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Syncapone 50 Tablet

Manufactured bySun Pharma Laboratories Ltd.
ContainsEntacapone (200 mg) + Levodopa (50 mg) + Carbidopa (12.5 mg)
Description

Syncapone 50 Tablet is a combination medicine used to treat the symptoms of Parkinson's disease. These symptoms may include muscle stiffness, tremors, muscle spasms, poor muscle control, slowness of movement, etc. It may also be used to replace therapy with other medicines (carbidopa and levodopa combinations) if the patient is experiencing wearing-off symptoms. This medicine is not recommended for use in patients less than 18 years of age.

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Side effects

Major & minor side effects for Syncapone 50 Tablet

  • Uncontrolled body movements
  • Nausea
  • Muscle pain
  • Diarrhea
  • Fainting
  • Stomach pain
  • Dry mouth
  • Tiredness
  • Shortness of breath
  • Headache
  • Itching
  • Difficult or painful urination

Uses of Syncapone 50 Tablet

What is it prescribed for?

  • Parkinson's Disease
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The effect of this medicine can be observed within 1 hour of administration of the dose.
  • How long do the effects of this medicine last?
    The amount of time for which this medicine remains active in the body is not clinically established.
  • Is it safe to consume alcohol while taking this medicine?
    Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of severe adverse effects. These side effects may include confusion, dizziness, nausea, vomiting, weakness, fainting, etc. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you consume alcohol while taking this medicine.
  • Is this a habit forming medicine?
    No habit-forming tendencies were reported.
  • Can this medicine be taken during pregnancy?
    This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
  • Can this medicine be taken while breast-feeding?
    This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may advise you to discontinue breastfeeding or to discontinue the drug based on your clinical condition.

Allergy

This medicine is not recommended for use in patients with a known allergy to levodopa, carbidopa, entacapone, or any other inactive ingredients present in the formulation.

Narrow angle glaucoma

This medicine is not recommended for use in patients with a known history of narrow-angle glaucoma due to the increased risk of worsening of the patient's condition.

Nonselective monoamine oxidase inhibitors (MAOIs)

This medicine is not recommended for use in patients undergoing therapy with non-selective monoamine oxidase inhibitors (MAOIs) or patients who have taken these medicines in the past 14 days due to the increased risk of severe drug-drug interactions. It is advised that patients should inform the doctor about all their current medicines, including any herbs and supplements, before beginning therapy with this medicine.
Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may advise you to discontinue breastfeeding or to discontinue the drug based on your clinical condition.
General warnings

Driving or Operating Machinery

This medicine should be used with caution due to the increased risk of side effects such as dizziness, fainting, drowsiness, etc. This may cause you to fall asleep during your day-to-day activities. Hence, it is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery while taking this medicine.

Use in Pediatrics

This medicine is not recommended for use in patients less than 18 years of age since the safety and efficacy of use are not clinically established.

Liver Diseases

This medicine should be used with caution in patients suffering from liver diseases due to the increased risk of severe adverse effects. Close monitoring of liver function tests, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.

Low blood pressure

This medicine should be used with extreme caution in patients suffering from hypotension (low blood pressure) or patients receiving antihypertensive medications (high blood pressure medicines) due to the increased risk of a very low blood pressure. Regular monitoring of blood pressure levels is recommended for such patients. Report any symptoms such as lightheadedness, fainting, dizziness, etc. to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.

Hallucinations

This medicine should be used with caution due to an increased risk of severe side effects such as hallucinations, psychotic episodes, and confusion. The risk is especially higher in the elderly patients. Close monitoring of patients for any changes in mood and behavior is recommended during treatment with this medicine. Any unusual symptoms should be reported to the doctor on priority. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery while taking this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be necessary in some cases based on the clinical condition.

Compulsive Behaviors

This medicine should be used with caution due to the increased risk of impulsive or compulsive behaviors. These may include an intense urge to gamble, binge eat, or spend money. Close monitoring of patients for any change in behavior and mood is recommended during treatment with this medicine. Any unusual symptoms should be reported to the doctor on priority. Replacement with a suitable alternative may be necessary based on the clinical condition of the patient.

Kidney Diseases

This medicine should be used with caution in patients suffering from kidney diseases due to the increased risk of severe adverse effects. Close monitoring of kidney function tests, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.

Missed Dose

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of severe adverse effects. These side effects may include confusion, dizziness, nausea, vomiting, weakness, fainting, etc. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you consume alcohol while taking this medicine.
Interaction with Medicine

Amitriptyline

Nitrofurantoin

Amiodarone

Captopril

5-Hydroxytryptophan

Alprazolam

Atorvastatin

Furosemide

Amoxapine

Linezolid

Droxidopa

Disease interactions

Depression

This medicine should be used with extreme caution in patients with a known history of depression due to the increased risk of worsening of the patient's condition. Close monitoring of patients for any changes in behavior or mood may be necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Psychosis

This medicine is not recommended for use in patients with a known history of psychotic disorders due to the increased risk of worsening of the patient's condition. Close monitoring of patients for any changes in behavior or mood may be necessary based on the clinical condition. Replacement with a suitable alternative may be required in some cases.

Glaucoma

This medicine is not recommended for use in patients with a known history of narrow-angle glaucoma due to the increased risk of worsening of the patient's condition. Replacement with a suitable alternative should be considered under your doctor's supervision.

Cardiovascular disease

This medicine should be used with caution in patients with a known history of cardiovascular diseases due to the increased risk of worsening of the patient's condition. Close monitoring of heart function and vital signs is recommended for these patients. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.

Neuroleptic Malignant Syndrome (NMS)

This medicine is not recommended for use in patients with a history of Neuroleptic Malignant Syndrome due to the increased risk of severe side effects. These side effects may include altered mental status, a very high body temperature, irregular pulse or blood pressure, etc. Close monitoring of the patients for any unusual symptoms is necessary. Replacement with a suitable alternative may be done based on the clinical condition of the patient.
Food interactions
Information not available.
Lab interactions
Information not available.
Take this medicine with or without food, as advised by your doctor. Do not take in larger or smaller amounts than advised/prescribed. Consult the doctor if you experience any undesirable side effects. Ensure that the course of treatment is completed. Do not stop the use of this medicine without consulting your doctor.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works
Levodopa gets converted into dopamine in the brain and relieves the symptoms of Parkinson's disease. Carbidopa prevents the breakdown of levodopa in the bloodstream and the stomach. Entacapone helps in increasing and maintaining the effects of levodopa. Thus, the combination is better effective for treating the symptoms of Parkinson's disease.
Legal Status

Approved

Approved

Unknown

Approved

Classification

Category

Dopaminergic Antiparkinsonism agents

Schedule

Schedule H

[Internet]. Accessdata.fda.gov. 2018 [cited 9 August 2018]. Available from:

https://www.accessdata.fda.gov/drugsatfda_docs/label/2010/021485s20lbl.pdf

[Internet]. Ogyei.gov.hu. 2018 [cited 9 August 2018]. Available from:

https://www.ogyei.gov.hu/kiseroirat/ph/ph_0000106136.pdf

[Internet]. Mhra.gov.uk. 2018 [cited 9 August 2018]. Available from:

http://www.mhra.gov.uk/home/groups/par/documents/websiteresources/con732352.pdf

[Internet]. Mhra.gov.uk. 2018 [cited 9 August 2018]. Available from:

http://www.mhra.gov.uk/home/groups/spcpil/documents/spcpil/con1472190736820.pdf

[Internet]. Db.cbg-meb.nl. 2018 [cited 9 August 2018]. Available from:

https://db.cbg-meb.nl/Bijsluiters/h116842_piluk.pdf

DailyMed - Carbidopa, levodopa and entacapone tablet, film coated [Internet]. Dailymed.nlm.nih.gov. 2018 [cited 9 August 2018]. Available from:

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=967bd870-7517-43bc-90eb-05e831d688ae
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Information on this page was last updated on 3 Oct 2018

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