"The US Food and Drug Administration (FDA) has approved pimavanserin tablets (Nuplazid, Acadia Pharmaceuticals) for the treatment of hallucinations and delusions associated with psychosis in Parkinson's disease (PD).
Stalevo Patient Information Including Side Effects
Brand Names: Stalevo 100, Stalevo 125, Stalevo 150, Stalevo 200, Stalevo 50, Stalevo 75
Generic Name: carbidopa, entacapone, and levodopa (Pronunciation: KAR bi DOE pa, en TAK a pone, LEE voe DOE pa)
- What is carbidopa, entacapone, and levodopa (Stalevo)?
- What are the possible side effects of carbidopa, entacapone, and levodopa?
- What is the most important information I should know about carbidopa, entacapone, and levodopa?
- What should I discuss with my healthcare provider before taking carbidopa, entacapone, and levodopa?
- How should I take carbidopa, entacapone, and levodopa?
- What happens if I miss a dose?
- What happens if I overdose?
- What should I avoid while taking carbidopa, entacapone, and levodopa?
- What other drugs will affect carbidopa, entacapone, and levodopa?
- Where can I get more information?
What is carbidopa, entacapone, and levodopa (Stalevo)?
Levodopa is converted to a chemical called dopamine (DOE pa meen) in the brain. Symptoms of Parkinson's disease may be caused by low levels of dopamine in the brain. Carbidopa helps prevent the breakdown of levodopa before it can reach the brain and take effect. Entacapone increases levels of levodopa in the body.
The combination of carbidopa, entacapone, and levodopa is used to treat Parkinson symptoms such as muscle stiffness, tremors, spasms, and poor muscle control.
Carbidopa, entacapone, and levodopa may also be used for purposes not listed in this medication guide.
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What are the possible side effects of carbidopa, entacapone, and levodopa?
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have a serious side effect such as:
- nausea, sweating, feeling like you might pass out (especially when you first start taking this medication);
- depression, confusion, hallucinations, unusual thoughts or behavior, thoughts about hurting yourself;
- worsening symptoms such as tremors, twitching or uncontrollable movements of your eyes, lips, tongue, face, arms, or legs;
- severe or ongoing diarrhea, extreme thirst, increased urination, weight loss, leg discomfort, muscle weakness or limp feeling, uneven heart rate;
- feeling very thirsty or hot, being unable to urinate, heavy sweating, or hot and dry skin;
- fast, pounding, or uneven heartbeats;
- chest pain or heavy feeling, pain spreading to the arm or shoulder, general ill feeling;
- tight feeling in your chest, new or worsening cough, fever, trouble breathing;
- easy bruising or bleeding, bloody or tarry stools, coughing up blood;
- pain or burning when you urinate; or
- unexplained muscle pain, tenderness, or weakness.
Less serious side effects may include:
- stomach pain or upset, loss of appetite, constipation;
- dry mouth, changes in your sense of taste;
- unusual skin changes. mild rash or itching;
- dizziness or drowsiness, headache, blurred vision;
- muscle cramps, back pain; or
- agitation or anxiety, sleep problems (insomnia), strange dreams.
You may notice that your sweat, urine, or saliva appears dark in color, such as red, brown, or black. This is not a harmful side effect, but it may cause staining of your clothes or bed sheets.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Read the Stalevo (carbidopa, levodopa and entacapone) Side Effects Center for a complete guide to possible side effects
What is the most important information I should know about carbidopa, entacapone, and levodopa?
You should not use this medication if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days.
You should not take this medication if you are allergic to carbidopa (Lodosyn), entacapone (Comtan), or levodopa (Larodopa), or if you have narrow-angle glaucoma, unusual skin lesions, or a history of skin cancer.
Tell your doctor about all of your medical conditions, especially heart disease, high blood pressure, asthma or other breathing problems, liver or kidney disease, a hormonal disease, an ulcer, glaucoma, or mental illness. Also tell your doctor about all the medications you use.
It may take up to several weeks of using carbidopa, entacapone, and levodopa before your symptoms improve. Talk with your doctor if your symptoms do not improve or if the effects of this medication seem to wear off quickly in between doses.
Do not stop using carbidopa, entacapone, and levodopa without first talking to your doctor.
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Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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