Levodopa

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Levodopa. Co-Careldopa: Carbidopa/Levodopa, Co-Beneldopa: Benserazide/Levodopa. Fully referenced neurology checklist.

Formulations

  • Co-Careldopa: Carbidopa/Levodopa
  • Co-Beneldopa: Benserazide/Levodopa
  • Carbidopa/Levodopa controlled release (CR)
  • Carbidopa/Levodopa enteral suspension
  • Carbidopa/Levodopa/Entecapone
  • Dispersible Levodopa
  • Inhaled Levodopa
  • Levodopa-carbidopa intestinal gel (LCIG)
  • Levodopa-entecapone-carbidopa intestinal gel (LECIG)
  • Continuous subcutaneous Carbidopa-Levodopa
  • Foslevodopa-foscarbidopa

Indication

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Dose

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Precautions

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Monitoring indices

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Contraindications

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Neurological adverse effects

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Psychiatric adverse effects

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Systemic adverse effects

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References

  1. DeMaagd G, Philip A. Part 2: Introduction to the pharmacotherapy of Parkinson's disease, with a focus on the use of dopaminergic agents. P T 2015; 40:590-600.
  2. Pringsheim T, Day GS, Smith DB, et al. Dopaminergic therapy for motor symptoms in early Parkinson disease practice guideline summary: a report of the AAN Guideline Subcommittee. Neurology 2021; 97:942-957. 
  3. Alty J, Robson J, Duggan-Carter P, Jamieson S. What to do when people with Parkinson's disease cannot take their usual oral medications. Pract Neurol 2016; 16:122-128.
  4. Luinstra M, Rutgers W, van Laar T, et al. Pharmacokinetics and tolerability of inhaled levodopa from a new dry-powder inhaler in patients with Parkinson's disease. Ther Adv Chronic Dis 2019; 10:2040622319857617. 
  5. Patel AB, Jimenez-Shahed J. Profile of inhaled levodopa and its potential in the treatment of Parkinson's disease: evidence to date. Neuropsychiatr Dis Treat 2018; 14:2955-2964.
  6. And 15 more. Subscribe to see the full list

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