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Co-beneldopa
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About co-beneldopa
| Type of medicine | Dopaminergic drug |
| Used for | Parkinson's disease |
| Also called | Madopar® Madopar CR® |
| Available as | Capsules Dispersible tablets Modified release capsules (co-beneldopa is released slowly over the day to give an even effect) |
About co-beneldopa
Co-beneldopa contains two ingredients, benserazide hydrochloride and levodopa. It is used to relieve the symptoms of Parkinson's disease. The way in which Parkinson's disease affects the brain to produce symptoms is not yet fully understood. A link between a reduction in the amount of a natural chemical in the brain known as dopamine has been found. The lack of dopamine causes the symptoms of Parkinsonism such as loss of muscle control, stiffness and tremor.
Levodopa is converted into dopamine, increasing the level in the brain.
Benserazide prevents levodopa being broken down in the body before it has had time to work; so that more levodopa gets into the brain to be converted into dopamine. The increased level of dopamine in the brain relieves the symptoms of Parkinson's disease.
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.
| Common side-effects - these affect less than 1 in 10 people who take this medicine | What can I do if I experience this |
| Feeling or being sick | Eat little and often. Stick to simple foods such as dry toast. Drink plenty of liquid to replace any lost fluids |
| Dizziness, faintness | Getting up slowly should help. If you begin to feel dizzy, lie down so that you do not faint, then sit for a few moments before standing |
| Drowsiness | Make sure you know how you react to this medicine before driving, operating machinery, or doing any other jobs which could be dangerous if you were not fully alert |
| Headache | Ask your pharmacist to recommend a suitable pain killer |
| Loss of appetite, diarrhoea, difficulty sleeping, agitation, a fast or fluttering heartbeat, uncontrollable movements of the body, mood changes, hearing or seeing things that are not real, flushing, sweating, tingling in the fingers or toes, and black or bloody stools | Speak with your doctor |
Important: Speak to your doctor if you notice any changes in your behaviour such as an increased desire to gamble or an increased sex drive.
If you experience any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist.
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
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References
- Manufacturer's PIL, Madopar®, Roche Products Limited, electronic medicines Compendium. Revised June 2007, accessed 18 March 2008.
- Manufacturer's PIL, Madopar CR®, Roche Products Limited, electronic medicines Compendium. Revised June 2007, accessed 18 March 2008.
- Manufacturer's PIL, Madopar® dispersible, Roche Products Limited, electronic medicines Compendium. Revised June 2007, accessed 18 March 2008.
- British National Formulary; 54th Edition (September 2007) British Medical Association and Royal Pharmaceutical Society of Great Britain, London (link to current BNF).
The authors and editors of this article are employed to create accurate and up to date content reflecting reliable research evidence, guidance and best clinical practice. They are free from any commercial conflicts of interest. Find out more about updating.
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