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The drug is a generic fixed-dose combination of entacapone, levodopa, and carbidopa, specifically the 'Tablets (II)' formulation produced by Qilu Pharmaceutical. It is used for the treatment of Parkinson's disease, particularly in patients experiencing 'wearing-off' symptoms. Levodopa serves as a metabolic precursor to dopamine, which is depleted in Parkinson's disease. Carbidopa is an aromatic L-amino acid decarboxylase (AADC) inhibitor that prevents the peripheral conversion of levodopa to dopamine, thereby reducing side effects and increasing the amount of levodopa that reaches the brain. Entacapone is a selective and reversible catechol-O-methyltransferase (COMT) inhibitor that further blocks the peripheral metabolism of levodopa into 3-O-methyldopa, extending the plasma half-life of levodopa and enhancing its brain bioavailability. This specific entry refers to a bioequivalence study conducted by The Affiliated Hospital of Qingdao University to compare this generic version against the reference listed drug, Stalevo.
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