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

Madopar

Active Ingredient:
Benserazide Hydrochloride, Levodopa
Origin:
EU

Madopar (Benserazide Hydrochloride, Levodopa)

Levodopa/Benserazide, the active ingredient in Madopar, is a Levodopa/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 Madopar as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Roche S.P.A.

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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: alleviates similar motor deficits in secondary parkinsonism.
  • Levodopa‑responsive parkinsonism: provides symptomatic relief when dopamine deficiency is identified.

How It Works

  • Levodopa crosses the blood‑brain barrier and is converted to dopamine, replenishing central dopaminergic activity. Benserazide, a peripheral aromatic L‑amino acid decarboxylase inhibitor, blocks conversion of levodopa outside the brain, thereby increasing the amount of levodopa that reaches the central nervous system and enhancing its therapeutic effect.

Side Effects

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Dizziness: often related to orthostatic changes.
  • Orthostatic hypotension: drop in blood pressure upon standing.
  • Headache: transient cranial discomfort.
  • Insomnia: difficulty initiating or maintaining sleep.
  • Dry mouth: reduced salivation.

Serious or Rare Side Effects

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

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety aspects.

  • Monitor blood pressure: watch for orthostatic changes, especially in the elderly.
  • Assess psychiatric status: be alert for hallucinations or confusion.
  • Adjust dose in renal impairment: reduced clearance may increase exposure.
  • Avoid abrupt discontinuation: taper to prevent withdrawal symptoms.
  • Use with caution in elderly patients: increased sensitivity to side effects.
  • Store at room temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Levodopa/benserazide can interact with several medication classes.

Major Interactions (Avoid)

  • Non‑selective MAO inhibitors: risk of hypertensive crisis.
  • Antipsychotics (D2 antagonists): may diminish antiparkinsonian effect.
  • Iron or calcium supplements: reduce levodopa absorption.

Moderate Interactions (Monitor Closely)

  • Antihypertensive agents: additive blood‑pressure lowering.
  • Carbamazepine: may increase levodopa metabolism.
  • Serotonergic drugs: potential for serotonin syndrome.

Frequently Asked Questions

Madopar is prescribed to manage the motor symptoms of Parkinson's disease and related Parkinsonian syndromes. It helps reduce stiffness, tremor, and slowness of movement by restoring dopamine levels in the brain, providing symptomatic relief for patients with dopaminergic deficiency.

Levodopa serves as a precursor that crosses the blood‑brain barrier and is converted into dopamine, the neurotransmitter lacking in Parkinsonian conditions. Benserazide inhibits peripheral decarboxylation of levodopa, ensuring more of the drug reaches the central nervous system where it can be transformed into dopamine.

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

Safety data for Madopar in pregnancy and lactation are limited. It should only be used if 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 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 availability of levodopa compared with levodopa alone. Compared with dopamine agonists, it provides more potent 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 should be stored at room temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product away from excessive heat and humidity to maintain stability throughout its shelf life.

Madopar is taken orally, usually with a glass of water. It may be administered with or without food, but consistent timing relative to meals can help reduce gastrointestinal side effects. The exact schedule is determined by the prescribing clinician.

Serious risks include the development of dyskinesia, hallucinations, severe hypotension, neuroleptic malignant syndrome, and rare allergic reactions such as anaphylaxis. 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 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 the condition.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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