Prescribed for the management of Parkinson’s disease and treatment of “end-of-dose” motor fluctuations.
Pregnancy: Category C – use only if clearly needed.
Lactation: Unknown if excreted in breast milk; use cautiously.
Elderly: Increased susceptibility to adverse effects; dose adjustments may be necessary.
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Tridopa 50 combines Levodopa, Carbidopa, and Entacapone for synergistic action:
Very Common (>10%)
Dyskinesia, nausea, diarrhea, hyperkinesia, urine discoloration.
Common (1–10%)
Dizziness, fatigue, anxiety, insomnia, hallucinations, abdominal pain, constipation, vomiting, dry mouth, increased sweating.
Other Possible Effects
Abnormal dreams, orthostatic hypotension, headache, abnormal voluntary movements, agitation, back pain, dyspnea, blurred vision.
Potentially fatal: Rare cases of rhabdomyolysis reported.
Adult: Oral – Initial dose: 1 tablet daily. Dose should be titrated based on patient response.
Recommended: 1 tablet per administration, maximum 8 tablets/day.
Severe hepatic impairment: Contraindicated.
Pediatric use: Safety and efficacy not established.
Tablets must be swallowed whole, not crushed or chewed.
Can be taken with or without food, but avoid high-protein meals and iron supplements, which reduce absorption.
Increased risk of severe postural hypotension with antihypertensives or MAO inhibitors.
Iron salts, phenytoin, and papaverine reduce efficacy of Levodopa.
Dopamine antagonists (e.g., certain antipsychotics) may reduce benefit.
Drugs affecting biliary excretion may raise entacapone levels.
May influence hormonal secretion (decrease prolactin, increase growth hormone).
Hypersensitivity to any of the ingredients.
Narrow-angle glaucoma.
History or suspicion of melanoma or undiagnosed skin lesions.
Severe liver dysfunction.
Store in a cool, dry place below 30°C.
Protect from light and moisture.
Keep out of the reach of children.
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