Before taking co-beneldopa

Before taking co-beneldopa make sure your doctor or pharmacist knows:

• If you are pregnant, trying for a baby or breast-feeding.
• If you suffer from lung or breathing problems.
• If you suffer from glaucoma (increased eye pressure), diabetes, or osteomalacia (weakening of the bones).
• If you suffer from hyperthyroidism (overactive thyroid gland), Cushing's syndrome (high levels of cortisol) or phaeochromocytoma (a growth on the adrenal glands).
• If you have ever had convulsions.
• If you have liver or kidney problems.
• If you have ever had a stomach ulcer.
• If you suffer from heart or blood vessel problems.
• If you have ever suffered from a melanoma (skin cancer).
• If you have ever had a severe mental health illness.
• If you are taking other medicines, including those available to buy without a prescription, herbal or complementary medicines.
• If you have ever had an allergic reaction to this or any other medicine.

How to take co-beneldopa

• Before beginning treatment, read the manufacturer's printed information leaflet.
• Take your medication exactly as directed by your doctor.
• Try to take co-beneldopa at the same times each day to avoid missing any doses. If you do miss a dose, just take the next dose when it is due. Do not take a double-dose to make up for a missed dose.
• Co-beneldopa capsules (Madopar®): Take with or after food to lessen the chance of stomach upset .
• Co-beneldopa controlled release capsules (Madopar CR®): Swallow whole (not crushed or chewed) with a glass of water. Take them with or straight after a meal. Also, do not take indigestion remedies at the same time of day as this preparation. Take them at least one hour before or one hour after a dose of controlled release co-beneldopa.
• Co-beneldopa dispersible tablets: Swallow whole or dispersed in water or fruit squash (but not pure fruit juice) with or after food.

Getting the most from your treatment

• You may have to take co-beneldopa for several weeks or months before you feel the full benefit.
• As your condition improves and your body movements become easier, be careful not to overdo physical activities. Physical activities must be increased gradually to allow your body to adjust to changing balance, circulation and co-ordination. This is especially important if you are elderly.
• Keep your regular appointments with your doctor so your progress can be checked. During the first few weeks of treatment your dose may require adjusting to suit your individual needs. Your doctor may also want you to have liver, kidney, heart and blood tests whilst you are taking co-beneldopa.
• Do not stop taking co-beneldopa without speaking to your doctor first.
• If you are diabetic, you may need to monitor your blood glucose levels more frequently. Your doctor will be able to advise you about this.
• Co-beneldopa may cause a reddish discolouration of urine and other body fluids. This is completely harmless and is no cause for concern.
• In Parkinson's disease there is a small increased chance of skin problems developing, so your doctor may arrange for you to see a skin specialist from time to time. If you notice any unusual patches of skin, let your doctor know.
• If you buy any medicines, check with a pharmacist that they are safe to take with co-beneldopa.

Can co-beneldopa cause problems?

Along with their useful effects all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side effects continue or become troublesome.

How to store co-beneldopa

• Keep all medicines out of the reach of children.
• Store in a cool, dry place, away from direct heat and light.

Important information about all medicines