Carbidopa, levodopa, and entacapone and Risperidone interaction

Carbidopa, levodopa, and entacapone and Risperidone: both prescribing labels describe 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 Dopamine D2 receptor antagonists (e.g., metoclopramide, phenothiazines, butyrophenones, risperidone) may reduce the therapeutic effects of levodopa.

Drug interactionsnames RisperidoneView label on DailyMed
Moderate

Withdrawal-Emergent Hyperpyrexia and Confusion Cases of hyperpyrexia and confusion resembling neuroleptic malignant syndrome (NMS) have been reported in association with dose reduction or withdrawal of therapy with carbidopa, levodopa and entacapone.

Warnings and precautionsby drug classView label on DailyMed

From the Risperidone (RISPERDAL CONSTA) label · effective 2025-11-05

Minor

Effects of levodopa and dopamine agonists may be antagonized.

Drug interactionsnames Carbidopa, levodopa, and entacaponeView label on DailyMed
Minor

Levodopa and Dopamine Agonists RISPERDAL CONSTA may antagonize the effects of levodopa and dopamine agonists.

Drug interactionsnames Carbidopa, levodopa, and entacaponeView label on DailyMed

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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.