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Stalevo 125 and Trihexyphenidyl Tablets

Determining the interaction of Stalevo 125 and Trihexyphenidyl Tablets and the possibility of their joint administration.

Check result:
Stalevo 125 <> Trihexyphenidyl Tablets
Relevance: 02.02.2023 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Using levodopa together with trihexyphenidyl may decrease the effects of levodopa. Contact your doctor if you experience an increase in involuntary body movements or if your condition changes. If your doctor does prescribe these medications together, you may need a dose adjustment or special test to safely use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

ADJUST DOSE: Concomitant administration of trihexyphenidyl and levodopa may increase involuntary movements. The anticholinergic agent delays gastric emptying, thereby increasing gastrointestinal deactivation of levodopa and decreasing its absorption. In one study, levodopa peak serum concentrations were reduced by 16% to 20%.

MANAGEMENT: The dosage of both drugs may require reduction. The manufacturer recommends total daily trihexyphenidyl doses of 3 to 6 mg when given concurrently with levodopa. Patients should be monitored for symptom control and side effects.

References
  • Rivera-Calimlim L, Dujovne CA, Morgan JP, Lasagna L, Bianchine JR "Absorption and metabolism of L-dopa by the human stomach." Eur J Clin Invest 1 (1971): 313-20
  • Algeri S, Cerletti C, Curcio M, et al. "Effect of anticholinergic drugs on gastro-intestinal absorption of L-dopa in rats and man." Eur J Pharmacol 35 (1976): 293-9
  • "Product Information. Artane (trihexyphenidyl)." Lederle Laboratories, Wayne, NJ.
Stalevo 125

Generic Name: carbidopa / entacapone / levodopa

Brand name: Stalevo 100, Stalevo 125, Stalevo 150, Stalevo 200, Stalevo 50, Stalevo 75, Stalevo

Synonyms: n.a.

Trihexyphenidyl Tablets

Generic Name: trihexyphenidyl

Brand name: Artane, Trihexane

Synonyms: Trihexyphenidyl

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

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