Reported Reactions

Drugs › Aromatic amino acid

Generic name

Carbidopa and levodopa: adverse event reports filed with FDA

2,411 reports list it as a suspect or interacting product, 2004–2026. Class: Aromatic amino acid. Also reported as Carbidopa/Levodopa Er, Carbidopa And Levodopa Extended-Release Tablets, Carbidopa And Levodopa Tablets Usp.

2,411
reports as suspect product
0% of all reports · about 107 a year
128
reports, 12 months to June 2026
104 in the 12 months before
58.5%
marked serious by the reporter
64.8% across the class
5.1%
record death among outcomes, as reported
123 reports · not verified by FDA

Between January 2004 and June 2026, 2,411 adverse event reports received by FDA list carbidopa and levodopa, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (9,243) are left out of every figure here.

In the 12 months to June 2026, 128 reports listed it, up 23% from 104 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 107 reports a year and 0% of the 20,646,523 reports in the database, and 4.6% of the reports for the aromatic amino acid class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded drug ineffective (16.3%), dyskinesia (9.8%) and tremor (7.3%). A report can list several reactions, so shares add to more than 100%; 513 different terms appear across these reports. Drug ineffective is recorded in 16.3% of these reports, a larger share than in the median aromatic amino acid drug (10.7%).

58.5% of the reports are marked serious by the reporter (64.8% across the class); 5.1% record death among the outcomes and 24.1% record hospitalisation, as reported. 41.8% of the reports came from consumers, and the largest patient age group is 65 to 74 (20.8%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

01122Jul 2021: 12Aug 2021: 22Sep 2021: 22Oct 2021: 8Nov 2021: 3Dec 2021: 152022Jan 2022: 6Feb 2022: 2Mar 2022: 8Apr 2022: 3May 2022: 10Jun 2022: 6Jul 2022: 12Aug 2022: 7Sep 2022: 11Oct 2022: 6Nov 2022: 13Dec 2022: 142023Jan 2023: 5Feb 2023: 8Mar 2023: 5Apr 2023: 8May 2023: 3Jun 2023: 3Jul 2023: 3Aug 2023: 5Sep 2023: 12Oct 2023: 8Nov 2023: 10Dec 2023: 122024Jan 2024: 3Feb 2024: 9Mar 2024: 9Apr 2024: 10May 2024: 12Jun 2024: 6Jul 2024: 7Aug 2024: 13Sep 2024: 8Oct 2024: 8Nov 2024: 8Dec 2024: 32025Jan 2025: 12Feb 2025: 4Mar 2025: 14Apr 2025: 6May 2025: 11Jun 2025: 10Jul 2025: 9Aug 2025: 17Sep 2025: 7Oct 2025: 4Nov 2025: 4Dec 2025: 112026Jan 2026: 13Feb 2026: 7Mar 2026: 15Apr 2026: 15May 2026: 14Jun 2026: 12

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

01282552004: 2220042005: 152006: 192007: 2620072008: 472009: 242010: 5320102011: 702012: 522013: 4720132014: 872015: 1522016: 18020162017: 2552018: 2102019: 23920192020: 2282021: 2242022: 9820222023: 822024: 962025: 10920252026: 76

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Carbidopa and levodopa reports recording the termmedian drug in aromatic amino acid

  1. Drug ineffectivethe medicine did not work as expected16.3%392
  2. Dyskinesiainvoluntary movements9.8%237
  3. Tremorshaking7.3%175
  4. Hallucinationseeing or hearing things that are not there6.3%151
  5. Falla fall5.9%142
  6. Dizzinesslight-headedness or unsteadiness5.8%139
  7. Nauseafeeling sick5.5%133
  8. Gait disturbancedifficulty walking5.1%123
  9. Condition aggravatedthe condition being treated got worse4.8%115
  10. Drug interactionan interaction between medicines4.6%111
  11. Confusional stateconfusion3.5%85
  12. Fatiguetiredness3.4%83
  13. Somnolencedrowsiness3.4%83
  14. Anxietyanxiety3.3%80
  15. Product substitution issuea problem after switching products2.9%69
  16. Dopamine dysregulation syndrome2.6%63
  17. Headachehead pain2.6%62
  18. Constipationconstipation2.4%59
  19. Dyspnoeashortness of breath2.3%56
  20. Astheniaweakness or lack of energy2.2%54
  21. Hypotensionlow blood pressure2.1%51
  22. Feeling abnormalfeeling odd or not right2.1%50
  23. Balance disorderproblems with balance2%49
  24. Wrong technique in product usage processthe product was used in the wrong way2%49
  25. Malaisegeneral feeling of being unwell2%48
  26. Agitationrestlessness1.9%47
  27. Depressionlow mood1.9%47

Top 30 of 513 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 7 drugs in the aromatic amino acid class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death5.1%123
Life-threatening3.2%78
Hospitalisation (initial or prolonged)24.1%581
Disability2.7%65
Congenital anomaly0%0
Other serious41%989
Not serious41.5%1,001

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 52,862 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20%0
2 to 110.5%12
12 to 170.3%8
18 to 443.1%75
45 to 6416.1%389
65 to 7420.8%502
75 and over17.1%413
Age not given42%1,012

Patient sex

Female41.8%1,007
Male44.5%1,073
Not given13.7%331

Who reported

Physician20.9%504
Pharmacist8.8%212
Other health professional25.1%605
Lawyer0.1%3
Consumer or non-health professional41.8%1,007
Not given3.3%80

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 73.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Parkinson's disease87036.1%
Parkinson's disease1867.7%
Parkinsonism702.9%
Tremor241%
Restless legs syndrome110.5%
On and off phenomenon80.3%

The indication field is filled in by the reporter and is often blank; shares are of all 2,411 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Carbidopa and levodopa reports
Amantadine1506.2%
Ropinirole1285.3%
Pramipexole1265.2%
Entacapone1104.6%
Quetiapine933.9%
Clonazepam853.5%
Aspirin743.1%
Nuplazid692.9%
Furosemide572.4%
Mirtazapine572.4%

Other products listed in reports where Carbidopa and levodopa is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureCarbidopa and levodopaAromatic amino acidAll reports
Reports as suspect product2,41152,86220,646,523
Share of that pool—4.6%0%
Reports, latest 12 months128—1,332,454
Marked serious58.5%64.8%57.4%
Death recorded among outcomes, per 1,000 reports5117291
Hospitalisation recorded, per 1,000 reports241333213
Consumer-filed share41.8%69.7%45.8%
Top term, share of reportsDrug ineffective 16.3%median 10.7%6.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the aromatic amino acid class

DrugName typeReportsLatest 12 monthsMarked serious
Carbidopa levodopageneric20,2193,60292.4%
Rytarybrand9,9997524.1%
Duopabrand8,48338375.9%
Inbrijabrand5,83831417.6%
Sinemetbrand4,49212566.2%
Levodopageneric1,42013292%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Carbidopa and levodopa reports

How many adverse event reports has FDA received for Carbidopa and levodopa?

2,411 reports list Carbidopa and levodopa as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 128 of them arrived in the latest 12 months. Another 9,243 list it only as a concomitant medication.

What reactions are recorded in Carbidopa and levodopa reports?

drug ineffective (16.3%), dyskinesia (9.8%), tremor (7.3%), hallucination (6.3%) and fall (5.9%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Carbidopa and levodopa was responsible.

How serious are the reports?

58.5% are marked serious by the reporter. Among the outcomes recorded, 5.1% of reports include death and 24.1% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (41.8%), other health professional (25.1%) and physician (20.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Carbidopa and levodopa rising?

128 reports in the 12 months to June 2026, up 23% from 104 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Carbidopa and levodopa was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Carbidopa and levodopa?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Carbidopa and levodopa as a suspect or interacting product; reports listing it only as a concomitant medication (9,243) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.