Stalevo Dosage

Your healthcare provider will recommend a Stalevo dosage for you based on your current carbidopa-levodopa dose, whether you are currently taking entacapone, and how you respond to Stalevo. Dosing for Stalevo 50, 100, and 150 tablets should not exceed eight tablets per day, and the maximum daily dose for the 200 tablets is six tablets per day.

 

Stalevo Dosage: An Introduction

The dose of Stalevo® (carbidopa-levodopa-entacapone) your healthcare provider recommends will vary, depending on a number of factors, including:
 
  • Your current carbidopa-levodopa (Sinemet®) dose
  • Whether you currently take entacapone (Comtan®)
  • How you respond to Stalevo (especially if you develop bothersome side effects)
  • Other medications you are taking
  • Other medical conditions you may have.
     
As is always the case, do not adjust your dose unless your healthcare provider specifically instructs you to do so.
 

Stalevo Dosing Guidelines

Stalevo tablets are available in the following strengths:
 
  • Stalevo 50 (12.5 mg of carbidopa, 50 mg of levodopa, and 200 mg of entacapone)
  • Stalevo 100 (25 mg of carbidopa, 100 mg of levodopa, and 200 mg of entacapone)
  • Stalevo 150 (37.5 mg of carbidopa, 150 mg of levodopa, and 200 mg of entacapone)
  • Stalevo 200 (50 mg of carbidopa, 200 mg of levodopa, and 200 mg of entacapone).
     
Notice that all four strengths contain the same amount of entacapone. For this reason, it is recommended that each dose of Stalevo consist of just one tablet (not multiple tablets or half tablets), so as to not disrupt the dose of entacapone. The maximum daily dose for Stalevo 50, 100, or 150 tablets is eight tablets per day, since the maximum dose of entacapone is 1600 mg per day. The maximum daily dose for Stalevo 200 is six tablets per day, since the maximum dose of carbidopa is 300 mg per day.
 
Most people need at least 70 to 100 mg of carbidopa a day in order to avoid severe nausea and vomiting due to the levodopa component of Stalevo. Doses that provide less than 70 mg of carbidopa per day are likely to cause nausea and vomiting.
 
Do not stop taking Stalevo suddenly, as a serious group of side effects, known as neuroleptic malignant syndrome (NMS) may occur. Symptoms of NMS include:
 
  • High fever
  • Stiff muscles
  • Confusion
  • Irregular pulse or blood pressure
  • A fast heart rate (tachycardia)
  • Sweating
  • Irregular heart rhythms (arrhythmias).
     
Your starting dose will depend on whether you currently take just carbidopa-levodopa or whether you also currently take entacapone.
 
(Stalevo Dosage Continued: Page 2)
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Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;