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Parkinson's, dizziness and migraine

Levodopa + Carbidopa

Also sold as: Sinemet, Syndopa

Prescription neededParkinson's, dizziness and migraine
Comes as:Tablet

Usual adult dose

Dose is set by your doctor. It is often started with half a tablet of 100 mg/25 mg two or three times a day and raised slowly. Do not stop it suddenly.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • nausea
  • dizziness on standing up
  • sleepiness
  • uncontrolled body movements
  • vivid dreams

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • falling asleep suddenly during the day
  • hallucinations or confusion
  • strong urges you cannot control (gambling
  • spending)
  • high fever with stiffness if stopped suddenly

Do not take it, or take care, if

  • Narrow-angle glaucoma
  • Taking an MAO inhibitor antidepressant
  • History of melanoma or suspicious skin moles
  • Severe heart, lung or mental illness (use with caution)
  • Pregnancy and breastfeeding

Interactions

Medicines that can react with this one.

Serious3 medicinesDo not take these together unless your doctor says so.
  • Chlorpromazine

    Chlorpromazine blocks the effect of levodopa and can worsen Parkinson symptoms.

  • Haloperidol

    Haloperidol blocks the effect of levodopa and worsens Parkinson symptoms.

  • Metoclopramide

    Metoclopramide blocks the effect of levodopa; use domperidone for nausea instead.

Moderate4 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Drotaverine

    Drotaverine can reduce the effect of levodopa and worsen Parkinson symptoms.

  • Ferrous sulfate

    Iron reduces levodopa absorption; take them at least 2 hours apart.

  • Olanzapine

    Olanzapine can reduce the effect of levodopa.

  • Risperidone

    Risperidone can reduce the effect of levodopa.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Trihexyphenidyl
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.