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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Oct 30, 2024 | 5:54 AM IST

Entacom Plus 50 mg Tablet is used in treating Parkinson's disease with its symptoms including tremors, spasms, muscle stiffness and poor muscle control. It helps to control movement and provides greater relief from the symptoms of Parkinson's disease. It may cause common side effects such as nausea, vomiting, loss of appetite, light-headedness, lowered blood pressure, confusion, and dyskinesia (uncontrolled/involuntary muscle movement). Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Manufacturer/Marketer

Intas Pharmaceuticals Ltd

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Jan-27

for this medicine

About Entacom Plus 50 mg Tablet

Entacom Plus 50 mg Tablet is used in treating Parkinson's disease with its symptoms including tremors, spasms, muscle stiffness and poor muscle control. Parkinson's disease is a disorder of the central nervous system that affects movement and locomotion, which causes stiffness, shaking, and difficulty in walking, coordination and balance. In Parkinson's patients, there are low dopamine levels as the nerve cells of the brain (neurons) that produce dopamine begin to die.

Entacom Plus 50 mg Tablet contains Carbidopa, Levodopa, and Entacapone. Levodopa belongs to the central nervous system agents, while Carbidopa is a decarboxylase inhibitor. The medicinal component Levodopa changes into dopamine in the brain and helps to control movement. Carbidopa prevents the breakdown of Levodopa in the bloodstream so that more Levodopa can reach the brain. On the other hand, Entacapone belongs to a class of COMT (catechol-o-methyltransferase enzyme) inhibitors which causes higher and more sustained levels of Levodopa in the blood that more Levodopa can reach the brain, leading to greater relief from the symptoms of Parkinson's disease.

Take Entacom Plus 50 mg Tablet as prescribed by your doctor. You are suggested to take $ame as long as your doctor has prescribed it after checking your medical condition. The most common side effects of Entacom Plus 50 mg Tablet are nausea, vomiting, loss of appetite, light-headedness, lowered blood pressure, confusion, and dyskinesia (uncontrolled/involuntary muscle movement). Most of these side effects of Entacom Plus 50 mg Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are known to be allergic to Entacom Plus 50 mg Tablet or any other medicines, please tell your doctor. Do not take Entacom Plus 50 mg Tablet if you are pregnant or breastfeeding unless prescribed by the doctor. Entacom Plus 50 mg Tablet should not be given to children as safety and effectiveness have not been established. Entacom Plus 50 mg Tablet may cause hallucinations (seeing or hearing things that are not there) in some cases if taken for a prolonged time. So, if you experience hallucinations while taking Entacom Plus 50 mg Tablet , please talk to your doctor immediately. Keep your doctor informed about your medicines and health condition and rule out any side effects.

Uses of Entacom Plus 50 mg Tablet

Treatment of Parkinson's disease

Medicinal Benefits

Entacom Plus 50 mg Tablet is an antiparkinson agent that is used in the treatment of Parkinson’s disease. Entacom Plus 50 mg Tablet is a combination of three medicines: Carbidopa, Levodopa, and Entacapone. Levodopa belongs to the class of medications named central nervous system agents, While Carbidopa falls in decarboxylase inhibitors. The medicinal component Levodopa changes into dopamine in the brain and helps to control movement. At the same time, Carbidopa acts by preventing the breakdown of Levodopa in the bloodstream so that more Levodopa can effectively reach the brain to block acetylcholine (a chemical messenger in the brain). Entacapone blocks a certain natural substance, catechol-o-methyltransferase (COMT) (an enzyme that breaks down the levodopa in the body), which causes higher and more sustained levels of levodopa in the blood, so that more Levodopa can reach the brain, leading to greater relief from the symptoms of Parkinson’s disease. This effect allows the levodopa to last longer in the body so that it doesn't wear off before the next dose.

Directions for Use

Swallow it as a whole with water; do not crush, break or chew it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Entacom Plus 50 mg Tablet

  • Nausea

  • Muscle pain

  • Diarrhoea

  • Lightheadedness

  • Dizziness

  • Stomach upset

  • Blurred vision

  • Anaemia

  • Hypotension (low blood pressure)

  • Dyskinesias (uncontrolled movement)

  • Urine discolouration

Drug Warnings

Do not stop taking Entacom Plus 50 mg Tablet suddenly without talking to your doctor. It may result in a serious neuroleptic malignant syndrome (NMS) that causes fever, muscle cramps or stiffness, unusual body movements, fast heartbeat, sweating, change in thinking, and confusion. Do not take Entacom Plus 50 mg Tablet if you are allergic to Entacom Plus 50 mg Tablet or any of its ingredients. Tell your doctor if you have any medical history of diabetes, heart attacks, mental illness, stomach ulcers, heart disease, or have recently undergone a surgical procedure. Entacom Plus 50 mg Tablet may cause dizziness, lightheadedness, and fainting when you get up too quickly from a lying position, especially when you start taking Entacom Plus 50 mg Tablet so please get up gradually. Besides this, a prolonged intake of Entacom Plus 50 mg Tablet may lead to greater neuropathy chances (nerve damage). Entacom Plus 50 mg Tablet should be given with caution in patients with eye problems (narrow-angle glaucoma), irregular heartbeat (arrhythmia), gastrointestinal bleeding, and psychosis. The use of Entacom Plus 50 mg Tablet is restricted if a person takes monoamine oxidase inhibitors (MAOs) or antidepressant drugs like isocarboxazid, phenelzine, selegiline, and tranylcypromine because it can lead to high blood pressure (hypertension) crisis.

Drug Interactions

Drug-Drug Interactions: Entacom Plus 50 mg Tablet may have interaction with other antiparkinson’s drugs (rasagiline, selegiline, pramipexole, apomorphine), medicines used to treat depression (moclobemide, amitriptyline, desipramine, maprotiline, venlafaxine, paroxetine, rimiterole, isoprenaline), medicines used to treat respiratory diseases or allergic reactions (adrenaline, noradrenaline) medicines used to treat high blood pressure (methyldopa)  water pills or diuretics (furosemide), high cholesterol-lowering drugs (atorvastatin), vitamins (pyridoxine), and anticonvulsants (phenytoin ), medicines used to relax the muscles (papaverine), dopamine D2 receptor blocker (metoclopramide, phenothiazines, butyrophenones, risperidone), antibiotics (erythromycin, rifampicin, ampicillin, chloramphenicol), a medicine used to treat TB (isoniazid).

Drug-Food Interactions: Entacom Plus 50 mg Tablet may interact with proteins in the food. Therefore, avoid intake of high protein food such as chicken, beef, pork, eggs, and fish as they may reduce the effectiveness of Entacom Plus 50 mg Tablet . Do not take vitamin supplements with Entacom Plus 50 mg Tablet unless prescribed by a doctor. Also, avoid alcohol intake as it may increase side effects such as drowsiness, dizziness, or difficulty in concentrating.

Drug-Disease Interactions: If you have glaucoma, asthma, nausea, dizziness, mental illness, breathing problems, daytime sleepiness, or involuntary muscle movements, inform your doctor before taking Entacom Plus 50 mg Tablet .

Drug-Drug Interactions Checker List

  • RASAGILINE
  • SELEGILINE
  • PRAMIPEXOLE
  • APOMORPHINE
  • MOCLOBEMIDE
  • AMITRIPTYLINE
  • DESIPRAMINE
  • MAPROTILINE
  • VENLAFAXINE
  • PAROXETINE
  • ISOPRENALINE
  • ADRENALINE
  • METHYLDOPA
  • FUROSEMIDE
  • ATORVASTATIN
  • PYRIDOXINE (VITB6)
  • PHENYTOIN
  • METOCLOPRAMIDE
  • PHENOTHIAZINE
  • RISPERIDONE
  • ERYTHROMYCIN
  • RIFAMPICIN
  • AMPICILLIN
  • CHLORAMPHENICOL
  • ISONIAZID
  • NORADRENALINE
  • RIMITEROLE
  • PAPAVERINE
  • BUTYROPHENONES

Habit Forming

No

Diet & Lifestyle Advise

  • Drink plenty of water to avoid headaches due to dehydration. 

  • Limit the consumption of sugar-containing food or food with too many calories but fewer nutrients, as it may cause tooth decay.

  • Engaging in physical activity like dancing or exercising will boost the metabolism and make a person more energetic.

  • Avoid intake of alcoholic beverages with Entacom Plus 50 mg Tablet as it can make a person dehydrated and may affect their sleep. This can make it harder for a person’s body to aid the Entacom Plus 50 mg Tablet in fighting off infections.

Special Advise

  • Do not exceed more than 1 dose (2 capsules) for any off period (recurring symptoms in between regular doses).

  • If you have unusual urges like gambling, spending money, overeating, or increased sexual urges, please inform your doctor before taking the Entacom Plus 50 mg Tablet .

Disease/Condition Glossary

Parkinson’s disease: It is a disorder of the central nervous system that affects movement due to damage of nerve cells in the brain, which reduces the levels of dopamine and leads to symptoms such as stiffness, tremors in one hand, shaking, difficulty in walking, coordination and balance. This condition can last for many years or a lifetime. Treatment with medicines along with physiotherapy may help to control the symptoms and provide a quality life for as long as possible.

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Alcohol

Caution

Avoid consumption of alcohol with Entacom Plus 50 mg Tablet as it may increase the risk of adverse effects such as drowsiness, dizziness, or difficulty in concentrating.

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Pregnancy

Caution

Entacom Plus 50 mg Tablet is a pregnancy Category C medicine. It is unknown whether Entacom Plus 50 mg Tablet will affect pregnant women or fetus. Hence, the intake of Entacom Plus 50 mg Tablet should be avoided if you are pregnant or planning to become pregnant, as it may harm the baby.

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Breast Feeding

Caution

Entacom Plus 50 mg Tablet is excreted in human milk, but the effect of Entacom Plus 50 mg Tablet on an infant is unknown. So, Entacom Plus 50 mg Tablet is given to a breastfeeding mother only if the doctor thinks the benefits outweigh the risks.

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Driving

Unsafe

Entacom Plus 50 mg Tablet may cause drowsiness and make you fall asleep suddenly. Therefore, avoid driving if you feel drowsy after taking Entacom Plus 50 mg Tablet .

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Liver

Caution

Take Entacom Plus 50 mg Tablet with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required.

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Kidney

Caution

Take Entacom Plus 50 mg Tablet with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required.

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Children

Caution

Entacom Plus 50 mg Tablet is not recommended for use in children, as safety and effectiveness have not been established.

Country of origin

India

Manufacturer/Marketer address

Chinubhai Centre, Off. Nehru Bridge, Ashram Road, Ahmedabad - 380009. Gujarat. India.
Other Info - ENT0019

Author Details

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FAQs

Entacom Plus 50 mg Tablet is used in the treatment of Parkinson's disease and helps relieve symptoms, including tremors, spasms, muscle stiffness and poor muscle control.
Entacom Plus 50 mg Tablet is a combination of three medicines namely; Carbidopa, Levodopa, and Entacapone. Levodopa belongs to the class of medications name as central nervous system agents, While Carbidopa fall in the category of decarboxylase inhibitors. The medicinal component Levodopa changes into dopamine in the brain and helps to control movement. While Carbidopa and Entacapone act by preventing the breakdown and causes higher and more sustained levels of Levodopa in the bloodstream so that more Levodopa can reach to brain.
Take Entacom Plus 50 mg Tablet medicine precisely as the doctor has directed. Take one dose on a regular basis. Try to take the tablets at the same time of day every day, as this will assist you in making sure to take them.
In some cases, prolonged intake of Entacom Plus 50 mg Tablet may lead to autoimmune hemolytic anaemia (red blood cells in the blood are destroyed earlier than normal). Levodopa in Entacom Plus 50 mg Tablet can cause the immune system to mistake your own red blood cells for foreign substances. The body responds by making antibodies to attack the body's own red blood cells. The antibodies attach to red blood cells and cause them to break down too early. So, your doctor might recommend regular blood tests while using Entacom Plus 50 mg Tablet .
You are recommended to avoid taking protein-rich food (such as chicken, beef, pork, eggs, meats, fish, dairy products, seeds, and nuts), iron supplements, or multivitamin tablets while taking Entacom Plus 50 mg Tablet as it may delay and reduce the absorption of levodopa. Thus, reduce the effectiveness of Entacom Plus 50 mg Tablet . Please consult your doctor and do as advised for the best results.
Yes, orthostatic hypotension could be a side-effect of Entacom Plus 50 mg Tablet . Orthostatic hypotension is a sudden lowering in blood pressure leading to dizziness on standing. If you experience this, do not try to stand up suddenly or start walking, instead lie down and get up slowly only when you feel better. People taking Entacom Plus 50 mg Tablet are advised to regularly monitor their blood pressure levels to avoid unpleasant events.
Consult your doctor before taking Entacom Plus 50 mg Tablet if you have glaucoma. Entacom Plus 50 mg Tablet is contraindicated in patients with narrow-angle glaucoma. Entacom Plus 50 mg Tablet may cause blindness on long-term use in the case of patients with narrow-angle glaucoma.
Hallucination is a medical condition in which the person may feel, hear, or believe things that are not true, see things that are not there, or feel unusually suspicious or confused. Entacom Plus 50 mg Tablet may cause hallucinations in some cases if taken for a prolonged time. So, if you experience hallucinations while taking Entacom Plus 50 mg Tablet , please talk to your doctor immediately.
It is advised not to stop taking Entacom Plus 50 mg Tablet without consulting your doctor as it may lead to a severe condition called withdrawal-emergent hyperpyrexia with symptoms such as confusion, fever, muscle stiffness, changes in heartbeat, and breathing. Therefore, take Entacom Plus 50 mg Tablet for as long as your doctor has prescribed it and if you experience any of these symptoms while taking Entacom Plus 50 mg Tablet , please consult your doctor so that the dose may be gradually reduced.
Entacom Plus 50 mg Tablet can be taken with or without food as advised by your doctor. Stay away from protein meals as it can delay the action of Entacom Plus 50 mg Tablet .
Yes, Entacom Plus 50 mg Tablet can turn the colour of your urine, sweat and saliva dark (brown, red, or black). Although it not harmful, it can sometimes stain your bedding and clothes.

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