
Package | Dosage | Price | Price per Dose | |
---|---|---|---|---|
Dosage: 25/100/200mg | ||||
180 pill | 25/100/200mg | $322.17 | $1.79 | |
90 pill | 25/100/200mg | $212.12 | $2.36 | |
60 pill | 25/100/200mg | $175.43 | $2.92 | |
30 pill | 25/100/200mg | $132.37 | $4.42 |
Stalevo Description
What is Stalevo?
Stalevo is a prescription medicine that combines three active ingredients: levodopa, carbidopa, and entacapone. It is used to treat the symptoms of Parkinson's disease in adults. In the United States, doctors may choose Stalevo when symptoms are not fully controlled with carbidopa-levodopa alone. The fixed combination helps smooth movement by increasing and extending the effect of levodopa in the brain. For some patients, it can reduce the wearing-off periods that happen between doses.
How it works
Levodopa is the brain’s main source of dopamine. Carbidopa helps more of the levodopa reach the brain and reduces nausea that can occur with levodopa. Entacapone blocks an enzyme that breaks down levodopa, so the medicine lasts longer and movement may stay steadier. The trio works together to lower tremor and stiffness and to improve range of motion. Individual responses vary, and adjustments may be needed over time.
How to take
Take Stalevo exactly as prescribed by your doctor. Swallow the tablet whole with a full glass of water. You can take it with or without food, but some people tolerate it better with a light snack or on an empty stomach. Avoid crushing or chewing the tablet. Do not change the dose or frequency unless your clinician directs you to. If you miss a dose, take it as soon as you remember unless it is almost time for your next dose, then skip the missed dose.
Missed dose and dosing schedule
Stalevo dosing depends on your previous treatment and how you respond. If you miss a dose, don’t double up. Keep a routine and use a pill organizer if it helps. Always tell your doctor about side effects or symptoms that worsen, especially new or unusual movements, confusion, or severe sleepiness. Regular follow-up visits are important to tailor the regimen as your Parkinson's changes over time.
Food and protein considerations
Protein can affect levodopa absorption, so meals high in protein may delay the benefit. Many patients find better control by spacing protein intake away from dosing times. Try to keep a consistent meal pattern and discuss with your pharmacist or doctor how best to align meals with your Stalevo schedule. Small changes can make the management of daily symptoms easier.
Possible side effects
Common side effects include nausea, dizziness, lightheadedness, and sleepiness. Some people may develop involuntary movements, blurred thinking, or mood changes with longer use. Urine or sweat may darken, which can alarm some patients but is usually harmless. Serious reactions are rare but require medical attention right away, such as severe allergic symptoms, chest pain, or severe confusion.
Safety and interactions
Stalevo can interact with other medicines and vitamins. Tell your clinician about all medicines you use, including prescription, over-the-counter pills, vitamins, and herbal products. Alcohol can worsen dizziness or sleepiness in some people. People with certain medical conditions should use Stalevo cautiously or may need alternative therapy. Do not start or stop other Parkinson's drugs without medical advice.
Availability in the USA and price considerations
In the United States, Stalevo is available by prescription from pharmacies. Insurance coverage varies; some plans cover fixed-dose combinations, while others may prefer separate generic components. Prices can be higher than individual medicines, but patient assistance programs, discounts, and mail-order options may reduce out-of-pocket costs. Speak with your pharmacist about formulary status and any available savings.
User review: smoother days with Stalevo
A reviewer from California shared that Stalevo helped reduce wearing-off in the afternoon. Dosing became more predictable, and tremors were calmer between doses. Side effects were mild at first and diminished after a couple of weeks. The user noted an overall improvement in daily tasks and activity levels.
User review: timing meals and dosing
Another reviewer from Texas found better consistency when they spaced protein intake away from dosing. They adjusted meal times to fit the prescription schedule and reported fewer fluctuations in mobility. Pharmacy support and a clear routine were praised for keeping the regimen steady.
User review: cost and access
A third shopper mentioned the challenge of cost and described using mail-order services and checking for copay cards. They stressed following the doctor's plan closely and reporting any new side effects promptly to allow for timely adjustments to the regimen.