Carbidopa is used with levodopa to treat Parkinson's disease. Parkinson's disease is believed
to be related to low levels of a chemical called dopamine (DOE pa meen) in the brain. Levodopa
(Dopar, Larodopa) is turned into dopamine in the body. Carbidopa is used with levodopa to prevent
the breakdown (metabolism) of levodopa before it can reach the brain and take effect. Carbidopa is
only effective if it is taken with levodopa. It has no effect if it is used alone.
Carbidopa is used with levodopa to treat the stiffness, tremors, spasms, and poor muscle
control of Parkinson's disease. These medications are also used to treat the same muscular conditions
when they are caused by drugs such as chlorpromazine (Thorazine), fluphenazine (Prolixin),
perphenazine (Trilafon), and others.
Carbidopa may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking carbidopa?
Do not take this medication without first talking to your doctor if you have
taken a monoamine oxidase inhibitor (MAOI) such as
isocarboxazid (Marplan), tranylcypromine (Parnate), or phenelzine (Nardil) in the past 2 weeks;
narrow-angle glaucoma (angle closure glaucoma); or
malignant melanoma (a type of skin cancer).
Before taking this medication, tell your doctor if you have
heart disease, high blood pressure, arteriosclerosis, hardening of
the arteries, a previous heart attack, or an irregular heartbeat;
respiratory disease, including asthma and chronic
obstructive pulmonary disease (COPD);
liver disease;
kidney disease;
an endocrine (hormonal) disease;
a stomach or intestinal ulcer;
wide-angle glaucoma; or
depression or any other psychiatric disorder.
You may need a dosage adjustment or special monitoring during treatment if
you have any of the conditions listed above.
It is not known whether carbidopa will be harmful to an unborn baby. Do not take
carbidopa without first talking to your doctor if you are pregnant or could become pregnant during
treatment.
It is also not known whether carbidopa will be harmful to a nursing infant. Do not take
carbidopa without first talking to your doctor if you are breast-feeding a baby.
How should I take carbidopa?
Take carbidopa exactly as directed by your doctor. If you do not understand these directions,
ask your pharmacist, nurse, or doctor to explain them to you.
Take each dose with a full glass of water.
Carbidopa must be taken with levodopa to have an effect.
It is important to take carbidopa regularly to get the most benefit.
Your doctor may want you to have blood tests or other medical evaluations during treatment
with carbidopa to monitor progress and side effects.
Store carbidopa at room temperature away from moisture and heat.
What happens if I miss a dose of carbidopa?
Take the missed dose as soon as you remember. However, if it is almost time for the next dose,
skip the missed dose and only take the next regularly scheduled dose.
Do not
take a
double dose of this medication.
Where can I get more information about carbidopa?
Your pharmacist has information about carbidopa written for health professionals that you may read.
What are the possible side effects of carbidopa?
Carbidopa alone is not associated with side effects. The following side effects are generally
associated with carbidopa and levodopa therapy.
If you experience any of the following serious side effects, stop taking carbidopa and
levodopa and seek emergency medical attention or contact your doctor immediately:
an allergic reaction (difficulty breathing; closing of the throat;
swelling of the lips, tongue, or face; or hives);
uncontrolled movements of a part of the body;
seizures;
persistent nausea, vomiting, or diarrhea;
an irregular heartbeat or fluttering in your chest;
unusual changes in mood or behavior; or
depression or suicidal thoughts.
Other, less serious side effects may be more likely to occur. Continue to
take carbidopa and levodopa and talk to your doctor if you experience
mild nausea, vomiting, or decreased appetite;
constipation, dry mouth, or blurred vision;
hand tremor;
muscle twitches;
dizziness or drowsiness;
insomnia, confusion, or nightmares;
agitation or anxiety;
darkening of urine or sweat; or
fatigue.
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. You may report side effects to FDA at 1-800-FDA-1088.
What is the most important information I should know about carbidopa?
Carbidopa is only used in combination with levodopa. It has no effect if it is used on its own.
Use caution when driving, operating machinery, or performing other hazardous activities.
Carbidopa may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these
activities.
What should I avoid while taking carbidopa?
Use caution when driving, operating machinery, or performing other hazardous activities.
Carbidopa may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these
activities.
What other drugs will affect carbidopa?
Do not take carbidopa and levodopa if you have taken a monoamine oxidase inhibitor
(MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the past
14 days.
Antacids may increase the effectiveness of carbidopa and levodopa and lead to side effects.
Ask your doctor about the use of antacids.
Before taking carbidopa, tell your doctor if you are taking any of the following medicines:
a medicine to treat high blood pressure (hypertension);
a medicine used to treat seizures, such as phenytoin
(Dilantin), ethotoin (Peganone), or mephenytoin (Mesantoin);
papaverine (Pavabid, Cerespan, others);
pyridoxine or vitamin B6;
an antidepressant such as amitriptyline (Elavil), doxepin
(Sinequan), nortriptyline (Pamelor), desipramine (Norpramin), and amoxapine (Asendin); or
a medicine used to treat a psychiatric condition (or nausea
and vomiting), such as chlorpromazine (Thorazine), fluphenazine (Prolixin), mesoridazine
(Serentil), thioridazine (Mellaril), trifluoperazine (Stelazine), and haloperidol (Haldol).
You may not be able to take carbidopa, or you may require a dosage
adjustment or special monitoring if you are taking any of the medicines listed above.
Levodopa may interfere with urine tests for sugar and ketones. If you have diabetes and notice
changes in urine test results, talk to your doctor before making any changes in your diabetes
medication.
Drugs other than those listed here may also interact with carbidopa. Talk to your doctor and
pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals,
and herbal products.
Remember, keep this and all other medicines out of the reach of children, never share
your medicines with others, and use this medication only for the indication prescribed.
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up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum
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interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse
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Content provided by Multum - Last Updated 11/10/2009