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What the FDA labels say about taking them together

Carbidopa/levodopa and tetrabenazine

Carbidopa/levodopa's FDA label of August 1, 2026 names tetrabenazine in its drug interactions section; the tetrabenazine label PlainMeds reads does not name carbidopa/levodopa. The carbidopa/levodopa label: “Use of DHIVY with dopamine-depleting agents or other drugs known to deplete monoamine stores is not recommended.”

Check it at the source: the carbidopa/levodopa FDA label on DailyMed (effective August 1, 2026, Organon LLC); the tetrabenazine FDA label on DailyMed (effective November 29, 2019, Oceanside Pharmaceuticals).

What does the carbidopa/levodopa label say about tetrabenazine?

Carbidopa/levodopa label, drug interactions

Use of SINEMET with dopamine-depleting agents (e.g., reserpine and tetrabenazine) or other drugs known to deplete monoamine stores is not recommended.

Source: FDA drug label (Dhivy, NDA214869), Avion Pharmaceuticals, LLC, effective August 21, 2026 (SPL set 39d79ade-8ee0-40ba-9fdd-13045b8ddbdf), via openFDA

Source: FDA drug label (SINEMET), Organon LLC, effective August 1, 2026 (SPL set 9b17b028-964a-473c-823d-81423535bd66), via openFDA; the full label on DailyMed

What does the tetrabenazine label say about carbidopa/levodopa?

Tetrabenazine's label (effective November 29, 2019) does not name carbidopa/levodopa in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (tetrabenazine), NDA021894 (Bausch), as published by Oceanside Pharmaceuticals, effective November 29, 2019 (SPL set 5867189c-17bd-4e70-a079-c4730f9950d1), 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

33Carbidopa/levodopa generic labelers
10Tetrabenazine generic labelers
Carbidopa/levodopaTetrabenazine
Labeled forParkinson's diseasen/a
Boxed warningNoYes
Pharmacy cost (NADAC)$0.0759 per tablet 25-100 tablet$0.702 per tablet 12.5 mg tablet
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?