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Doctor insights on: Comtan Dosage

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Can rhodiola interact with sinemet (carbidopa and levodopa)?

Probably not bad: I had to look up rhodiola as that was one i had never heard of. There are no reasons, at least theoretically, that the two should be a problem. I did a literature search and there are no articles in the medical literature looking at rhodiola and sinemet (carbidopa and levodopa). There are some laboratory papers that suggest rhodiola should be helpful in pd, but i could not find any clinical studies in people. ...Read more

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What is the maximum dosage per day for Sinemet (carbidopa and levodopa) tablets?

What is the maximum dosage per day for Sinemet (carbidopa and levodopa) tablets?

Variable, but: In my experience, the maximum Sinemet (carbidopa and levodopa) dosing is the 25/250 tab four times daily, and if this seems to wear off, one can add Comtan (entacapone). Problem with going too high with L-DOPA is incidence of dyskinesias. ...Read more

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Does seroquel or escitalipram interfere with stalevo (carbidopa and levodopa and entacapone) and/or requip?

Does seroquel or escitalipram interfere with stalevo (carbidopa and levodopa and entacapone) and/or requip?

Parkinson's psych meds: Main risks are ekg changes with Lexapro (escitalopram) and seroquel that should be monitored, and an increased risk of lowered blood pressure upon standing with the seroquel and requip. Best wishes. ...Read more

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How safe is the parkinson tablet sinemet (carbidopa and levodopa)?

How safe is the parkinson tablet sinemet (carbidopa and levodopa)?

Very safe: This medicine has been out for forty years and has been a miracle drug for pd patients. There are potential issues for people who have been on it for a long time or at high doses (ie fluctuations, dyskinesias), but nearly every pd patient who goes on it feels better. It will not damage your liver, kidneys or any other organ. Because of the above issues, it may not be the first med used in pd. ...Read more

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How effective is this medicine for treating Parkinson's disease: sinemet (carbidopa and levodopa) (carbidopa-levodopa)?

Probably the best: This medication has never been supplanted, and is still the standard to treat the Parkinsonian issue with dopamine depletion. ...Read more

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Taking Stalevo (carbidopa and levodopa and entacapone) 125X6, Requip 6mg X2. What sinus medicine can I take?

Taking Stalevo (carbidopa and levodopa and entacapone) 125X6, Requip 6mg X2. What sinus medicine can I take?

Hard to know: Are you referring to prescription medication or over the counter formulations? Do you have a specific one in mind? You can also ask your local pharmacist and they should be able to help you answer this question. ...Read more

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Please describe the medication: sinemet (carbidopa and levodopa)?

Please describe the medication: sinemet (carbidopa and levodopa)?

Carbidopa/levodopa: Sinemet (carbidopa and levodopa) is a combination drug that contains Carbidopa and levodopa. It is most commonly prescribed for parkinson's disease but may also be prescribed for other conditions including restless legs syndrome. ...Read more

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Milligrams for 6 hour sinemet (carbidopa and levodopa)? What is the dosage for this medication?

Milligrams for 6 hour sinemet (carbidopa and levodopa)? What is the dosage for this medication?

Dosages : Dosages are adjusted for the specific needs of each patient - there is no standard dose for any specific time period. Sinemet (carbidopa and levodopa) comes in carbadopa-levodopa doses of 10-100, 25-250, and 25-100. These can be combined and given at various times throughout the day to best relieve the symptoms of parkinson's disease. If you are not sure of your dose or the dose of someone you are caring for, you need to call the doctor that prescribed the medication to clarify. Good luck! ...Read more

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Daily dosage for bupropionhcl?

Daily dosage for bupropionhcl?

Varies by response: Bupropion comes in several verstions--immediate release, twoce daily dosage form, and once-daily doseage form. Typical ranges are 200 to 450 mg a day. 450 mg is the maximum recommended doses because there is an increased risk of seizures above that dose. As with all antidepressants, the dose any individual needs varies and depends on condition being treated and side effects. ...Read more

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Is taking Lexapro (escitalopram) 5mg and methadone 5mg daily safe?

Is taking Lexapro (escitalopram) 5mg and methadone 5mg daily safe?

Very safe: there is no interactions, however, with methadone it is always recommended to ask your physician for any medication intake even if the medication is OTC or vitamin. ...Read more

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What is the recommended taper schedule when discontinuing sinemet (carbidopa and levodopa)?

Slowly: Depends on dosing/schedule, but its very important to taper very slowly. It would be best to call your prescribing doctor and have them give you a clear tapering schedule. ...Read more

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Is dosage of Zoloft (sertraline) equivalent to dosage of prozac?

Is dosage of Zoloft (sertraline) equivalent to dosage of prozac?

No: There is not a 1:1 relationship between doses of zoloft (sertraline) and prozac. Zoloft (sertraline) doses range from 25 to 200mg whereas Prozac ranges from 10mg to 80mg. ...Read more

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High sinemet (carbidopa and levodopa) doses without Parkinson's how do I get off sinemet (carbidopa and levodopa). No doctor at present.?

High sinemet (carbidopa and levodopa) doses without Parkinson's how do I get off sinemet (carbidopa and levodopa). No doctor at present.?

That depends: upon the reason that you are taking Sinemet, (carbidopa and levodopa) the dose you are taking, and the duration that you have been taking it. Discontinuing medication is usually safer and better tolerated if it is done in a slow stepwise manner. That is my slowly reducing the dosage. ...Read more

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Is generic sinemet (carbidopa and levodopa) cr is not effective as the branded version?

Is generic sinemet (carbidopa and levodopa) cr is not effective as the branded version?

It depends: Because of cost considerations its worth trying it for a while. Watch for peak dose dyskinesis and dose failures or wearing off. ...Read more

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How do you wean off sinemet (carbidopa and levodopa)?

Slow taper: If sinemet (carbidopa and levodopa) needs to be stopped, depending on the amount and indication for the medication, the most desire able way is to taper the medication. Parkinson's patients can have severe side effects if sinemet (carbidopa and levodopa) is abruptly stopped. ...Read more

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Is Prozac (fluoxetine) safe to take with Parkinson's medication such sinemet?

Is Prozac (fluoxetine) safe to take with Parkinson's medication such sinemet?

Usually, yes: Generally you can take Prozac (fluoxetine) with sinemet. You need ongoing follow-up though, since either can cause changes in behavior and mental status. ...Read more

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Dr. Alan Ali Dr. Ali
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Depression. She is taking abilify, (aripiprazole) ziac, effexor, lamictal, congentin (sp?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
Depression. She is taking abilify, (aripiprazole) ziac, effexor, lamictal, congentin (sp?

Abilify (aripiprazole): Not uncommon combination for mood disorders, hope u r doing well on that, however, not sure what your question is? ...Read more

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What is the maximum anafranil (clomipramine) dosage for OCD resistant patients?

What is the maximum anafranil (clomipramine) dosage for OCD resistant patients?

250mg/day: Maximum recommended daily dose is 250mg, but some psychiatrist may push a bit further. If at 250mg/day and symptoms not controlled, pushing higher dose is not likely to benefit. Adding other medication, change of meds, or combining with cognitive/behavioral therapy probably is a better way to go then pushing too much of one drug--just my humble opinion. Consult your doc. Best of luck to you. ...Read more