The pharmacokinetics of the clinically determined optimal dose of cont
rolled release levodopa/carbidopa 25/100 (Sinemet CR 25/100) after 12
weeks of therapy was studied in nine parkinsonian patients without pri
or exposure to levodopa. The pharmacokinetics of single oral doses of
controlled release levodopa/carbidopa 25/100 and 50/200 were also comp
ared. As predicted from the plasma half-life (1.7 +/- 0.3 h) and confi
rmed by morning trough levels, levodopa did not accumulate when contro
lled released levodopa/carbidopa 25/100 was administered twice daily.
The absorption and bioavailability of CR 25/100 are minimally greater
than CR 50/200. Controlled released levodopa/carbidopa 25/100 levodopa
plasma levels peak slightly faster than controlled release levodopa/c
arbidopa 50/200.