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SINEMET

Sinemet is a combination of two drugs, levodopa and carbidopa. It is used in the treatment of Parkinson's disease. Parkinson's disease is believed to be related to low levels of dopamine in certain parts of the brain. When levodopa is taken orally, it crosses through the "blood- brain barrier." Once it crosses, it is converted to dopamine. The resulting increase in brain dopamine concentrations is believed to improve nerve conduction and assist the movement disorders in Parkinson disease. Carbidopa does not cross the blood-brain barrier. Carbidopa is added to the levodopa to prevent the breakdown of levodopa before it crosses into the brain. The addition of carbidopa allows lower doses of levodopa to be used. This reduces the risk of side effects from levodopa such as nausea and vomiting. Sinemet was approved by the FDA in 1988.

SIDE EFFECTS: Sinemet May cause drowsiness, dizziness, headache, loss of appetite, stomach upset, nausea, vision changes, or trembling of the hands. These should subside as your body adjusts to the medication. If these symptoms persist or become bothersome, inform your doctor. Notify your doctor if you develop: vomiting, difficulty swallowing, difficulty urinating, uncontrollable movements (especially twitching of the eyelid), chest pain, an irregular heartbeat, skin rash, mood or mental changes. May cause darkening of the urine or sweat. This is not harmful and will disappear when the medication is stopped. May cause dizziness especially when rising quickly from a seated or lying position. Change positions slowly and be careful on stairs. If you notice other effects not listed above, contact your doctor or pharmacist.