidity, bradykinesia and tremor by increasing central dopamine.
  • Parkinsonian syndrome: alleviates motor deficits associated with secondary dopamine loss.
  • Secondary Parkinsonism: helps control symptoms when caused by drug‑induced or vascular factors.

How It Works

  • Levodopa crosses the blood‑brain barrier and is decarboxylated to dopamine, replenishing depleted central stores. Benserazide, a peripheral aromatic L‑amino‑acid decarboxylase inhibitor, blocks levodopa conversion outside the brain, thereby enhancing its central availability and reducing peripheral side effects.

Side Effects

Common Side Effects

  • Nausea: gastrointestinal upset occurring early in therapy.
  • Dizziness: often related to orthostatic changes.
  • Headache: mild to moderate intensity.
  • Orthostatic hypotension: drop in blood pressure upon standing.
  • Insomnia: difficulty initiating sleep.
  • Dry mouth: reduced salivation.

Serious or Rare Side Effects

  • Dyskinesia: involuntary movements with long‑term use.
  • Hallucinations: visual or auditory disturbances.
  • Severe hypotension: marked blood pressure decline requiring medical attention.
  • Neuroleptic malignant‑like syndrome: rare but life‑threatening reaction.
  • Severe depression or suicidal thoughts.
  • Cardiac arrhythmias: irregular heart rhythms in susceptible patients.

Precautions & Warnings

When prescribing Madopar, clinicians should consider several safety measures.

  • Dose titration: start low and increase gradually to minimize adverse effects.
  • Cardiovascular monitoring: watch for orthostatic hypotension and arrhythmias.
  • Neuropsychiatric assessment: monitor for hallucinations or mood changes.
  • Renal/hepatic impairment: adjust dosing in severe dysfunction.
  • Pregnancy and lactation: use only if benefits outweigh potential risks.
  • Store at ambient temperature: keep below 25 °C, protect from moisture and light in the original packaging.

Avoid Interactions

Madopar may interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • Non‑selective MAO inhibitors: risk of hypertensive crisis.
  • Anticholinergics: may reduce levodopa efficacy.
  • Iron supplements: decrease levodopa absorption.

Moderate Interactions (Monitor Closely)

  • Selective MAO‑B inhibitors: may enhance dopaminergic effects.
  • Antihypertensives: additive hypotensive effect.
  • SSRIs/SNRIs: possible serotonin syndrome when combined with MAO inhibitors.

Frequently Asked Questions

Madopar is prescribed to manage the motor symptoms of Parkinson's disease and other Parkinsonian syndromes. By increasing dopamine levels in the brain, it helps reduce tremor, rigidity, and bradykinesia, improving patients' daily functioning and quality of life.

Levodopa is a precursor of dopamine that crosses the blood‑brain barrier. Once inside the central nervous system it is converted to dopamine, replenishing the neurotransmitter that is deficient in Parkinsonian disorders. Benserazide prevents this conversion in the periphery, allowing more levodopa to reach the brain.

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

Safety data for Madopar in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To place an order, submit an enquiry on the Madopar 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 more efficient central dopamine delivery than levodopa alone. Compared with dopamine agonists, it generally provides stronger symptom relief but may have a higher incidence 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, preferably below 25 °C. Keep them in the original container, protect from moisture and direct light, and ensure the packaging remains tightly closed until use.

Madopar is taken orally, usually with a full glass of water. It can be taken with or without food, but a consistent routine helps maintain stable plasma levels. Patients should follow the dosing schedule prescribed by their healthcare provider.

Serious risks include the development of dyskinesia, hallucinations, severe hypotension, neuroleptic malignant‑like syndrome, and significant mood changes such as depression or suicidal thoughts. Prompt medical evaluation is required if any of these symptoms arise.

Madopar is contraindicated in patients with known hypersensitivity to levodopa, benserazide, or any excipients. It should also be avoided in individuals taking non‑selective MAO inhibitors, and caution is advised for those with severe cardiovascular disease, uncontrolled psychiatric disorders, or significant renal/hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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