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What the FDA labels say about taking them together

Carbidopa and selegiline

Carbidopa's FDA label of July 2, 2020 names selegiline in its contraindications section; the selegiline labels PlainMeds reads (3) do not name carbidopa. The carbidopa label: “Carbidopa-levodopa, or levodopa may be administered concomitantly with the manufacturer’s recommended dose of an MAO inhibitor with selectivity for MAO type B (e.g., selegiline HCl).”

Check it at the source: the carbidopa FDA label on DailyMed (effective July 2, 2020, Oceanside Pharmaceuticals); the selegiline FDA label on DailyMed (effective August 7, 2024, Rising Pharma Holdings, Inc.).

What does the carbidopa label say about selegiline?

Carbidopa label, contraindications

Carbidopa-levodopa, or levodopa may be administered concomitantly with the manufacturer’s recommended dose of an MAO inhibitor with selectivity for MAO type B (e.g., selegiline HCl) (see PRECAUTIONS, Drug Interactions ).

Carbidopa label, drug interactions

Concomitant therapy with selegiline or rasigiline and carbidopa or carbidopa-levodopa may be associated with severe orthostatic hypotension not attributable to carbidopa-levodopa alone (see CONTRAINDICATIONS ).

Source: FDA drug label (Carbidopa), NDA017830 (Aton), as published by Oceanside Pharmaceuticals, effective July 2, 2020 (SPL set d5204e5e-10ef-4758-8fc6-cb710048c687), via openFDA; the full label on DailyMed

What does the selegiline label say about carbidopa?

Selegiline's label (effective August 7, 2024) and its 2 other brand-application labels do not name carbidopa in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Selegiline Hydrochloride), Rising Pharma Holdings, Inc., effective August 7, 2024 (SPL set 23c4481f-d150-40c6-addb-b3e454ca914f), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

7Carbidopa generic labelers
11Selegiline generic labelers
CarbidopaSelegiline
Labeled forParkinson's diseaseParkinson's disease, Depression
Boxed warningNoNo
Pharmacy cost (NADAC)$0.536 per tablet 25 mg tablet$0.756 per capsule 5 mg capsule
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?