Levopa 250 mg+25 mg (Tablet)

Unit Price: ৳ 7.52 (3 x 10: ৳ 225.60)
Strip Price: ৳ 75.20

Medicine Details

Indications

  • Treatment of Parkinson's disease
  • Relieving symptoms of rigidity and bradykinesia
  • Management of tremor
  • Relieving dysphagia and sialorrhea

Description

  • Levodopa as metabolic precursor of dopamine
  • Carbidopa as dopa decarboxylase inhibitor

Dosage & Administration

  • Initial dosage with 100/10 mg tablet
  • Initial dosage with 250/25 mg tablet
  • Titration of dosage upward
  • Individualized maintenance dose

Interaction

  • Postural hypotension when used with antihypertensive medicines
  • Adverse reactions with tricyclic antidepressants
  • Decrease in bioavailability when ingested with ferrous sulphate or gluconate
  • Reduced therapeutic effects with dopamine-2 receptor antagonists and isoniazid
  • Possible loss of therapeutic response with phenytoin and papaverine

Contraindications

  • Hypersensitivity to Carbidopa and Levodopa
  • Narrow-angle glaucoma
  • Suspicious undiagnosed skin lesions or history of melanoma

Side Effects

  • Dyskinesias including choreiform and dystonic movements
  • Nausea
  • Cardiovascular effects like palpitations and orthostatic effects
  • Gastrointestinal effects such as vomiting and gastrointestinal bleeding
  • Nervous system effects like dizziness and somnolence

Pregnancy & Lactation

  • Unknown effects on human pregnancy
  • Visceral and skeletal malformations in rabbits
  • Unknown excretion in human milk

Precautions & Warnings

  • Not recommended for medicine-induced extrapyramidal reactions
  • Observation for depression and suicidal tendencies
  • Cautious administration to patients with cardiovascular or pulmonary disease

Use in Special Populations

  • Safety and effectiveness in children not established

Therapeutic Class

  • Antiparkinson drugs

Storage Conditions

  • Cool and dry place
  • Protected from light

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