Carbidopa; Levodopa extended-release capsules
What is this medicine?
CARBIDOPA;LEVODOPA (kar bi DOE pa; lee voe DOE pa) is used to treat the symptoms of Parkinson's disease.
How should I use this medicine?
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Swallow whole. Do not crush, chew, or divide the capsules. If you have trouble swallowing, you may open the capsule by carefully twisting apart both halves of the capsule and sprinkle the entire contents on 1 to 2 tablespoons of applesauce. Take the medicine/food mixture immediately, and do not store for future use. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on the advice of your doctor or health care professional.
A high fat, high calorie meal may slow the absorption of the medicine into your system and delay the onset of action by 2 to 3 hours. Consider taking the first dose of the day 1 to 2 hours before eating. If you develop nausea, the medicine may be taken with food.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
anxiety, confusion, or nervousness
falling asleep during normal activities like driving
fast, irregular heartbeat
hallucination, loss of contact with reality
mood changes like aggressive behavior, depression
trouble passing urine
uncontrolled movements of the mouth, head, hands, feet, shoulders, eyelids or other unusual muscle movements
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
loss of appetite
nightmares, trouble sleeping
What may interact with this medicine?
Do not take this medicine with any of the following medications:
MAOIs like Marplan, Nardil, and Parnate
This medicine may also interact with the following medications:
iron supplements or multivitamins with iron
medicines for depression, anxiety, or psychotic disturbances
medicines for high blood pressure
medicines for sleep
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
Where should I keep my medicine?
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light and moisture. Throw away any unused medicine after the expiration date.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
depression or other mental illness
heart disease, including recent heart attack
history of irregular heart beat
lung or breathing disease, like asthma
melanoma or suspicious skin lesions
stomach or intestine problems
an unusual or allergic reaction to levodopa, carbidopa, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. It may be several weeks or months before you feel the full benefits of this medicine. Continue to take your medicine on a regular schedule. Do not take any additional medicines for Parkinson's disease without first consulting with your health care provider.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this drug affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.
If you find that you have sudden feelings of wanting to sleep during normal activities, like cooking, watching television, or while driving or riding in a car, you should contact your health care professional.
You may experience a 'wearing off' effect prior to the time for your next dose of this medicine. You may also experience an 'on-off' effect where the medicine apparently stops working for any time from a minute to several hours, then suddenly starts working again. Tell your doctor or health care professional if any of these symptoms happen to you. Your dose may need adjustment.
A high protein meal can slow or prevent absorption of this medicine. Avoid high protein foods near the time of taking this medicine to help prevent these problems. Take this medicine at least 30 minutes before eating or one hour after meals. You may want to eat higher protein foods later in the day or in small amounts.
If you have diabetes, you may get a false-positive result for sugar in your urine. Check with your doctor or health care professional.
This medicine may discolor the urine or sweat, making it look darker or red in color. This is of no cause for concern. However, this may stain clothing or fabrics.
There have been reports of increased sexual urges or other strong urges such as gambling while taking some medicines for Parkinson's disease. If you experience any of these urges while taking this medicine, you should report it to your health care provider as soon as possible.
You should check your skin often for changes to moles and new growths while taking this medicine. Call your doctor if you notice any of these changes.
July 17, 2018