Stalevo 200/50/200 mg 30 tablets

Stalevo 200/50/200 mg 30 tablets:

What is carbidopa, levodopa, entacapone and what is it used for:

• This medication consists of three active ingredients; Carbidopa, levodopa and entacapone all in one tablet.
• It is used to treat Parkinson's disease.
• Parkinson's disease is caused by low levels of dopamine in the brain. Levodopa works by increasing the amount of dopamine, while carbidopa and entacapone work by enhancing the effects of levodopa against Parkinson's disease.

It is usually used for the following conditions of Parkinson's disease: 

• To replace the carbidopa/levodopa and entacapone immediate-release tablet that you were previously taking as separate tablets by replacing your tablets with an equal titre of each of the three ingredients. 
• To replace the carbidopa/levodopa (without entacapone) immediate-release tablet you were taking previously when you start to feel that your medicine is not as effective as it was when you started it. This only applies if your dose of levodopa does not exceed 600 mg per day and you do not suffer from dyskinesia (abnormality or weakness of voluntary movement).

Do not take carbidopa, levodopa, entacapone:

• If you are allergic to carbidopa, levodopa, entacapone, or any of the ingredients in this medication. Tell your doctor about your allergy and signs.
• Do not take carbidopa, levodopa, or entacapone if you are allergic to carbidopa, levodopa, entacapone or any of the ingredients in this medication. Tell your doctor about your allergy and signs. 
• If you are taking non-selective monoamine oxidase (MAO) inhibitors (used to treat depression). These medications should be stopped at least 2 weeks before starting treatment with this medication. 
• If you have narrow-angle glaucoma (increased eye pressure). 
• If you have suspicious, undiagnosed skin lesions or a history of skin cancer.

Warnings and precautions:

• Talk to your doctor or pharmacist if you develop allergic reactions such as shortness of breath, rash, swelling of the face or neck, low blood pressure and dizziness. 
• Talk to your doctor if you experience effects on the central nervous system, such as dyskinesia (involuntary movements), mental disorders, depression, and suicidal thoughts. 
• Talk to your doctor if you have ever or currently suffer from psychosis (seeing, hearing, or believing things that are not real). 
• Talk to your doctor if you have heart, kidney, liver, or lung problems. Follow-up tests may be needed depending on your condition. 
• Talk to your doctor if you have asthma (a respiratory problem that affects the airways and causes bouts of wheezing, coughing and shortness of breath) or an endocrine (hormone) disease. 
• Talk to your doctor if you have previously had or currently have a peptic ulcer (an ulcer that forms in the stomach, esophagus, or intestines).

side effects:

Possible side effects of carbidopa, levodopa, and entacapone include:

 Allergic reaction, hallucinations, psychosis, confusion, agitation, dizziness, drowsiness, dream abnormalities including nightmares, difficulty sleeping, headache, memory loss, nervousness, disorientation, memory impairment, increased sexual desire, convulsions, depression, violent muscle jerking. , very stiff muscles, tremors, changes in blood pressure, intense urges to gamble, Increased sexual urges, and other intense urges, chest pain, palpitations, fainting, irregular heartbeat, increased frequency of urination, painful or difficult urination, saliva, dark urine or sweat (red, brown, or black), nausea, increased urination Motility (abnormality or weakness of voluntary movement), vomiting, diarrhea, abdominal pain, constipation, flatulence, Hiccups, indigestion, dry mouth, changes in taste, back, shoulder and leg pain, changes in gait, difficulty breathing, cough, throat pain, respiratory infections, hot flashes, increased sweating, hair loss, changes in laboratory test results, increased Weight or loss, edema, numbness and tingling in the extremities, skin cancer, double or blurred vision , persistent erection (prolonged erection of the penis) and fatigue.

Other medicines: carbidopa, levodopa, entacapone:

Tell your doctor or pharmacist if you are taking, have recently taken or might take any of the following medicines: 

• If you are taking medications for high blood pressure. 
• If you are taking IMAO inhibitors (used to treat depression). 
• If you are taking tricyclic antidepressants (used to treat depression). 
• If you are taking dopamine receptor antagonists such as phenothiazines (used for nausea and vomiting) and risperidone (used for psychosis). 
• If you are taking isoniazid (used for tuberculosis). 
• If you are taking phenytoin (used for seizures). 
• If you are taking papaverine (used to improve blood flow). 
• If you are taking iron salts. 
• If you are taking metoclopramide (used for nausea and vomiting). 
• If you are taking antibiotics such as erythromycin, rifampicin, ampicillin and chloramphenicol. 
• If you are taking probenecid (used for gout). 
• If you are taking cholestyramine (used for high cholesterol).