Carbidopa/Levodopa Fairmed
Carbidopa/Levodopa Fairmed is a medicine used to treat the symptoms of Parkinson's disease, helping with movement and muscle stiffness.
Form
tabletti
Strength
25 mg / 250 mg
Active Ingredient
Carbidopa monohydrate
Manufacturer
Fairmed Healthcare GmbH
How to Use
Dosage
Your doctor will decide your dose based on your condition and how you respond to the medicine; the dose may change during treatment.
Method
Swallow the tablet whole with water. Do not split the tablet. Try to avoid taking the medicine with protein-rich foods (like meat, eggs, milk, or cheese) as this can reduce its effectiveness.
Important
Your doctor will determine the maximum daily dose for you.
Possible Side Effects
COMMON
- •Urinary tract infections.
- •Loss of appetite.
- •Confusion, dizziness, nightmares, drowsiness, tiredness, insomnia, feeling of well-being, changes in mood, unusual dreams.
- •Involuntary movements (dyskinesia), muscle spasms, sudden changes in Parkinson's symptoms ('on-off' effect), slow movements during 'on-off' periods (bradykinesia).
- •Fast or irregular heartbeat (palpitations).
- •Sudden drop in blood pressure when standing up quickly, sometimes with dizziness or fainting (orthostatic hypotension).
- •Nausea, vomiting, dry mouth, bitter taste.
RARE
- •Weight loss or weight gain.
- •Problems with muscle control (ataxia), increased hand tremor.
- •High blood pressure.
- •Hoarseness.
- •Constipation, diarrhea, gas.
- •Increased saliva, difficulty swallowing.
- •Swelling (edema).
- •Muscle cramps.
- •Dark urine.
- •Weakness, feeling unwell.
- •Hot flashes.
- •Blood disorders (low white blood cells, anemia, low platelets) that can cause infections, bruising, or bleeding.
- •Agitation, anxiety, impaired thinking, confusion, headache, increased sexual desire, numbness, seizures.
- •Severe mental health problems with loss of control over behavior.
- •Tingling, prickling, or itching sensations without clear cause (paresthesia).
- •Increased falls, problems walking, lockjaw.
- •Blurred vision, eye spasms (blepharospasm, possibly overdose sign), activated Horner's syndrome, double vision, dilated pupils, impaired eye movements.
- •Vein inflammation.
- •Shortness of breath, unusual breathing patterns.
- •Digestive problems (feeling full, stomach pain, burping, nausea, vomiting, heartburn, stomach/intestinal pain, dark saliva, teeth grinding, hiccups, gastrointestinal bleeding, burning tongue, duodenal ulcer).
- •Severe itchy rash, hives, itching, facial redness, hair loss, increased sweating, dark sweat.
- •Allergy-related skin and gastrointestinal bleeding in children (Henoch-Schönlein purpura).
- •Urinary retention, involuntary urination, prolonged erection (priapism).
- •Drowsiness and continuous daytime tiredness or sudden sleep attacks (very rare).
- •Muscle twitching.
- •Compulsive urge to take higher doses than needed to relieve motor symptoms (dopaminergic dysregulation syndrome), potentially leading to severe involuntary movements, mood swings, or other side effects.
- •Uncontrolled urge to act on harmful impulses, such as: strong urge to gamble, changed or increased sexual interest, uncontrolled shopping, binge eating or compulsive eating.
Important Warnings
- Do not take if you are allergic to carbidopa, levodopa, or any other ingredients in this medicine.
- Do not take if you are using certain types of antidepressants called MAO inhibitors. You must stop taking these medicines at least two weeks before starting Carbidopa/Levodopa Fairmed.
- Do not take if you have narrow-angle glaucoma, which can cause a sudden increase in eye pressure.
- Do not take if you have suspicious, undiagnosed skin lesions or a history of skin cancer.
- Do not take if you have high blood pressure episodes caused by a tumor in the adrenal gland (pheochromocytoma).
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- Do not take if you have overproduction of cortisol or thyroid hormone.
- Do not take if you have severe heart disease.
- If you experience chest pain, stop taking this medicine and contact a doctor immediately.
- If you experience an uneven or irregular pulse or heart palpitations, stop taking this medicine and contact a doctor immediately.
- If you experience intestinal bleeding (blood in stool or dark stools), stop taking this medicine and contact a doctor immediately.
- If you experience severe muscle stiffness, high fever, sweating, increased saliva, and confusion (neuroleptic malignant syndrome), stop taking this medicine and contact a doctor immediately.
- If you experience changes in mental state, including hallucinations or depression (very rarely suicidal thoughts), stop taking this medicine and contact a doctor immediately.
- If you experience seizures (convulsions), stop taking this medicine and contact a doctor immediately.
- If you experience sudden swelling of the skin or mucous membranes (e.g., throat, tongue), difficulty breathing, itching, or rashes (allergic reaction called angioedema), stop taking this medicine and contact a doctor immediately.
- If you experience a very severe blood disorder (lack of white blood cells) with sudden high fever, severe sore throat, and mouth sores (agranulocytosis), stop taking this medicine and contact a doctor immediately.
- Carbidopa/Levodopa Fairmed is not recommended for children and adolescents under 18 years of age.
- If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor or pharmacist before using this medicine.
- This medicine may cause drowsiness or sudden sleep attacks. If this happens, do not drive or use machines until these effects have stopped.
- Do not stop taking or change your dose of Carbidopa/Levodopa Fairmed without talking to your doctor first. Stopping abruptly can lead to muscle stiffness, high fever, and mental changes.