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

Madopar Hbs

Active Ingredient:
Benserazide, Levodopa
Origin:
EU

Madopar Hbs (Benserazide, Levodopa)

Benserazide and Levodopa, the active ingredient in Madopar Hbs, is a Levodopa/benserazide combination presented as an oral tablet formulation for oral use. It is indicated for the management of Parkinson's disease and related Parkinsonian syndromes in adult patients.
GNH India supplies Madopar Hbs as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Roche Nederland B.V.

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Indications & Clinical Uses

Madopar Hbs is a Levodopa/benserazide combination used in the dopaminergic pathway to treat movement disorders.

  • Parkinson's disease: improves motor control and reduces rigidity, tremor, and bradykinesia.
  • Parkinsonian syndrome: alleviates symptoms caused by dopamine deficiency after drug‑induced or vascular injury.
  • Secondary Parkinsonism: helps control motor signs when Parkinson‑like features arise from other neurological conditions.

How It Works

  • Levodopa crosses the blood‑brain barrier and is decarboxylated to dopamine, restoring central dopaminergic activity. Benserazide inhibits peripheral aromatic L‑amino acid decarboxylase, preventing levodopa conversion outside the brain, thereby increasing the amount of levodopa that reaches central nervous system targets and enhancing therapeutic effect.

Side Effects

Adverse reactions may vary in frequency and severity.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Dizziness: sensation of light‑headedness, especially on standing.
  • 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 blood pressure fall requiring medical attention.
  • Neuroleptic malignant syndrome: life‑threatening reaction with fever and rigidity.
  • Cardiac arrhythmias: irregular heart rhythms.
  • Anaphylaxis: acute allergic reaction with airway compromise.

Precautions & Warnings

When prescribing Madopar Hbs, clinicians should consider several safety measures.

  • 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: consider lower doses or extended intervals.
  • Avoid abrupt discontinuation: taper gradually to prevent withdrawal symptoms.
  • Store at room temperature: keep in the original pack, protect from moisture and direct sunlight.

Avoid Interactions

Madopar Hbs may interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Non‑selective MAO inhibitors (e.g., phenelzine): risk of hypertensive crisis.
  • Typical antipsychotics (e.g., haloperidol): may block dopaminergic effect.
  • High‑dose pyridoxine (vitamin B6): accelerates peripheral levodopa metabolism.

Moderate Interactions (Monitor Closely)

  • COMT inhibitors (e.g., entacapone): may increase levodopa plasma levels.
  • MAO‑B inhibitors (e.g., selegiline): additive dopaminergic effect.
  • Antihypertensive agents: potential for exaggerated blood‑pressure lowering.

Frequently Asked Questions

Madopar Hbs is an oral tablet that combines benserazide and levodopa to treat Parkinson's disease and other Parkinsonian syndromes. It works by restoring dopamine levels in the brain, helping to improve motor 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 blocks the peripheral enzyme aromatic L‑amino acid decarboxylase, preventing levodopa from being metabolized outside the brain, thereby increasing the amount that reaches central dopaminergic pathways.

The specific dose of Madopar Hbs is individualized by a qualified prescriber based on the patient’s clinical condition, age, and response to therapy. Physicians determine the appropriate strength, frequency, and titration schedule to achieve optimal symptom control while minimizing side effects.

The safety of Madopar Hbs 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 the decision must be made by the treating physician in consultation 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.

Madopar Hbs combines levodopa with benserazide, offering higher central availability of levodopa compared with 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 disease stage, patient tolerance, and physician preference.

Madopar Hbs tablets should be stored at room temperature, below 25 °C, in the original packaging to protect from moisture and light. Keep the container tightly closed and out of reach of children.

Madopar Hbs is taken orally, usually with a small amount of food to reduce gastrointestinal upset. The tablet should be swallowed whole with water and not crushed or chewed unless specifically instructed by a healthcare professional.

Serious risks include the development of dyskinesia (involuntary movements), hallucinations or other psychiatric disturbances, severe orthostatic hypotension, and rare but life‑threatening reactions such as neuroleptic malignant syndrome or anaphylaxis. Patients should be monitored regularly for these events.

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

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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