This website is for UK Healthcare Professionals only

This promotional material is intended for UK Healthcare Professionals (HCPs) experienced in the diagnosis and management of Parkinson’s disease only. Adverse event reporting can be found below

PRODUODOPA (foslevodopa/foscarbidopa solution for infusion) is indicated for the treatment of advanced levodopa-responsive Parkinson’s disease (PD) with severe motor fluctuations and hyperkinesia or dyskinesia when available combination of Parkinson’s medicinal products have not given satisfactory results.1
 

Because levodopa may activate malignant melanoma, PRODUODOPA should not be used in patients with suspicious undiagnosed skin lesions or a history of melanoma.
 


PRODUODOPA (foslevodopa/foscarbidopa solution for infusion) is indicated for the treatment of advanced levodopa-responsive Parkinson’s disease (PD) with severe motor fluctuations and hyperkinesia or dyskinesia when available combination of Parkinson’s medicinal products have not given satisfactory results.1

Because levodopa may activate malignant melanoma, PRODUODOPA should not be used in patients with suspicious undiagnosed skin lesions or a history of melanoma.

Some patients may not be suitable for PRODUODOPA. You are strongly advised to read the Prescribing information (PI), and Summary of Product Characteristics (SmPC) which can be found via the links above, to evaluate patient suitability for PRODUODOPA.

PRODUODOPA safety profile1

PRODUODOPA
safety profile1

Most frequent adverse reactions

The most frequent adverse reactions (≥10%) reported in all Phase 3 studies in patients exposed to PRODUODOPA were infusion site events (infusion site erythema, infusion site cellulitis, infusion site nodule, infusion site pain, infusion site oedema, infusion site reaction, and infusion site infection), hallucination, fall, and anxiety.

Infusion site events

  • In the Phase 3 studies, the most common AEs related to PRODUODOPA were infusion site reactions 77.6% (N=294) and infusion site infections 41.4% (N=157)
  • Infusion site events including infusion site reactions and infections, commonly seen with subcutaneous infusions, were observed with PRODUODOPA in the clinical studies
  • The majority of infusion site events were non-serious, were mild or moderate in severity, and resolved spontaneously or with treatment such as antibiotics and/or incision and drainage
  • Three subjects with infusion site infections had a complication of sepsis resulting in hospitalisation
  • Monitor for any skin changes at the infusion site that could indicate a potential infection, such as redness associated with warmth, swelling, pain, and discolouration when you apply pressure to it
  • Aseptic techniques should be followed while using this medication and consider rotating the infusion site more frequently than every 3rd day, using a new infusion set if you see these skin changes. It is recommended that new infusion sites be at least 2.5 cm from sites used within the previous 12 days

You are strongly advised to read the prescribing information and summary of product characteristics prior to prescribing PRODUODOPA.

Adverse reactions reported in all Phase 3 studies in patients exposed to PRODUODOPA (379 patients with total exposure of 414.3 person-years, 230 subjects exposed for ≥6 months, 204 subjects exposed for ≥12 months) or data from DUODOPA (levodopa/carbidopa intestinal gel) based on treatment emergent frequencies, regardless of causality assigned1

The Duodopa prescribing information can be accessed here

System Organ Class

Frequency

Adverse Reactions

Infections and infestations

Very common (≥1/10)

Infusion site cellulitis
Infusion site infection
Urinary tract infection†

Common (≥1/100 to <1/10)*

Infusion site abscess

Blood and lymphatic system disorders

Common (≥1/100 to <1/10)

Anaemia†
Uncommon (≥1/1,000 to <1/100)Leukopenia†
Thrombocytopenia†
Immune system disorder

Not known

Anaphylactic reaction†‖

Metabolism and nutrition disorders

Common (≥1/100 to <1/10)

Decreased appetite

Psychiatric disorders

Very common (≥1/10)

Anxiety
Depression
Hallucination‡
Common (≥1/100 to <1/10)Abnormal dreams†
Agitation†
Confusional state
Delusion
Impulse control disorder
Insomnia
Paranoia
Psychotic disorder
Sleep attacks†
Sleep disorder†
Suicidal ideation
Uncommon (≥1/1,000 to <1/100)Completed suicide†
Dementia†
Disorientation†
Dopamine dysregulation syndrome
Euphoric mood†
Fear†
Libido increased†
Nightmare†
Suicide attempt†
Rare (≥1/10,000 to <1/1,000)Abnormal thinking†

Nervous system disorders

Common (≥1/100 to <1/10)Cognitive disorder
Dizziness
Dizziness postural
Dyskinesia
Dystonia
Headache
Hypoaesthesia
On and off phenomenon
Paraesthesia
Polyneuropathy§
Somnolence
Syncope
Tremor†
Uncommon (≥1/1,000 to <1/100)Ataxia†
Convulsion†
Gait disturbance†

Eye disorders

Uncommon (≥1/1,000 to <1/100)

Angle closure glaucoma†
Blepharospasm†
Diplopia†
Optic ischaemic neuropathy†
Vision blurred†

Cardiac disorders

Common (≥1/100 to <1/10)

Heart rate irregular†

Uncommon (≥1/1,000 to <1/100)

Palpitations

Vascular disorders

Common (≥1/100 to <1/10)

Hypertension
Hypotension
Orthostatic hypotension

Uncommon (≥1/1,000 to <1/100)

Phlebitis†

Respiratory, thoracic, and mediastinal disorders

Common (≥1/100 to <1/10)

Dyspnoea
Oropharyngeal pain†

Uncommon (≥1/1,000 to <1/100)

Dysphonia†

Rare (≥1/10,000 to <1/1,000)

Respiration abnormal†

Gastrointestinal disorders

Common (≥1/100 to <1/10)

Abdominal distension†
Abdominal pain
Constipation
Diarrhoea
Dry mouth
Dysgeusia†
Dyspepsia†
Dysphagia†
Flatulence†
Nausea
Vomiting
Uncommon (≥1/1,000 to <1/100)Salivary hypersecretion†
Rare (≥1/10,000 to <1/1,000)Bruxism†
Saliva discolouration†
Glossodynia†
Hiccups†

Skin and subcutaneous tissue disorders

Common (≥1/100 to <1/10)

Dermatitis contact†
Hyperhidrosis†
Pruritus
Rash
Uncommon (≥1/1,000 to <1/100)Alopecia†
Erythema†
Urticaria†
Rare (≥1/10,000 to <1/1,000)Sweat discolouration†
Malignant melanoma†

Musculoskeletal and connective tissue disorders

Common (≥1/100 to <1/10)

Muscle spasms
Neck pain†

Renal and urinary disorders

Common (≥1/100 to <1/10)

Urinary incontinence
Urinary retention
Uncommon (≥1/1,000 to <1/100)Chromaturia†
Rare (≥1/10,000 to <1/1,000)Priapism†

General disorders and administration site conditions

Very common (≥1/10)

Infusion site erythema
Infusion site reaction
Infusion site nodule
Infusion site oedema
Infusion site pain
Common (≥1/100 to <1/10)*Asthenia
Fatigue
Infusion site bruising
Infusion site exfoliation
Infusion site extravasation
Infusion site haematoma
Infusion site haemorrhage
Infusion site induration
Infusion site inflammation
Infusion site irritation
Infusion site mass
Infusion site papule
Infusion site pruritus
Infusion site rash
Infusion site swelling
Malaise
Oedema peripheral
Pain†
Uncommon (≥1/1,000 to <1/100)Chest pain

Investigations

Common (≥1/100 to <1/10)

Amino acid level increased (Methylmalonic acid increased)†
Blood homocysteine level increased†
Vitamin B6 decreased
Vitamin B12 deficiency†
Weight decreased
Weight increased†

Injury, poisoning, and procedural complications

Very common (≥1/10)

Fall

*Common adverse reactions pertaining to infusion site events included if ≥2%. †These adverse reactions were identified with DUODOPA intestinal gel as drug-related events. However, these events were not considered adverse reactions for PRODUODOPA. ‡Hallucination includes hallucination, hallucination  visual, hallucination auditory, hallucination olfactory, hallucinations tactile, and hallucinations mixed. §Polyneuropathy includes neuropathy peripheral, polyneuropathy, decreased vibratory sense, peripheral sensory neuropathy, sensory disturbance, and sensory loss. ‖Based on post-marketing data.

Please refer to the PRODUODOPA Summary of Product Characteristics (SmPC) for further information on adverse events, contraindications and special warnings and precautions for use.

References

  1. PRODUODOPA (foslevodopa/foscarbidopa solution for infusion) Summary of Product Characteristics.

By clicking the link above you will leave the AbbVie Pro website and be taken to the eMC PI portal website

Adverse events should be reported. Reporting forms and information can be found at yellowcard.mhra.gov.uk.

Adverse events should also be reported to AbbVie on GBPV@abbvie.com

UK-PRODD-250317. Date of preparation: October 2025.