Levodopa/Carbidopa/Entacapone Teva Special Precautions

Talk to the doctor or pharmacist before taking Levodopa/Carbidopa/Entacapone Teva Tablets if with existing or history of: a heart attack or any other diseases of the heart including cardiac arrhythmias, or of the blood vessels; asthma or any other disease of the lungs; a liver problem, because the dose may need to be adjusted; kidney- or hormone-related diseases; stomach ulcers or convulsions; prolonged diarrhoea, as it may be a sign of inflammation of the colon; any form of severe mental disorder like psychosis; chronic wide-angle glaucoma, because the dose may need to be adjusted and the pressure in the eyes may need to be monitored.
Consult the doctor if currently taking: antipsychotics (medicines used to treat psychosis); a medicine which may cause low blood pressure when rising from a chair or bed [Levodopa/Carbidopa/Entacapone Teva Tablets may make these reactions worse].
Consult the doctor in case of the following during treatment with Levodopa/Carbidopa/Entacapone Teva Tablets: noticing that muscles get very rigid or jerk violently, or if tremors, agitation, confusion, fever, rapid pulse, or wide fluctuations in blood pressure occur [if any of this happens, contact the doctor immediately]; feeling depressed, having suicidal thoughts, or noticing unusual changes in behaviour; suddenly falling asleep, or feeling very drowsy [if this happens, do not drive or use any tools or machines (see also Driving and using machines as follows)]; noticing that uncontrolled movements begin or get worse after starting to take Levodopa/Carbidopa/Entacapone Teva Tablets [if this happens, the doctor may need to change the dose of the antiparkinson medicine]; experiencing diarrhoea [monitoring of weight is recommended in order to avoid potentially excessive weight loss]; experiencing progressive anorexia, asthenia (weakness, exhaustion) and weight decrease within a relatively short period of time [if this happens, a general medical evaluation including liver function should be considered]; feeling the need to stop using Levodopa/Carbidopa/Entacapone Teva Tablets (see Stopping intake of Levodopa/Carbidopa/Entacapone Teva Tablets under Dosage & Administration).
Tell the doctor if developing addiction-like symptoms leading to craving for large doses of Levodopa/Carbidopa/Entacapone Teva Tablets and other medicines used to treat Parkinson's disease.
Tell the doctor if developing urges or cravings to behave in ways that are unusual, or the impulse, drive or temptation to carry out certain activities that could be harmful cannot be resisted. These behaviours are called impulse control disorders and can include addictive gambling, excessive eating or spending, an abnormally high sex drive or a preoccupation with an increase in sexual thoughts or feelings. The doctor may need to review the treatments. The doctor may take some regular laboratory tests during a long-term treatment with Levodopa/Carbidopa/Entacapone Teva Tablets.
If undergoing surgery, tell the doctor that Levodopa/Carbidopa/Entacapone Teva Tablets is being used.
Levodopa/Carbidopa/Entacapone Teva Tablets is not recommended to be used for treatment of extrapyramidal symptoms (e.g. involuntary movements, shaking, muscle rigidity and muscle contractions) caused by other medicines.
Driving and using machines: Levodopa/Carbidopa/Entacapone Teva Tablets may lower blood pressure, which may cause lightheadedness or dizziness. Therefore, be particularly careful when driving or when using any tools or machines.
If feeling very drowsy, or if suddenly falling asleep sometimes, wait until feeling fully awake again before driving or doing anything else that requires alertness. Otherwise, there may be a risk of serious injury or death.
Use in Children: Experience with Levodopa/Carbidopa/Entacapone Teva Tablets in patients under 18 years is limited. Therefore, the use of Levodopa/Carbidopa/Entacapone Teva Tablets in children is not recommended.