Amantadine and Entacapone interaction

Amantadine and Entacapone: the Entacapone prescribing label describes an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Entacapone label · effective 2019-03-14

Moderate

…Metabolized By Catechol-O-Methyltransferase (COMT) When a single 400 mg dose of entacapone was given with intravenous isoprenaline (isoproterenol) and epinephrine without coadministered levodopa and dopa decarboxylase inhibitor, the overall mean maximal changes in heart rate during infusion were about 50% and 80% higher than with placebo, for isoprenaline and epinephrine,…

Warningsby drug classView label on DailyMed
Moderate

Falling Asleep During Activities of Daily Living and Somnolence Patients with Parkinson’s disease treated with Entacapone Tablets, which increases plasma levodopa levels, or with levodopa have reported suddenly falling asleep without prior warning of sleepiness while engaged in activities of daily living (including the operation of motor vehicles).

Warningsby drug classView label on DailyMed
Moderate

Hormone Levels Levodopa is known to depress prolactin secretion and increase growth hormone levels.

Precautionsby drug classView label on DailyMed
Minor

Treatment with entacapone coadministered with levodopa and dopa decarboxylase inhibitor does not change these effects.

Precautionsby drug classView label on DailyMed
Minor

More than 600 patients with Parkinson’s disease in clinical studies have used selegiline in combination with entacapone and levodopa and dopa decarboxylase inhibitor.

Precautionsby drug classView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.