What is Carbidopa-Levodopa ER? Uses, warnings & side effects

Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.

This medicine will take longer to work if you take it with a high-fat or high-protein meal. Ask your doctor or pharmacist if you should take it 1 or 2 hours before a meal.

Disintegrating tablet: Make sure your hands are dry before you handle the tablet. Do not remove the tablet from the bottle until you are ready to take it. Place the tablet on top of your tongue, where it will melt quickly.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

If you cannot swallow the extended-release capsule, you may open it and pour the medicine into a small amount of soft food such as pudding, yogurt, or applesauce. Stir this mixture well and swallow it without chewing.

Extended-release capsule or sustained-release tablet: Swallow the capsule or tablet whole. Do not crush, break, or chew it.

Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.

This medicine is not right for everyone. Do not use it if you had an allergic reaction to carbidopa or levodopa, or if you have narrow-angle glaucoma, skin lesions, or a history of skin cancer.

Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.

Keep all medicine out of the reach of children. Never share your medicine with anyone.

Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.

Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.

This medicine might cause your saliva, sweat, or urine to become dark red, brown, or black. This is nothing to worry about, but it could stain your clothes.

If you are already taking levodopa, stop taking it at least 12 hours before starting treatment with carbidopa/levodopa combination.

This medicine may make you dizzy or drowsy, or even cause you to fall asleep without warning. This could happen while you are driving, eating, or talking. Tell your doctor right away if this happens. Do not drive or do anything that could be dangerous until you know how this medicine affects you.

This medicine may cause the following problems:

• Dyskinesia (trouble controlling movements)

• An increased risk for skin cancer

• Unusual changes in thoughts or behavior, such as the urge to gamble or an increased sex drive

Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, endocrine problems, lung or breathing problems (such as asthma), a sleep disorder, heart or blood vessel problems, heart rhythm problems, or a history of heart attack. Tell your doctor if you have wide-angle glaucoma, phenylketonuria (PKU), or a history of stomach ulcer or mental illness.

Tell your doctor if you use anything else that makes you sleepy. Some examples are allergy medicine, narcotic pain medicine, and alcohol.

Tell your doctor if you are using any mineral supplements or multivitamins with iron.

Do not use this medicine if you have used an MAO inhibitor (MAOI) within the past 14 days.

Some foods and medicines can affect how carbidopa/levodopa works. Tell your doctor if you are using any of the following:

• Isoniazid, metoclopramide, papaverine, phenytoin, reserpine, risperidone, tetrabenazine

• A phenothiazine medicine (such as chlorpromazine, perphenazine, promethazine, prochlorperazine, thioridazine)

• Blood pressure medicine

• Medicine to treat depression or mental illness