Co-dopa 250 mg+25 mg (Tablet)

Unit Price: ৳ 10.00 (3 x 10: ৳ 300.00)
Strip Price: ৳ 100.00

Medicine Details

Indications

  • Treatment of Parkinson's disease
  • Management of parkinsonism symptoms
  • Relief from rigidity and bradykinesia
  • Management of tremor, dysphagia, sialorrhea
  • Assistance with postural instability
  • Motor recovery after stroke

Description

  • Levodopa as metabolic precursor of dopamine
  • Carbidopa as dopa decarboxylase inhibitor
  • Conversion of levodopa to dopamine in brain

Dosage & Administration

  • Initial dosage with 100/10 mg tablet
  • Titration upward for optimum carbidopa dosage
  • Starting dosage with 250/25 mg tablet
  • Individualized therapy for desired response
  • Maintenance dosage for levodopa requirement
  • Limited experience with high carbidopa dosage

Interaction

  • Symptomatic postural hypotension with antihypertensive medicines
  • Rare adverse reactions with tricyclic antidepressants
  • Decrease in bioavailability with ferrous sulphate or gluconate
  • Reduction of therapeutic effects with dopamine-2 receptor antagonists
  • Reversal of effects by phenytoin and papaverine
  • Severe orthostatic hypotension with selegiline

Contraindications

  • Hypersensitivity to carbidopa and levodopa
  • Narrow-angle glaucoma
  • Risk of malignant melanoma activation

Side Effects

  • Central neuropharmacologic adverse effects
  • Diminishable reactions with dosage reduction
  • Common adverse effects such as dyskinesias and nausea
  • Various adverse effects across body systems

Pregnancy & Lactation

  • Unknown effects on human pregnancy
  • Possibility of visceral and skeletal malformations in rabbits
  • Potential excretion in human milk
  • Consideration of benefits against possible hazards

Precautions & Warnings

  • Not recommended for medicine-induced extrapyramidal reactions
  • Careful observation for depression with suicidal tendencies
  • Caution in patients with severe cardiovascular or pulmonary disease
  • Monitoring of cardiac function in patients with arrhythmia
  • Cautious treatment of patients with wide-angle glaucoma

Use in Special Populations

  • Not recommended for use in patients below 18 years

Therapeutic Class

  • Antiparkinson drugs

Storage Conditions

  • Store in cool, dry place
  • Protection from light

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