Carbidopa, levodopa, and entacapone and Phenytoin interaction

Carbidopa, levodopa, and entacapone and Phenytoin: 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 PhenytoinView label on DailyMed
Moderate

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

Drug interactionsnames PhenytoinView label on DailyMed
Minor

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

Drug interactionsnames PhenytoinView label on DailyMed
Minor

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

Drug interactionsnames PhenytoinView 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.