GNH USA

Europe — EMA

Madopar

GNH USA supplies Madopar (Levodopa/Benserazide), a dopamine precursor/dopa decarboxylase inhibitor for Parkinson's disease and Parkinsonian syndrome.

Benserazide Hydrochloride, Levodopa

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What is Benserazide Hydrochloride, Levodopa?

Levodopa/Benserazide, the active ingredient in Madopar, is a dopamine precursor / dopa decarboxylase inhibitor combination presented as a tablet for oral use. It treats Parkinson's disease and Parkinsonian syndromes in adults.

GNH USA supplies Madopar as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

What is Benserazide Hydrochloride, Levodopa used for?

Madopar is an oral ant Parkinsonian agent that acts on the dopaminergic pathway to improve motor function.

- Parkinson's disease: reduces tremor, rigidity, bradykinesia and improves overall motor performance. - Parkinsonian syndrome: alleviates motor symptoms caused by secondary Parkinsonism. - Levodopa‑responsive Parkinsonism: provides symptomatic relief when levodopa alone is insufficient.

What are the side effects of Benserazide Hydrochloride, Levodopa?

Madopar may cause a range of adverse reactions, from mild to severe.

Common Side Effects: - Nausea - Vomiting - Orthostatic hypotension - Dizziness - Headache - Insomnia

Serious or Rare Side Effects: - Dyskinesia (involuntary movements) - Hallucinations or psychosis - Severe hypotension or arrhythmia - Neuroleptic malignant syndrome - Severe allergic reactions (rash, angioedema) - Sudden onset of mood swings or depression

What precautions apply to Benserazide Hydrochloride, Levodopa?

When prescribing Madopar, clinicians should consider several safety measures.

- Dose titration: increase dose gradually under medical supervision to minimise side effects. - Renal impairment: monitor kidney function and adjust dosing if needed. - Cardiovascular disease: use caution due to risk of orthostatic hypotension. - Psychiatric history: monitor for hallucinations, confusion or mood changes. - Concomitant MAO‑B inhibitors: avoid unless specifically directed by a physician. - Store at ambient temperature: keep in the original container, protect from moisture and light.

What does Benserazide Hydrochloride, Levodopa interact with?

Madopar interacts with several drug classes; awareness helps prevent adverse events.

Major Interactions (Avoid): - Non‑selective MAO inhibitors: may trigger hypertensive crisis. - Antipsychotics (e.g., haloperidol): can diminish levodopa efficacy. - Strong antihypertensive agents: may cause severe hypotension.

Moderate Interactions (Monitor Closely): - Selective MAO‑B inhibitors: can increase levodopa plasma levels. - Iron or calcium supplements: reduce levodopa absorption; separate dosing by at least 2 hours. - High‑protein meals: may compete with levodopa transport across the gut, affecting absorption.

Frequently asked questions

What is Madopar used for?+
Madopar is prescribed to manage the motor symptoms of Parkinson's disease and related Parkinsonian syndromes. By increasing dopamine levels in the brain, it helps reduce tremor, stiffness, slowness of movement and improves overall functional ability in patients with these neurodegenerative conditions.
How does levodopa/benserazide work?+
Levodopa is a precursor that crosses the blood‑brain barrier and is converted into dopamine, the neurotransmitter deficient in Parkinson's disease. Benserazide inhibits the enzyme that converts levodopa to dopamine outside the brain, ensuring more levodopa reaches the central nervous system where it can be transformed into dopamine.
What is the usual dose of Madopar?+
The appropriate dose of Madopar is individualized. A qualified prescriber determines the starting amount and any subsequent adjustments based on the patient’s clinical response, age, disease severity and concomitant therapies. Patients should follow the prescribing physician’s instructions and not alter the dose on their own.
Is Madopar safe in pregnancy or breastfeeding?+
Safety data for Madopar during pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant. Healthcare providers typically advise discontinuation or careful monitoring if treatment is considered during these periods.
How do I order Madopar from GNH USA?+
To request Madopar, submit an enquiry on the product page at gnh-usa.com indicating the required quantity. GNH USA works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.
How does Madopar compare with other Parkinson’s medications?+
Madopar combines levodopa with benserazide, offering higher central availability of levodopa compared with levodopa alone. This can lead to more consistent symptom control and potentially lower doses. Compared with dopamine agonists, Madopar provides a more direct dopamine replacement but may have a higher risk of motor complications such as dyskinesia.
How should Madopar be stored and handled?+
Madopar tablets should be stored at ambient temperature, below 25 °C, in their original packaging to protect from moisture and light. Keep the container tightly closed and out of reach of children. Do not store in bathrooms or near heat sources.
How is Madopar administered?+
Madopar is taken orally with a full glass of water. It can be taken with or without food, but high‑protein meals may interfere with absorption, so spacing the dose away from such meals is often recommended. Tablets should be swallowed whole; they are not intended for crushing or chewing.
What are the most serious risks to watch for while taking Madopar?+
Serious risks include the development of dyskinesia (involuntary movements), severe hypotension, cardiac arrhythmias, and psychiatric effects such as hallucinations or severe mood changes. Patients should seek immediate medical attention if they experience sudden confusion, severe dizziness, uncontrolled movements, or signs of an allergic reaction.
Who should not use Madopar?+
Madopar is contraindicated in individuals with known hypersensitivity to levodopa, benserazide or any excipients, as well as patients taking non‑selective MAO inhibitors. Caution is advised for those with narrow‑angle glaucoma, severe cardiovascular disease, or a history of malignant neuroleptic syndrome. A healthcare professional must evaluate suitability before prescribing.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.

Product details

Drug
Benserazide Hydrochloride, Levodopa
Route
Oral Use
Manufacturer
Roche Farmacêutica Química, Lda.
Origin
EU

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