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Stalevo 50 and Tetrabenazine

Determining the interaction of Stalevo 50 and Tetrabenazine and the possibility of their joint administration.

Check result:
Stalevo 50 <> Tetrabenazine
Relevance: 04.12.2022 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:

Ask your doctor before using tetrabenazine together with levodopa. Tetrabenazine can reduce the effects of levodopa in treating Parkinson's disease. If your doctor prescribes these medications together, you may need a dose adjustment or special tests to safely take 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:

GENERALLY AVOID: Tetrabenazine can cause or exacerbate Parkinsonian symptoms and attenuate the pharmacologic effects of levodopa. The mechanism is reversible binding of human vesicular monoamine transporter type 2 (VMAT2) by tetrabenazine, which leads to depletion of monoamine in the central nervous system including dopamine.

MANAGEMENT: Concomitant use of tetrabenazine and levodopa should be avoided if possible. Tetrabenazine is not indicated for the treatment of levodopa-induced dyskinetic or choreiform movements, which should instead be treated by reducing the dosage of levodopa.

References
  • "Product Information. Nitoman (tetrabenazine)." Cambridge Laboratories Ltd, Wallsend, Tyne & Wear, .
  • "Product Information. Xenazine (tetrabenazine)." Prestwick Pharmaceuticals Inc, Washington DC, VA.
Stalevo 50

Generic Name: carbidopa / entacapone / levodopa

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

Synonyms: n.a.

Tetrabenazine

Generic Name: tetrabenazine

Brand name: Xenazine

Synonyms: n.a.

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.

Interaction with food and lifestyle
Disease interaction