Carbidopa, levodopa, and entacapone and Papaverine interaction

Carbidopa, levodopa, and entacapone and Papaverine: the Carbidopa, levodopa, and 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 Carbidopa, levodopa, and entacapone (Carbidopa, Levodopa and Entacapone) label · effective 2026-04-08

Moderate

• Dopamine D2 receptor antagonists, isoniazid, phenytoin, papaverine and iron salts: may reduce efficacy of Carbidopa, levodopa and entacapone tablets ( 7.5 , 7.6 , 7.7 , 7.8 , 7.9 ) • Drugs that interfere with biliary excretion, glucuronidation and intestinal beta-glucuronidase: dose adjustment of Carbidopa, levodopa and entacapone tablets may be required (…

Drug interactionsnames PapaverineView label on DailyMed
Moderate

Carbidopa, levodopa and entacapone tablets dosage should be increased as clinically needed in patients receiving papaverine.

Drug interactionsnames PapaverineView label on DailyMed
Minor

Papaverine The beneficial effects of levodopa in Parkinson’s disease have been reported to be reversed by papaverine.

Drug interactionsnames PapaverineView label on DailyMed
Minor

Patients taking papaverine with carbidopa/levodopa should be carefully observed for loss of therapeutic response.

Drug interactionsnames PapaverineView 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.