Stalevo 100 (Oral)
Generic Name: carbidopa, entacapone, and levodopa (Oral route)
lee-voe-DOE-pa, kar-bi-DOE-pa, en-TAK-a-pone
Medically reviewed by Drugs.com. Last updated on May 4, 2019.
Commonly used brand name(s)
In the U.S.
- Stalevo 100
- Stalevo 125
- Stalevo 150
- Stalevo 200
- Stalevo 50
- Stalevo 75
Available Dosage Forms:
Therapeutic Class: Antiparkinsonian
Pharmacologic Class: Dopamine Precursor
Uses for Stalevo 100
Carbidopa, entacapone, and levodopa combination is used to treat Parkinson's disease, sometimes called shaking palsy. Parkinson's disease is a disorder of the central nervous system (brain and spinal cord).
Dopamine is a naturally occurring substance in the brain that helps provide control of movement and activities such as walking and talking. In patients with Parkinson's disease, there is not enough dopamine in some parts of the brain. Levodopa (a component of this medicine) enters the brain and helps replace the missing dopamine, which allows people to function better. By increasing the amount of dopamine in the brain, levodopa helps control symptoms and helps you to perform daily activities such as dressing, walking, and handling utensils.
This medicine is a combination of three different medicines. This medicine is known as a levodopa therapy. The difference between this medicine and other levodopa treatments is that this medicine contains entacapone. Entacapone helps levodopa last longer by blocking a substance called COMT enzyme. This enzyme breaks down levodopa before it reaches the brain. When less levodopa is broken down, more is available to the brain. Increased availability of levodopa may lead to smoother and steadier levels of dopamine in the brain, which may provide better symptom control for longer periods each day. This may lead to improvement in daily activities.
This medicine is available only with your doctor's prescription.
Before using Stalevo 100
Appropriate studies have not been performed on the relationship of age to the effects of carbidopa, entacapone, and levodopa combination in the pediatric population. Safety and efficacy have not been established.
Appropriate studies performed to date in elderly patients up to age 75 years have not demonstrated geriatric-specific problems that would limit the usefulness of carbidopa, entacapone, and levodopa combination in the elderly. However, elderly patients are more likely to have age-related kidney, liver, and cardiovascular insufficiency, which may require extra caution.
|All Trimesters||C||Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.|
Interactions with medicines
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
- Methylene Blue
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Interactions with food/tobacco/alcohol
Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.
- High Protein Food
Other medical problems
- Asthma or
- Biliary obstruction or blockage or
- Colitis (inflammation of the colon) or
- Depression, history of or
- Dyskinesia (abnormal muscle movements) or
- Endocrine or metabolic disease or
- Heart attack, history of or
- Heart or blood vessel disease, severe or
- Heart rhythm problems (eg, ventricular tachycardia) or
- Hypotension (low blood pressure) or
- Kidney disease or
- Liver disease or
- Lung disease, severe or
- Psychosis (mental disorder), or history of or
- Wide-angle glaucoma (eye pressure problem)—Use with caution. May make these conditions worse.
- Melanoma (skin tumor), history of or
- Narrow–angle glaucoma (eye pressure problem) or
- Skin lesions, undiagnosed (rashes that involve changes in color or texture of the skin)—Should not be used in patients with these conditions.
- Peptic ulcer, history of—May increase risk of stomach or bowel hemorrhage.
Proper use of Stalevo 100
This section provides information on the proper use of a number of products that contain carbidopa, entacapone, and levodopa. It may not be specific to Stalevo 100. Please read with care.
Take this medicine exactly as directed, and every time that you are supposed to take it. It is important that you do not stop taking your medicine unless ordered by your doctor. It is also important to not start taking other medicines for your Parkinson's disease without first talking with your doctor.
Swallow the tablet whole. Do not crush, chew, or break it. You may take the tablet with or without food.
Since protein may interfere with the body's response to levodopa, high protein diets should be avoided. Intake of normal amounts of protein should be spaced equally throughout the day, or taken as directed by your doctor.
You may experience a “wearing-off” effect towards the end of the dosing interval. You should tell your doctor if you have problems with this that affect your every day life. Your doctor may want to adjust your dose.
This medicine begins to release its ingredients 30 minutes after you take it.
If you are taking multivitamin tablets or plan to start taking them, discuss this first with your doctor. Iron salts (in vitamins) may keep this medicine from working properly.
- For oral dosage forms (capsules or tablets):
- For Parkinson's disease:
- Adults—The starting dose is usually the same as the current dose you are taking. If you are starting this medicine for the first time, your doctor may want to start you on a carbidopa and levodopa combination with entacapone and gradually switch you over to this combination. Do not use more than 6 to 8 tablets in a 24-hour period.
- Children—Use and dose must be determined by your doctor.
- For Parkinson's disease:
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Ask your healthcare professional how you should dispose of any medicine you do not use.
Precautions while using Stalevo 100
It is very important that your doctor check your progress at regular visits to allow changes in your dose and to check for any unwanted effects.
Do not take this medicine if you have taken a monoamine oxidase (MAO) inhibitor (eg, isocarboxazid [Marplan®], phenelzine [Nardil®] or tranylcypromine [Parnate®]) in the past 2 weeks.
Do not stop taking this medicine without first checking with your doctor. Your doctor may want you to gradually reduce the amount you are taking before stopping completely.
Check with your doctor right away if you are having convulsions (seizures), difficulty with breathing, a fast heartbeat, a high fever, high or low blood pressure, increased sweating, loss of bladder control, severe muscle stiffness, unusually pale skin, or tiredness. These could be symptoms of a serious condition called neuroleptic malignant syndrome (NMS).
This medicine may cause dizziness, drowsiness, trouble in controlling movements, or trouble in concentrating or seeing clearly. It may even cause you to fall asleep without warning while you drive, talk, or eat. Make sure you know how you react to this medicine before you drive, use machines, or do other jobs that require you to be alert, well-coordinated, or able to think or see well.
Dizziness, lightheadedness, or fainting may occur with this medicine, especially when you get up from a lying or sitting position suddenly. These symptoms are more likely to occur when you begin taking this medicine, or when the dose is increased. Getting up slowly may also help. If this problem continues or gets worse, check with your doctor.
This medicine will add to the effects of other CNS depressants (medicines that make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds, sedatives, tranquilizers, or sleeping medications, prescription pain medicine or narcotics, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics. Check with your medical doctor or dentist before taking any of the above while you are taking this medicine.
This medicine may cause diarrhea, and in some cases it can be severe. It can occur months after starting this medicine. Do not take any medicine to treat diarrhea without first checking with your doctor. Diarrhea medicines may make the diarrhea worse or make it last longer. If you have any questions about this or if mild diarrhea continues or gets worse, check with your doctor.
If you develop any unusual or strange thoughts and behavior while receiving this medicine, be sure to discuss it with your doctor. Other changes might be confusion, worsening of depression, visual hallucinations (seeing things that are not there), suicidal thoughts, and unusual excitement, nervousness, or irritability.
Check with your doctor right away if you have dark-colored urine, fever, muscle cramps or spasms, muscle pain or stiffness, or unusual tiredness or weakness. These may be symptoms of a condition called rhabdomyolysis.
Check with your doctor right away if you are having shortness of breath, chest tightness, or any type of breathing problem while being treated with this medicine.
It is important that your doctor check your skin regularly for signs of a skin cancer called melanoma. If you notice any unusual red, brown, or black spots on your skin, talk to your doctor right away.
It is possible that a dark color (red, brown, or black) may appear in saliva, urine, or sweat after taking this medicine. The color may cause some of your garments to become discolored. This is normal and nothing to worry about.
It is possible that you may become nauseous, especially when you are first starting your medicine.
Some people who have used this medicine had unusual changes in their behavior. Talk with your doctor right away if you start having problems with gambling or an increased interest in sex while using this medicine.
Before you have any medical tests, tell the medical doctor in charge that you are taking this medicine. The results of some tests may be affected by this medicine.
Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.
Stalevo 100 side effects
Check with your doctor immediately if any of the following side effects occur:
- Twitching, twisting, or uncontrolled repetitive movements of the tongue, lips, face, arms, or legs
Incidence not known-Carbidopa and Levodopa and/or Levodopa alone
- Bleeding gums
- bloody or black, tarry stools
- bloody or cloudy urine
- change in size, shape, or color of an existing mole
- changes in skin color
- chest pain, discomfort, or tightness
- constricted pupil
- difficult or labored breathing
- difficulty with speaking
- drooping eyelid (ptosis)
- facial dryness
- fast, irregular, or pounding heartbeat
- fever with or without chills
- general feeling of illness
- hallucinations (seeing, hearing, or feeling things that are not there)
- large, flat, blue, or purplish patches in the skin
- large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
- loss of appetite
- loss of bladder control
- lower abdominal or stomach pain
- lower back or side pain
- mole that leaks fluid or bleeds
- muscle cramps or spasms
- muscle pain or stiffness
- muscle trembling, jerking, or stiffness
- painful or difficult urination
- pinpoint red spots on the skin
- raised red swellings on the skin, the buttocks, legs, or ankles
- severe mental changes
- shakiness and unsteady walk
- shuffling walk
- sore throat
- sores, ulcers, or white spots on the lips or in the mouth
- swollen glands
- trembling, or other problems with muscle control or coordination
- unusual bleeding or bruising
- unusual tiredness or weakness
- Absence of or decrease in body movement
- urine discoloration
- Acid or sour stomach
- bitter, sour, or unusual taste in the mouth
- burning feeling in the chest or stomach
- dry mouth
- excess air or gas in the stomach or intestines
- full feeling
- increased sweating
- lack or loss of strength
- passing gas
- sleepiness or unusual drowsiness
- stomach discomfort or upset
- swollen mouth and tongue
- tenderness in the stomach area
- trouble sleeping
- urge to have bowel movement
Incidence not known-Carbidopa and Levodopa and/or Levodopa alone
- Being forgetful
- bladder pain
- blurred vision
- body aches or pain
- burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
- burning and upper abdominal or stomach pain
- burning sensation of the tongue
- clenching, gnashing, or grinding teeth
- confusion about identity, place, and time
- dark saliva
- dark sweat
- decreased mental acuity
- difficulty swallowing
- double vision
- ear congestion
- enlarged pupils
- excessive watering of the mouth
- false or unusual sense of well-being
- feeling like you will pass out
- feeling of warmth
- feeling sad or empty
- hair loss
- hives or welts
- increased blinking
- increased interest in sexual ability, desire, drive, or performance
- increased interest in sexual intercourse
- lack of appetite
- large, hard skin blisters
- leg pain
- loss of voice
- muscle spasm, especially of the neck and back
- nasal congestion
- pain in the chest below the breastbone
- painful or prolonged erection of the penis
- pharyngeal pain
- pounding in the ears
- problems with memory or speech
- redness of the face, neck, arms, and occasionally upper chest
- runny nose
- sense of stimulation
- skin rash
- slow movement
- slow or fast heartbeat
- slow reflexes
- tremor, increased
- trouble concentrating
- trouble recognizing objects
- trouble thinking and planning
- urinary frequency
- urinary retention
- weight gain
- weight loss
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More about Stalevo 100 (carbidopa / entacapone / levodopa)
- Side Effects
- During Pregnancy
- Dosage Information
- Drug Images
- Drug Interactions
- Pricing & Coupons
- En Español
- Generic Availability
- Drug class: dopaminergic antiparkinsonism agents
- FDA Alerts (4)