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Carbidopa 25 mg/Levodopa 100 mg Rectal Suppository

FDA-approved generic
Dose form
Suppository
Active ingredients
Carbidopa
Levodopa

The Carbidopa 25 mg/Levodopa 100 mg Rectal Suppository is a solid dosage form specifically designed for insertion into the rectum. Upon insertion, the suppository dissolves or melts, releasing the active ingredients Carbidopa and Levodopa for local or systemic absorption.

This formulation is primarily used in the treatment of Parkinson's disease and Parkinson's-like symptoms such as shakiness, stiffness, and difficulty moving. It may also be used to treat other conditions as determined by a healthcare professional.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Carbidopa
Levodopa
Suppository
65380802520078cd19f6c8dd
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Carbidopa 25 mg/Levodopa 100 mg Rectal Suppository is a specialized formulation designed for rectal administration. This solid dosage form is inserted into the rectum, where it dissolves or melts to release the medication. The medication is then absorbed locally or systemically, depending on the specific needs of the patient.

The combination of Carbidopa and Levodopa is primarily used to treat symptoms of Parkinson's disease, a condition characterized by muscle stiffness, tremors, and changes in speech and gait. Levodopa is converted to dopamine in the brain, helping to control these symptoms. Carbidopa, on the other hand, prevents the breakdown of Levodopa before it reaches the brain, increasing its effectiveness.

Rectal administration of this medication can be particularly beneficial for patients who have difficulty swallowing pills or for those who experience nausea or vomiting when taking oral medication. It can also provide a more consistent release of medication, which can be beneficial in managing the symptoms of Parkinson's disease.

It's important to note that while this medication can help manage the symptoms of Parkinson's, it does not cure the disease. Regular monitoring and dose adjustments may be necessary to ensure optimal symptom control and to minimize side effects. Common side effects can include nausea, dizziness, and orthostatic hypotension. More serious side effects, such as hallucinations or psychosis, can occur and should be reported to a healthcare provider immediately.

As compounding pharmacists, we can customize this formulation to meet the specific needs of each patient. This includes adjusting the dose, changing the base to accommodate allergies or sensitivities, or adding flavorings to improve taste.

If you have any questions about this formulation or how it can be customized to meet your needs, please don't hesitate to reach out to us at Bayview Pharmacy. We are here to help and provide the most comprehensive care possible.

Drug Interactions

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Carbidopa and Levodopa are medications used together to treat the symptoms of Parkinson's disease or Parkinson-like symptoms such as shakiness, stiffness, and difficulty moving. Carbidopa helps Levodopa to work more effectively by preventing it from being broken down before it reaches the brain. This combination medication is delivered via a rectal suppository, which allows for the medication to be absorbed directly into the bloodstream for a quicker and more efficient effect.

It's important to be aware of potential drug interactions when using Carbidopa/Levodopa. Certain medications can affect how Carbidopa/Levodopa works or increase the risk of side effects. These include certain antidepressants, antipsychotics, antihypertensives, and other medications used to treat Parkinson's disease. It's crucial to inform your healthcare provider about all the medications you are currently taking, including prescription drugs, over-the-counter medications, and herbal supplements.

Carbidopa/Levodopa can interact with a class of medications known as Monoamine Oxidase Inhibitors (MAOIs). Using Carbidopa/Levodopa with MAOIs can cause a serious (possibly fatal) drug interaction. Avoid taking isocarboxazid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, or tranylcypromine during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication.

High-protein diets can also affect the absorption of Levodopa. Consuming a diet high in protein can prevent Levodopa from reaching the brain, where it is needed to control symptoms of Parkinson's disease. Therefore, it's recommended to consume a balanced diet while on this medication.

Alcohol can increase the risk of side effects from Carbidopa/Levodopa, such as dizziness, confusion, and difficulty concentrating. It's recommended to limit alcohol consumption while using this medication.

It's also important to note that Carbidopa/Levodopa can cause a false result in certain medical tests, including urine tests for glucose (sugar) and ketones. If you are scheduled for any medical tests, inform your healthcare provider that you are using this medication.

This is not a complete list of possible drug interactions. Always consult with your healthcare provider or pharmacist for more information. If you have any questions, don't hesitate to reach out to us at Bayview Pharmacy. We are here to help.

How Does it Work

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The Carbidopa 25 mg/Levodopa 100 mg Rectal Suppository is a solid dosage form that is inserted into the rectum, where it dissolves or melts to release the medication. This formulation is designed for local or systemic absorption, depending on the specific needs of the patient.

Carbidopa and Levodopa are two active ingredients in this formulation. Levodopa is converted into dopamine in the brain, which helps to control movement. However, when taken orally, a large amount of Levodopa is broken down in the body before it can reach the brain. This is where Carbidopa comes in. Carbidopa prevents Levodopa from being broken down before it reaches the brain, allowing more Levodopa to get to the brain and be converted into dopamine.

This combination of Carbidopa and Levodopa is commonly used to treat symptoms of Parkinson's disease, a neurodegenerative disorder that affects movement. Symptoms of Parkinson's disease are caused by a lack of dopamine in the brain. By increasing the amount of dopamine in the brain, this formulation can help to reduce symptoms such as tremors, stiffness, and difficulty with balance and coordination.

Using this medication in a rectal suppository form can have several benefits. For patients who have difficulty swallowing pills, a rectal suppository can be an easier method of administration. Additionally, this form of administration can allow for a more steady and consistent release of medication, which can help to maintain more consistent levels of dopamine in the brain.

It's important to note that while this formulation can help to manage symptoms of Parkinson's disease, it does not cure the disease. It can, however, significantly improve quality of life for individuals living with this condition. As with any medication, it's important to discuss potential side effects and interactions with your healthcare provider.

If you have any questions about the Carbidopa 25 mg/Levodopa 100 mg Rectal Suppository, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help.

Other Uses

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Carbidopa/Levodopa rectal suppositories are primarily used in the management of symptoms of Parkinson's disease, such as tremors, stiffness, and difficulty moving. This formulation works by improving the transport of levodopa into the brain, where it can have a direct effect on the dopaminergic neurons that are deficient in Parkinson's disease.

However, there can be other uses for this formulation. It might be used in certain cases of Restless Legs Syndrome (RLS), a condition characterized by an uncontrollable urge to move the legs. Levodopa is sometimes used in patients with severe symptoms who do not respond to first-line treatments. Carbidopa is combined with levodopa to prevent the peripheral degradation of levodopa, allowing more to cross the blood-brain barrier.

Another potential use for this form of therapy could be in the management of dopamine-responsive dystonia (DRD). DRD is a rare form of dystonia that has a positive response to levodopa therapy, and carbidopa can enhance levodopa's therapeutic effects by limiting its peripheral degradation.

Despite these other potential uses, it's essential to remember that treatment should always be individualized to meet the specific needs of each patient. Additionally, caution should be exercised while using this formulation due to the risk of potential side effects, such as nausea, dizziness, and headache. Also, special attention is required in patients with a history of cardiovascular or pulmonary conditions given that levodopa can cause orthostatic hypotension.

If you have any questions about this formulation or its diverse uses, do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding professionals is more than willing to provide you with the information and advice you require.

Frequently Asked Questions

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What is Carbidopa 25 mg/Levodopa 100 mg Rectal Suppository?

It is a medicinal compounded formulation typically absorbed by the body via the rectum. Its main active ingredients are Carbidopa and Levodopa, which help manage symptoms of Parkinson's disease.

How does a Carbidopa/Levodopa rectal suppository work?

Once inserted into the rectum, the suppository dissolves or melts, releasing the medication. This medication then gets absorbed into the bloodstream for local or systemic distribution, delivering the necessary dosage of Carbidopa and Levodopa.

Why are rectal suppositories used for medication?

Are there any potential side effects of Carbidopa 25 mg/Levodopa 100 mg Rectal Suppository?

As with all medications, there's a possibility of side effects. These can include upset stomach, involuntary movements, loss of appetite, or low blood pressure. Always consult with your healthcare provider for any concerning side effects.

How do I correctly use a rectal suppository?

First, wash your hands properly. Then, with a gloved hand, push the medication gently into the rectum past the muscular sphincter of the rectum, about 1 inch in adults. Ensure not to push it too far as it could become unreachable. Remain still for a few minutes to allow the medication to dissolve.

What are Carbidopa and Levodopa? What do they do?

These are drugs used in combination to treat Parkinson's disease symptoms like shakiness, stiffness, and difficulty moving. Levodopa works by being converted to dopamine in the brain while Carbidopa prevents levodopa from breaking down before it gets to the brain.

Can I take this medication if I am pregnant or breastfeeding?

Always consult your doctor or pharmacist before using any medication while pregnant or breastfeeding. The safety of Carbidopa and Levodopa for use during pregnancy or breastfeeding has not been established and will need to be discussed with your healthcare provider.

Can children take Carbidopa 25 mg/Levodopa 100 mg Rectal Suppository?

Always consult a healthcare provider before administering this medication to children. Dosage and side effects in children may be different from adults.

Should the suppository be stored under specific conditions?

Store in a cool, dry place, away from direct light and out of the reach of children. Follow the specific storage instructions on the packaging or ask your pharmacist if unsure.

What should I do if I miss a dose?

If you miss a dose, use the suppository as soon as you remember. If it is near the time of the next dose, skip the missed dose and return to your regular dosing schedule. Do not double the dose to catch up.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Carbidopa 25 mg/Levodopa 100 mg Rectal Suppository
Suppository
30 suppositories
controlled

Insert 1 unwrapped suppository

Three times daily