Carbidopa/Levodopa Sandoz CR Ret Tabl 50/200mg 30 pcs

What Carbidopa / Levodopa Sandoz CR is and when is it used?

Carbidopa / Levodopa Sandoz CR is a medicine used to treat the symptoms of Parkinson's disease. In Parkinson's disease, dopamine, an endogenous substance, is only available in insufficient quantities in certain brain centers.Carbidopa / Levodopa Sandoz CR contains two components, levodopa and carbidopa. Levodopa, a precursor to dopamine, replaces the insufficient amount of dopamine. Carbidopa ensures that very little levodopa is converted into dopamine outside the brain, because on the one hand it is not necessary there and on the other hand it can cause undesirable side effects.Carbidopa / Levodopa Sandoz CR can only combat the symptoms of Parkinson's disease, but cannot eliminate the cause of the underlying disease. A cure for this disease is still not possible.Carbidopa / Levodopa Sandoz CR may only be used if prescribed and under the constant supervision of your doctor.

When should Carbidopa / Levodopa Sandoz CR not be taken?

Do not take Carbidopa / Levodopa Sandoz CR

• in case of hypersensitivity to the preparationfor narrow-angle glaucoma (glaucoma)if there are suspicious, unexplained skin symptoms or if you have a history of black skin cancer (melanoma)by patients who are receiving so-called MAOIs for depression. After they have been stopped, Carbidopa / Levodopa Sandoz CR should be waited for at least 14 daysCarbidopa / Levodopa Sandoz CR is not recommended for the treatment of drug-related Parkinson's symptoms (eg, abnormal involuntary movements).

In what circumstances should caution be used when taking Carbidopa / Levodopa Sandoz CR?

In the case of severe cardiovascular or lung diseases, bronchial asthma, kidney, liver or hormonal diseases, caution is required as well as after a heart attack, cardiac arrhythmias, gastrointestinal ulcers, involuntary movements or chronic wide-angle glaucoma. A history of certain nervous disorders may also be a reason for caution when taking Carbidopa / Levodopa Sandoz CR. Gastrointestinal bleeding may occur in patients who have had a gastrointestinal ulcer.You should therefore inform your doctor about any medical problems that you have or have had in the past, including allergies, depression or mental disorders or tuberculosis.Tell your doctor if you have been treated with levodopa in the past.Tell your doctor or health care professional if you or your family members / caregivers notice that you are developing any of the following: urge to play, increased sex drive, excessive eating or spending, and / or other intense compulsive behaviors that could harm you or others. These behaviors are known as impulse control disorders. Your doctor may need to review your treatment.Tell your doctor or health care professional if you or your family / caregiver notice that you develop addiction-like symptoms that lead to craving for high doses of Carbidopa / Levodopa CR and other medicines used to treat Parkinson's disease , lead (known as dopamine dysregulation syndrome).If you are under 18 years of age, you must not take Carbidopa / Levodopa Sandoz CR.Certain other medicines can affect the way Carbidopa / Levodopa Sandoz CR works. These are, for example, antihypertensive drugs, certain drugs for depression or other mental illnesses, iron supplements, drugs for tuberculosis, drugs for muscle spasms, seizures or other diseases that are associated with involuntary movements.Inform your doctor or pharmacist if you suffer from other diseases, have allergies or are taking or applying other medicines (including those you have bought yourself!)!This medicine can impair the ability to react, to use tools or machines and to the ability to drive! Individual reactions to drugs can be different. Sudden, short sleep episodes, sometimes without warning, or severe sleepiness may occur during treatment with Carbidopa / Levodopa Sandoz CR. Therefore, while you are taking Carbidopa / Levodopa Sandoz CR, you must not drive or engage in other activities (e.g. operate machines) that may cause you or others to be less alert, if you suffer from sudden short periods of sleep or severe daytime sleepiness and until you have had sufficient experience about the impairment.Patients with Parkinson's disease have an increased risk of developing black skin cancer (melanoma) than the general population. You should therefore have your skin examined by an experienced dermatologist at regular intervals and, among other things, pay attention to enlargement, color change and itching of skin areas (e.g. moles) and contact your doctor immediately inform about.

Can Carbidopa / Levodopa Sandoz CR be used during pregnancy or while breastfeeding?

Carbidopa / Levodopa Sandoz CR should not be used during pregnancy unless your doctor specifically prescribes it. Breastfeeding mothers must not take Carbidopa / Levodopa Sandoz CR or they must stop breastfeeding.

How do you use Carbidopa / Levodopa Sandoz CR?

Take the prolonged-release tablets with alcohol-free liquid. In order not to affect the extended-release properties of Carbidopa / Levodopa Sandoz CR, do not divide, chew, dissolve or crumble the Carbidopa / Levodopa Sandoz CR prolonged-release tablets.Take the amount determined by your doctor at the right time. It is crucial for the success of this treatment to follow the treatment regimen prescribed by your doctor very carefully.In general, a low dose is started. The dose is gradually increased until the optimum amount is reached for the best possible effect with as few undesirable effects as possible. Inform your doctor of any changes in your condition, such as feeling sick or unusual, involuntary movements, as this may require an adjustment in the dosage.Except on the advice of your doctor, you must neither change the dose of Carbidopa / Levodopa Sandoz CR on your own nor suddenly stop the treatment on your own. If the patient is stopped suddenly, symptoms such as muscle stiffness, fever and psychological changes may occur.If you accidentally miss an extended-release tablet, take it as soon as you remember. When it is time to take the next prolonged-release tablet, do not take an extra dose, but continue taking as usual.If you have taken too many prolonged-release tablets, contact your doctor immediately so that medical treatment can be given in good time.If you are going to have an operation under general anesthesia, talk to your doctor about when you should stop taking Carbidopa / Levodopa Sandoz and start taking it again.Do not change the prescribed dosage on your own. If you think that the medicine is too weak or too strong, talk to your doctor or pharmacist.

What side effects can Carbidopa / Levodopa Sandoz CR have?

The following side effects may occur with Carbidopa / Levodopa Sandoz CR: the most common are abnormal involuntary movements (including twitching or spasms), nausea, delusions, confusion, dizziness and dry mouth.Other side effects that may occur are abnormal dreaming, muscle tension, agitation, loss of appetite, weight loss, weight gain, blurred vision, trunk pain, bradykinetic episodes (slow movement), cardiac arrhythmias, constipation, depression, diarrhea, difficulty breathing, indigestion, discoloration of urine, sweat or saliva, Disorientation, fainting, tiredness, drowsiness when standing up quickly, skin reddening, stomach ulcer, stomach bleeding, pain in the gastrointestinal tract, hair loss, headache, increased blood pressure, psychological changes, muscle cramps, palpitations, sensory disorders such as pins and needles, insomnia, drowsiness, sudden episodes of short sleep (see ?When should you take caution when taking Carbidopa / Levodopa Sandoz CR??), phlebitis, vomiting,Weakness and melanoma.There may be times when you cannot resist the urge to do potentially harmful acts, such as: excessive gambling, increased sex drive, uncontrollable, excessive shopping or spending, rampant / compulsive eating, and / or other compulsive behaviors. Tell your doctor if you experience such behavior.Craving for high doses of Carbidopa / Levodopa Sandoz CR that significantly exceed the doses needed to adequately control movement symptoms, known as dopamine dysregulation syndrome. Some patients experience unusually violent involuntary movements (dyskinesia), mood swings, or other side effects after taking high doses of carbidopa / levodopa.Hypersensitivity reactions such as rash, itching and swelling of the face, lips and / or throat may occur, which can cause difficulty breathing or swallowing. Contact your doctor or health care professional immediately if you experience these symptoms.If you observe any of these symptoms which you associate with the use of Carbidopa / Levodopa Sandoz CR, you should inform your doctor about them. If you notice any side effects that are not described here, you should inform your doctor or pharmacist.

What should also be noted?

The drug may only be used up to the date marked ?EXP? on the container.Store in the original packaging at room temperature (15-25 ° C) and out of the reach of children.Your doctor or pharmacist can provide you with further information. These people have the detailed information for specialists.

What does Carbidopa / Levodopa Sandoz CR contain?

Active ingredients : carbidopa and levodopa.1 prolonged-release tablet Carbidopa / Levodopa Sandoz CR 25/100 contains 25 mg carbidopa and 100 mg levodopa as a delayed release preparation, the coloring agent quinoline yellow (E 104) and excipients.1 prolonged-release tablet Carbidopa / Levodopa Sandoz CR 50/200 contains 50 mg carbidopa and 200 mg levodopa as a delayed release preparation, the color quinoline yellow (E 104) and other excipients.

Approval number

57275 (Swissmedic)

Where can you get Carbidopa / Levodopa Sandoz CR? Which packs are available?

In pharmacies, only with a prescription.

• Carbidopa / Levodopa Sandoz CR 25 / 100 mg 30 tabletsCarbidopa / Levodopa Sandoz CR 25 / 100 mg 100 tabletsCarbidopa / Levodopa Sandoz CR 50 / 200 mg 30 tabletsCarbidopa / Levodopa Sandoz CR 50 / 200 mg 100 tablets

Marketing authorization holder

Sandoz Pharmaceuticals AG, Risch; Domicile: Rotkreuz???