syncapone 50 tablet - Levodopa (50mg) + Carbidopa (12.5mg) medicine

Entacom Plus 50 Tablet: Complete Guide to Uses, Side Effects, and Dosage

No reviews yet
🏭 Sun Pharmaceutical Industries Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for Parkinson's disease.
Reviewed by
SaathiMed Expert Panel | Oct 21, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Severe dizziness or fainting
  • Irregular heartbeat or palpitations
  • High fever with muscle rigidity
  • Hallucinations or confusion
  • Signs of infection such as fever or sore throat
  • Severe abdominal pain or black stools
  • Unusual fatigue or yellowing of eyes

If experiencing severe symptoms, call emergency services immediately.

What is syncapone 50 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, helping to reduce symptoms like tremors, stiffness, and slowness of movement.

  • Generic Name: Levodopa (50mg) + Carbidopa (12.5mg)
  • Manufacturer: Sun Pharmaceutical Industries Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 syncapone 50 tablet के बारे में (Hindi Summary)

उपयोग: यह दवा पार्किंसन रोग के इलाज के लिए उपयोग की जाती है। यह मस्तिष्क में डोपामाइन की कमी को पूरा करने में मदद करती है, जिससे कंपन, अकड़न और चलने-फिरने में कठिनाई जैसे लक्षणों में सुधार होता है। यह दवा लेवोडोपा और कार्बिडोपा का संयोजन है।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, चक्कर आना, और असामान्य हरकतें शामिल हैं। गंभीर दुष्प्रभावों में गंभीर निम्न रक्तचाप, हृदय गति में अनियमितता, और मतिभ्रम हो सकते हैं। किसी भी असामान्य लक्षण को तुरंत डॉक्टर को बताएं।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अचानक बंद न करें। खाने के साथ लें ताकि पेट खराब न हो। शराब से बचें। ड्राइविंग करते समय सावधानी बरतें। नियमित जांच कराते रहें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 syncapone 50 tablet Uses & Benefits

[{"condition":"Parkinson's disease","description":"This medicine is used to manage motor symptoms of Parkinson's disease such as tremors, rigidity, bradykinesia, and postural instability.","evidence":"Well-established"},{"condition":"Parkinsonism due to other causes","description":"May be used in parkinsonism resulting from encephalitis, carbon monoxide poisoning, or manganese toxicity, though response varies.","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"}]

Primary treatment for: Parkinson's disease

Also treats: Parkinsonism due to other causes

📋 Drug Information

Generic Name(s)Levodopa (50mg) + Carbidopa (12.5mg)
Brand Namesyncapone 50 tablet
ManufacturerSun Pharmaceutical Industries 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 and moisture. 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 with food to reduce nausea and stomach upset.
2
Do not stop this medicine suddenly; always consult your doctor before making changes.
3
Rise slowly from sitting or lying positions to prevent dizziness.
4
Avoid driving or operating machinery until you know how this medicine affects you.
5
Report any abnormal movements, mood changes, or palpitations to your doctor promptly.
6
Keep a diary of your symptoms and side effects to discuss with your doctor.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Tremors
This medicine is commonly prescribed for Parkinson's disease.
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 is also absorbed from the gastrointestinal tract. Food, especially high-protein meals, can delay absorption of levodopa.
DistributionLevodopa is distributed widely in the body, crosses the blood-brain barrier, and is taken up by dopaminergic neurons. Carbidopa does not cross the blood-brain barrier significantly.
Protein BindingLevodopa is approximately 10-30% bound to plasma proteins. Carbidopa is about 36% bound to plasma proteins.
MetabolismLevodopa is metabolized primarily by decarboxylation to dopamine and by O-methylation to 3-O-methyldopa. Carbidopa is metabolized to two major metabolites, one of which is a hydrazine derivative.
Half-LifeThe elimination half-life of levodopa is approximately 1 to 2 hours when given with carbidopa. The half-life of carbidopa is about 2 hours.
ExcretionLevodopa and its metabolites are excreted primarily in the urine. Carbidopa is also excreted in the urine.
BioavailabilityThe bioavailability of levodopa is increased when administered with carbidopa. Absolute bioavailability of levodopa from this combination is approximately 70-80%.
Onset of ActionThe onset of action is typically within 30 to 60 minutes after an oral dose.
Peak Plasma TimePeak plasma concentration of levodopa is reached in about 0.5 to 2 hours after oral administration.
Duration of ActionThe duration of action is generally 4 to 6 hours, but this can vary among patients.

How It Works

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

Mechanism Steps

1
Administration and absorption: This medicine is taken orally and absorbed in the small intestine.
2
Peripheral decarboxylase inhibition: Carbidopa inhibits aromatic L-amino acid decarboxylase in the periphery, preventing the conversion of levodopa to dopamine outside the brain.
3
Central conversion: Levodopa crosses the blood-brain barrier and is converted to dopamine by decarboxylase enzymes in the brain.
4
Dopamine receptor stimulation: Dopamine binds to and activates dopamine receptors in the striatum, restoring motor function.

💡 How to Take syncapone 50 tablet

Strength: Tablet containing levodopa 50 mg and carbidopa 12.5 mg.

1Take this medicine orally with a full glass of water.
2Take with food if it causes stomach upset.
3Swallow the tablet whole; do not crush or chew.
4Take at the same times each day to maintain consistent levels.
5Do not stop suddenly without consulting your doctor.

Dosage Information

Adult DosageThe dose of this medicine is individualized by a qualified clinician based on the patient's condition and response. It is usually started at a low dose and gradually increased. The typical starting dose is one tablet three times a day, but this may vary. 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, especially to orthostatic hypotension and mental changes. Start with a lower dose and titrate slowly.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be necessary. Consult your doctor.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult your doctor.
Maximum Daily DoseThe maximum daily dose is determined by the clinician based on the patient's response and tolerance. Do not exceed the prescribed dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset and nausea.
High-protein meals
May reduce absorption
Protein can interfere with levodopa absorption.

⏰ 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 syncapone 50 tablet

✅ Common Side Effects

Nausea (Common (up to 10%))
Take with food or milk to reduce nausea. If persistent, consult your doctor.
Dizziness (Common (5-10%))
Rise slowly from sitting or lying positions. Avoid driving if dizzy.
Orthostatic hypotension (Common (5-10%))
Increase fluid and salt intake if appropriate. Report to doctor if symptomatic.
Dyskinesia (abnormal involuntary movements) (Common (10-20%))
Report to your doctor; dose adjustment may be needed.

🚨 Serious Side Effects

Severe hypotension (Rare (<1%))
Seek immediate medical attention if you experience fainting or severe dizziness.
Cardiac arrhythmias (Rare (<1%))
Report palpitations or irregular heartbeat to your doctor immediately.
Neuroleptic malignant syndrome-like symptoms (Very rare (<0.1%))
Seek emergency care if you develop high fever, muscle rigidity, or altered consciousness.
Hallucinations (Uncommon (1-5%))
Inform your doctor if you experience hallucinations or confusion.

⚠️ Rare Side Effects

Agranulocytosis
Report any signs of infection such as fever or sore throat.
Hemolytic anemia
Report unusual fatigue or jaundice.
Duodenal ulcer
Report severe abdominal pain or black stools.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAOIs Major
Antipsychotics Major
Antihypertensives Moderate
Tricyclic antidepressants Moderate
Antacids Minor
Iron supplements Minor

🚨 Major Interactions

  • Non-selective monoamine oxidase inhibitors (MAOIs)
  • Antipsychotics (e.g., haloperidol, risperidone)

⚡ Moderate Interactions

  • Antihypertensives
  • Tricyclic antidepressants

🍷 Alcohol Interaction

Alcohol may increase the risk of dizziness, drowsiness, and orthostatic hypotension. It is advisable to avoid or limit alcohol consumption while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to levodopa or carbidopa","Narrow-angle glaucoma","Suspicious undiagnosed skin lesions or melanoma","Concomitant use with non-selective MAOIs","Severe cardiovascular disease"]

⚠️ Warnings & Precautions

["Do not stop abruptly; withdrawal can cause parkinsonian crisis.","May cause sudden sleep episodes; avoid driving if affected.","Use with caution in patients with a history of peptic ulcer.","May cause orthostatic hypotension; rise slowly.","Monitor for mental changes, especially in elderly."]

🤱 Lactation Safety

Levodopa is distributed into breast milk and may inhibit prolactin secretion, potentially suppressing lactation. Carbidopa is also excreted in breast milk. Consult your doctor before breastfeeding.

💊 Overdose Management

Overdose may cause severe nausea, vomiting, cardiac arrhythmias, and hypotension. Seek immediate medical attention. Treatment is supportive and symptomatic. Hemodialysis may be considered but is of limited value.

⏰ 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 suddenly without medical advice, as abrupt withdrawal can lead to a parkinsonian crisis. Take with food if you experience nausea. Avoid alcohol while taking this medicine. Inform your doctor if you have a history of heart disease, kidney or liver problems, glaucoma, or mental health conditions. Do not drive or operate machinery until you know how this medicine affects you, as it may cause dizziness or sudden sleep episodes. Keep all appointments for monitoring. Store at room temperature away from moisture and heat.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more prone to orthostatic hypotension, hallucinations, and confusion. Start with a lower dose and monitor closely.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor. This medicine should be used during pregnancy only if clearly needed. Discuss risks and benefits.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist about this medicine. It may need to be temporarily adjusted around 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 healthy weight to reduce strain on muscles.
🥗
Engage in regular physical therapy and exercise as advised.
😴
Practice good posture and balance exercises.
💧
Include fiber-rich foods to prevent constipation.
🧘
Get adequate sleep and manage stress.

🏋️ Exercise Considerations

Exercise is beneficial but avoid overexertion. Balance exercises can help reduce fall risk. Consult your doctor or physical therapist before starting any new exercise regimen.

🥗 Diet Recommendations

Eat a balanced diet with plenty of fruits and vegetables.
Limit high-protein meals close to dosing times.
Stay well hydrated.
Avoid alcohol.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or sudden sleep episodes. Avoid driving or operating heavy machinery until you know how it affects you. Discuss work adjustments with your employer if needed.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Abrupt withdrawal can cause serious symptoms. Your doctor will guide you on tapering if needed.

📅 Long-Term Use Effects

Long-term use may lead to motor complications such as dyskinesias and on-off phenomena. Regular monitoring and dose adjustments by a neurologist are essential. Do not stop the medicine without medical advice.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine to improve mobility and balance.

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. However, consult your doctor before receiving any vaccine while on this medicine.

📦 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. If traveling across time zones, consult your doctor about adjusting the dosing schedule. Store in a cool, dry place and keep away from direct sunlight. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 65-year-old man with Parkinson's disease
Started this medicine as prescribed. Initially experienced nausea, which reduced when taken with food. Over a few weeks, noticed significant improvement in tremors and ability to walk. Emphasized the importance of not missing doses.
💡 Lesson: Taking the medicine with food and adhering to the schedule improves tolerability and effectiveness.
👤 A 58-year-old woman with Parkinson's disease
Was hesitant to start medicine due to fear of side effects. After discussing with her doctor, started at a low dose. Experienced mild dizziness initially, which resolved. Found that regular follow-ups helped manage side effects and adjust dosage.
💡 Lesson: Open communication with the doctor and gradual dose adjustment can help manage side effects.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts working within 30 to 60 minutes after a dose, but full benefits may take several weeks of regular use.

Q: Can I take this medicine with other Parkinson's medicines?

A: Only if prescribed by your doctor. Some combinations may require dose adjustments.

🤔 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 syncapone 50 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 does not cure Parkinson's disease; it helps manage symptoms.
  • Myth: You can stop taking this medicine once symptoms improve.
    Fact: Do not stop suddenly; it can cause serious withdrawal effects. Consult your doctor.

🔄 Alternative Options

Generic Alternatives

  • Levodopa and Carbidopa Tablets

Brand Alternatives

  • Syndopa 55
  • Tidomet 55
  • Levodopa-Carbidopa Tablets

📊 Comparison with Similar Medicines

[{"medicine":"Entacom Plus 50 Tablet","composition":"Levodopa 50 mg + Carbidopa 12.5 mg","strength":"50/12.5 mg","release_type":"Immediate release"},{"medicine":"Entacom Plus 100 Tablet","composition":"Levodopa 100 mg + Carbidopa 25 mg","strength":"100/25 mg","release_type":"Immediate release"}]

😊 Was this information helpful?

Browse Medicines A-Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Back to Medicines Directory