lcd 275 tablet - Levodopa (250mg) + Carbidopa (25mg) medicine

Duodopa 250mg/25mg Tablet: Complete Guide to Uses, Side Effects, and Safety

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🏭 Intas Pharmaceuticals Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for Parkinson's disease.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • High fever with muscle rigidity or confusion
  • Severe allergic reaction with swelling of face, lips, or throat
  • Irregular heartbeat or palpitations
  • Hallucinations or severe confusion
  • Sudden worsening of Parkinson's symptoms after stopping the medicine
  • Signs of infection like fever or sore throat

If experiencing severe symptoms, call emergency services immediately.

What is lcd 275 tablet used for?

This medicine is a combination of levodopa and carbidopa used to treat Parkinson's disease. It works by replenishing dopamine in the brain, improving movement and reducing symptoms like tremors and stiffness.

  • Generic Name: Levodopa (250mg) + Carbidopa (25mg)
  • Manufacturer: Intas Pharmaceuticals Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 lcd 275 tablet के बारे में (Hindi Summary)

उपयोग: यह दवा पार्किंसन रोग के इलाज के लिए उपयोग की जाती है। यह मस्तिष्क में डोपामाइन की मात्रा बढ़ाकर कंपन, अकड़न और चलने-फिरने की समस्याओं को कम करती है। यह दवा लक्षणों को नियंत्रित करती है, बीमारी को पूरी तरह ठीक नहीं करती।

साइड इफेक्ट्स: आम दुष्प्रभावों में जी मिचलाना, चक्कर आना, नींद आना और शरीर में अनैच्छिक हरकतें शामिल हैं। गंभीर दुष्प्रभावों में मतिभ्रम, भ्रम, अवसाद और दिल की धड़कन अनियमित होना शामिल है। कोई भी गंभीर लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अचानक बंद न करें, इससे गंभीर समस्याएं हो सकती हैं। खाने के साथ लें यदि पेट खराब हो। शराब से बचें। गाड़ी चलाते समय सावधानी बरतें। अन्य दवाओं के बारे में डॉक्टर को बताएं।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 lcd 275 tablet Uses & Benefits

  • [{"condition":"Parkinson's disease","description":"This medicine is used to treat the symptoms of Parkinson's disease, such as tremors, rigidity, bradykinesia, and postural instability.
  • It helps improve motor function and daily activities.","evidence":"Well-established"},{"condition":"Parkinsonism due to other causes","description":"It may be used in parkinsonism resulting from encephalitis, carbon monoxide poisoning, or manganese poisoning, though response may vary.","evidence":"Limited"}]

Off-label uses: [{"condition":"Restless legs syndrome","description":"Sometimes prescribed off-label for severe restless legs syndrome, but not first-line.","evidence":"Limited"},{"condition":"Dopa-responsive dystonia","description":"May be used off-label in some forms of dystonia that respond to dopamine.","evidence":"Limited"}]

Primary treatment for: Parkinson's disease

Also treats: Parkinsonism due to other causes

📋 Drug Information

Generic Name(s)Levodopa (250mg) + Carbidopa (25mg)
Brand Namelcd 275 tablet
ManufacturerIntas Pharmaceuticals Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at the same times each day to maintain steady levels.
2
Take with food if it causes nausea, but avoid high-protein meals close to dosing.
3
Do not stop this medicine suddenly; always consult your doctor first.
4
Report any new involuntary movements or hallucinations to your doctor.
5
Monitor your blood pressure regularly, especially when starting treatment.
6
Avoid alcohol as it can increase drowsiness and dizziness.
7
Keep a diary of your symptoms to help your doctor adjust the dose.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Tremors
This medicine is commonly prescribed for this.
Likely Use
Rigidity
This medicine helps reduce muscle stiffness.
Likely Use
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionLevodopa is absorbed rapidly from the small intestine via active transport. Carbidopa absorption is also from the gastrointestinal tract. Food, especially high-protein meals, can delay and reduce levodopa absorption.
DistributionLevodopa distributes widely in the body, but only about 1-3% of a dose enters the brain unchanged. Carbidopa does not cross the blood-brain barrier significantly.
Protein BindingLevodopa is about 10-30% bound to plasma proteins. Carbidopa is about 36% bound to plasma proteins.
MetabolismLevodopa is metabolized mainly by aromatic L-amino acid decarboxylase and catechol-O-methyltransferase (COMT) to dopamine and other metabolites. Carbidopa is metabolized to two major metabolites.
Half-LifeLevodopa half-life is approximately 1-2 hours when given with carbidopa. Carbidopa half-life is about 1-2 hours.
ExcretionLevodopa and its metabolites are excreted primarily in the urine. Carbidopa is also excreted in urine.
BioavailabilityLevodopa bioavailability is about 30% when given with carbidopa. Carbidopa bioavailability is about 40-70%.
Onset of ActionImprovement in symptoms may be noticed within 30-60 minutes after a dose, but full therapeutic effect may take weeks.
Peak Plasma TimeLevodopa peak plasma time is about 0.5-2 hours. Carbidopa peak plasma time is about 2-4 hours.
Duration of ActionThe duration of action of a single dose is about 2-4 hours, but this can shorten as the disease progresses.

How It Works

Levodopa is a precursor of dopamine that crosses the blood-brain barrier and is converted to dopamine in the brain, replenishing dopamine levels and stimulating dopamine receptors. Carbidopa inhibits peripheral aromatic L-amino acid decarboxylase, preventing the conversion of levodopa to dopamine outside the brain, thus increasing the amount of levodopa available to enter the central nervous system and reducing peripheral side effects.

Mechanism Steps

1
Levodopa absorption: Levodopa is absorbed from the small intestine after oral administration.
2
Carbidopa inhibition: Carbidopa inhibits aromatic L-amino acid decarboxylase in the periphery, preventing levodopa breakdown before it reaches the brain.
3
Levodopa transport: Levodopa crosses the blood-brain barrier via large neutral amino acid transporters.
4
Conversion to dopamine: In the brain, levodopa is converted to dopamine by aromatic L-amino acid decarboxylase.
5
Dopamine receptor stimulation: Dopamine binds to and activates dopamine receptors in the striatum, improving motor symptoms.

💡 How to Take lcd 275 tablet

Strength: Tablet containing levodopa 250 mg and carbidopa 25 mg.

1Take this medicine orally with a full glass of water.
2Take it at the same times each day as prescribed.
3Take with food if it upsets your stomach.
4Avoid high-protein meals close to dosing times.
5Do not crush or chew the tablet unless your doctor advises.
6Follow your doctor's instructions exactly.

Dosage Information

Adult DosageThe dose of this medicine is individualized based on the patient's condition and response. The usual starting dose is one tablet three times a day, but your doctor may adjust the dose gradually. The maximum daily dose should not exceed 8 tablets per day (2000 mg levodopa/200 mg carbidopa). Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Start with a lower dose and titrate slowly. Monitor for confusion, hallucinations, and low blood pressure.
Renal ImpairmentNo specific dose adjustment is established for renal impairment. Use with caution and monitor renal function.
Hepatic ImpairmentNo specific dose adjustment is established for hepatic impairment. Use with caution and monitor hepatic function.
Maximum Daily DoseMaximum daily dose is 8 tablets per day (2000 mg levodopa/200 mg carbidopa).

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
High-protein meals
Avoid close to dosing
May reduce absorption of levodopa.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of lcd 275 tablet

✅ Common Side Effects

Nausea (Common (up to 10%))
Take with food or ask your doctor about adjusting the dose.
Dizziness (Common (up to 10%))
Rise slowly from sitting or lying positions. Avoid driving if affected.
Drowsiness (Common (up to 10%))
Avoid driving or operating machinery until you know how it affects you.
Involuntary movements (dyskinesias) (Common (up to 10%))
Report to your doctor; dose adjustment may be needed.
Dry mouth (Common (up to 10%))
Sip water or chew sugarless gum.

🚨 Serious Side Effects

Hallucinations (Uncommon (0.1-1%))
Contact your doctor immediately; dose adjustment or change in therapy may be needed.
Severe allergic reactions (Rare (<0.1%))
Seek emergency medical help if you experience rash, swelling, or difficulty breathing.
Irregular heartbeat (Rare (<0.1%))
Seek immediate medical attention if you feel palpitations or faint.
Neuroleptic malignant-like syndrome (Rare (<0.1%))
This can occur if the medicine is stopped abruptly. Seek emergency care for high fever, muscle rigidity, or altered consciousness.

⚠️ Rare Side Effects

Agranulocytosis
Report any signs of infection like fever or sore throat.
Hemolytic anemia
Report unusual tiredness or jaundice.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAO inhibitors Major
Antipsychotics Major
Antihypertensives Moderate
Iron supplements Moderate
Metoclopramide Moderate

🚨 Major Interactions

  • MAO inhibitors
  • Antipsychotics (e.g., haloperidol, risperidone)

⚡ Moderate Interactions

  • Antihypertensives
  • Iron supplements

🍷 Alcohol Interaction

Alcohol may increase drowsiness and dizziness. It is best to avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Narrow-angle glaucoma","Suspicious undiagnosed skin lesions or history of melanoma","Concomitant use with non-selective MAO inhibitors","Hypersensitivity to levodopa or carbidopa"]

⚠️ Warnings & Precautions

["Do not stop abruptly; may cause neuroleptic malignant-like syndrome.","May cause drowsiness; avoid driving until you know how it affects you.","May cause hallucinations and confusion, especially in elderly.","Use with caution in patients with cardiovascular disease.","May cause orthostatic hypotension.","Monitor for development of dyskinesias.","May increase risk of melanoma; periodic skin examinations recommended."]

🤱 Lactation Safety

Levodopa is excreted in human milk. Because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or discontinue the drug, taking into account the importance of the drug to the mother.

💊 Overdose Management

In case of overdose, seek emergency medical attention. Symptoms may include severe nausea, vomiting, irregular heartbeat, confusion, and agitation. Treatment is supportive and symptomatic. There is no specific antidote.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop taking it without medical advice, as sudden withdrawal can cause serious problems. Take it with food if it upsets your stomach, but avoid high-protein meals close to dosing times as they may reduce absorption. Avoid alcohol while taking this medicine as it can worsen side effects like dizziness and drowsiness. Be cautious when driving or operating machinery until you know how this medicine affects you. Inform your doctor about all other medicines you are taking, especially those for blood pressure, depression, or psychosis. Regular monitoring of blood pressure, heart rate, and mental status is recommended. Keep all appointments with your doctor and report any new or worsening symptoms.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to side effects like confusion, hallucinations, and low blood pressure. Start with a lower dose and monitor closely.

🤰 Pregnancy Planning (TTC)

Consult your doctor before planning pregnancy. This medicine should be used during pregnancy only if clearly needed.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist about this medicine. It may interact with anesthesia and other medications used during surgery.

🦷 Dental Procedures

Inform your dentist about this medicine. It may interact with certain dental anesthetics or medications.

💚 Lifestyle Tips for Better Results

🏃
Maintain a regular sleep schedule.
🥗
Engage in physical therapy and exercise as recommended.
😴
Eat a balanced diet with adequate fiber to prevent constipation.
💧
Stay hydrated throughout the day.
🧘
Join a support group for Parkinson's disease.
🌞
Practice stress-reduction techniques like meditation.

🏋️ Exercise Considerations

Exercise is beneficial but avoid overexertion. Balance exercises can help prevent falls. Consult your doctor before starting any new exercise program.

🥗 Diet Recommendations

Include fiber-rich foods to prevent constipation.
Limit high-protein meals close to dosing times.
Stay well hydrated.
Avoid alcohol.

💼 Impact on Daily Work & Life

This medicine may cause drowsiness and dizziness, affecting your ability to drive or operate machinery. Avoid these activities until you know how it affects you. Adjust work tasks as needed.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience serious side effects, contact your doctor immediately for guidance.

📅 Long-Term Use Effects

Long-term use may lead to wearing-off effect, on-off phenomena, and dyskinesias. Regular monitoring and dose adjustments are necessary. Periodic skin examinations are recommended due to melanoma risk.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine for motor symptoms.

Evidence: Well-established
Deep brain stimulation

Surgical option for advanced Parkinson's disease.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established. Consult your doctor for routine vaccinations.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid loss. Store at room temperature and protect from direct sunlight. If traveling across time zones, consult your doctor about adjusting dosing times. Check customs regulations for controlled substances before travel.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 65-year-old man with Parkinson's disease
He started this medicine as prescribed and noticed improvement in his tremors and walking within a few weeks. He experienced some nausea initially, which was managed by taking the medicine with food. He emphasizes the importance of not missing doses.
💡 Lesson: Taking the medicine with food can reduce nausea, and consistency is key to symptom control.
👤 A 58-year-old woman with Parkinson's disease
She had been on this medicine for several years. Over time, she developed involuntary movements, and her doctor adjusted the dose. She learned to report any new symptoms promptly and to follow the dosing schedule strictly.
💡 Lesson: Regular follow-up and dose adjustments are important for managing long-term side effects.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Improvement in symptoms may be noticed within 30-60 minutes after a dose, but full therapeutic effect may take weeks.

Q: Can I stop taking this medicine suddenly?

A: No, stopping suddenly can cause serious withdrawal effects. Always consult your doctor before stopping.

Q: What should I avoid while taking this medicine?

A: Avoid alcohol, high-protein meals close to dosing, and driving until you know how it affects you.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for lcd 275 tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure Parkinson's disease.
    Fact: This medicine helps manage symptoms but does not cure Parkinson's disease.
  • Myth: You can stop this medicine anytime you feel better.
    Fact: Stopping suddenly can cause serious withdrawal effects. Always consult your doctor.

🔄 Alternative Options

Generic Alternatives

  • Levodopa and Carbidopa Tablets

Brand Alternatives

  • Syndopa 250mg/25mg Tablet
  • Tidomet 250mg/25mg Tablet
  • L-Carnitine 250mg/25mg Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Levodopa and Carbidopa","difference":"Immediate-release, standard combination."},{"medicine":"Levodopa and Benserazide","difference":"Similar mechanism, different decarboxylase inhibitor."}]

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