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

Madopar Depot

Active Ingredient:
Benserazide Hydrochloride, Levodopa
Origin:
EU

Madopar Depot (Benserazide Hydrochloride, Levodopa)

Levodopa/Benserazide, the active ingredient in Madopar Depot, is a dopa decarboxylase inhibitor combination presented as an oral formulation for oral use. It is indicated for the management of Parkinson's disease and Parkinsonian syndrome in adult patients, helping to restore deficient central dopamine levels and improve motor function.

GNH India supplies Madopar Depot as a licensed, GDP‑compliant international pharmaceutical supplier, adhering to EU GMP standards and serving hospitals, pharmacies and clinics worldwide through a regulated global distribution network, ensuring product integrity and timely delivery.

Manufacturer / TM Owner

Roche Romania Srl

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Indications & Clinical Uses

Madopar Depot is used within the dopaminergic therapy pathway to treat movement disorders associated with Parkinsonism.

  • Parkinson's disease: improves motor symptoms such as bradykinesia, rigidity and tremor.
  • Parkinsonian syndrome: alleviates rigidity and gait disturbances caused by dopaminergic deficiency.
  • Levodopa‑responsive Parkinsonism: restores functional mobility in patients who respond to levodopa therapy.

How It Works

  • Levodopa crosses the blood‑brain barrier and is enzymatically converted to dopamine, replenishing depleted central dopamine stores. Benserazide, a peripheral dopa decarboxylase inhibitor, blocks the conversion of levodopa to dopamine outside the brain, thereby increasing the amount of levodopa that reaches the central nervous system and enhancing its therapeutic effect.

Side Effects

Adverse reactions may occur with Madopar Depot and are categorized by frequency.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Orthostatic hypotension: dizziness upon standing.
  • Dyskinesia: involuntary movements, especially at higher doses.
  • Insomnia: difficulty falling or staying asleep.

Serious or Rare Side Effects

  • Neuroleptic malignant syndrome: life‑threatening reaction with fever and rigidity.
  • Severe depression or suicidal thoughts: mood changes requiring immediate attention.
  • Cardiac arrhythmias: irregular heart rhythms that may be fatal.

Precautions & Warnings

When prescribing Madopar Depot, clinicians should consider several safety aspects.

  • Dose titration: start low and increase gradually to minimize dyskinesia.
  • Cardiovascular monitoring: watch for orthostatic hypotension and arrhythmias.
  • Psychiatric evaluation: assess for depression or hallucinations.
  • Renal/hepatic function: adjust if severe impairment is present.
  • Concomitant MAO‑B inhibitors: avoid unless specifically indicated.
  • Store at ambient temperature: keep below 25 °C, in the original packaging, protected from moisture and light.

Avoid Interactions

Madopar Depot can interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • Non‑selective MAO inhibitors: risk of hypertensive crisis.
  • Antipsychotics with strong D2 antagonism: may diminish therapeutic effect.
  • High‑dose pyridoxine (vitamin B6): accelerates peripheral levodopa metabolism.

Moderate Interactions (Monitor Closely)

  • Antihypertensives: may exacerbate orthostatic hypotension.
  • Iron or calcium supplements: reduce levodopa absorption if taken simultaneously.
  • SSRIs or SNRIs: monitor for serotonin syndrome when combined with MAO‑B inhibitors.

Frequently Asked Questions

Madopar Depot is a prescription medication that combines levodopa and benserazide to treat Parkinson's disease and related Parkinsonian syndromes in adult patients. It works by replenishing dopamine in the brain, which helps improve motor function and reduce symptoms such as tremor, rigidity, and slowed movement.

Levodopa is a precursor that crosses the blood‑brain barrier and is converted into dopamine, the neurotransmitter deficient in Parkinson's disease. Benserazide inhibits the enzyme dopa decarboxylase in peripheral tissues, preventing premature conversion of levodopa outside the brain, thereby increasing the amount that reaches central nervous system sites where it can be transformed into dopamine.

The specific dose of Madopar Depot is individualized by the prescribing clinician based on the patient’s disease severity, response to therapy, and tolerability. Dosage adjustments are made during treatment to achieve optimal symptom control while minimizing side effects. Patients should follow the exact regimen provided by their healthcare professional.

Safety data for Madopar Depot in pregnancy and lactation are limited. The medication should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss risks and alternatives with their healthcare provider.

To request Madopar Depot, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, and will ask for trade or institutional credentials. After verification, the team provides pricing, availability, shipping details (including any temperature controls), and necessary import documentation.

Madopar Depot combines levodopa with benserazide, a peripheral dopa decarboxylase inhibitor, which enhances central dopamine availability compared with levodopa alone. Compared with dopamine agonists, it provides more direct dopamine replacement but may have a higher risk of motor complications such as dyskinesia. Choice of therapy depends on individual patient factors, disease stage, and tolerability.

Madopar Depot should be stored at ambient temperature, preferably below 25 °C. Keep the product in its original packaging, protect it from moisture and direct sunlight, and ensure the container is tightly closed. Do not store in a refrigerator or freezer unless specifically instructed by the manufacturer.

Madopar Depot is taken orally, usually with a glass of water. It may be administered with or without food, but taking it with a light meal can reduce gastrointestinal upset. The tablet should be swallowed whole; it should not be crushed, chewed, or divided unless directed by a healthcare professional.

Serious risks include neuroleptic malignant syndrome, severe depression or suicidal thoughts, and cardiac arrhythmias. Patients should be monitored for sudden changes in mood, fever, muscle rigidity, or irregular heartbeats. Prompt medical attention is required if any of these severe adverse events occur.

Madopar Depot 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 monoamine oxidase inhibitors, or those with a history of malignant neuroleptic syndrome. Clinicians must assess each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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