🩺 ANTI-PARKINSON DRUGS 🏷️ Dopa decarboxylase inhibitor/Dopamine precursor
👨‍⚕️ Clinically Reviewed by: PakistaniBano Medical Editorial Board (Pharm.D Panel)
📅 Reviewed: November 2026 • 🔍 Authority: DRAP / WHO ATC
📦 Formulations, Pack Sizes & Retail Prices Currency: Rs.
Dosage Form Reg. No Pack Size Trade Price (TP) Maximum Retail Price (MRP)
Tab 50/12.5/200 mg — 1 X 10 Rs.255.00 Rs.300.00
Tab 100/25/200 mg — 14 Rs.392.70 Rs.462.00
Tab 150/37.5/200 mg — 2 X 7 Rs.476.00 Rs.560.00

📋 Indications & Clinical Dosage

*Parkinsons disease and end-of-dose motor fluctuations not adequately controlled with levodopa and dopadecarboxylase inhibitor treatment:* Adult: 1 tablet for each dose; max. 10 tablets per day or max. 7 tablets per day in case of Tab 200mg/50mg/200.

⛔ Contraindications

Severe psychosis, narrow angle glauco---_ma, history of malignant melanoma, history of neuroleptic malignant syndrome, history of non-traumatic rhabdomyolysis, phaeochromocytoma

⚠️ Precautions & Warnings

Hepatic and renal impairment, history of convulsions, history of myocardial infarction with residual arrhythmia, Cushings syndrome, diabetes mellitus, endocrine disorders, history of peptic ulcer ,hyperthyroidism, osteomalacia, phaeochromocytoma, psychiatric illness, severe cardiovascular disease, severe pulmonary disease, susceptibility to angle-closure glaucoma. Monitor blood values, hepatic, renal and cardiovascular function.

🔄 Drug Interactions

Drugs affecting central amines. MAOls, oral iron, drugs that cause hypotention, antihypertensives and sympathomimetics, ferrous sulphate.

⚠️ Adverse Reactions / Side Effects

Anorexia, anxiety, ataxia, arrhythmias, abnormal dreams, chorea, confusion, dementia, depression, dizziness, drowsiness, dry mouth, dyskinesia, dystonia, euphoria, fatigue, insomnia, nausea, palpitations, postural hypotension, psychosis, syncope, vomiting, chest pain, constipation, diarrhoea, dysphagia, flatulence, hand tremor, hoarseness, hypersalivation, hypertension, malaise, muscle cramps, oedema, reddish discoloration of the urine and other body fluids, weakness, weight changes, abdominal pain, hallucinations, insomnia. Rare: Myocardial infarction, ischaemic heart disease

🤰 Pregnancy & Lactation Safety

Pregnancy Risk:
Use with caution; risk of toxicity
Lactation / Breastfeeding:
Contraindicated

📚 Official Regulatory & Clinical References

  • Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
  • World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
  • Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.

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