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Xadago
Safinamide
$510.00
50mg · 3 × 30 tablets · 3 months supply
BrandBranded medicine· By Zambon
$170.00 per month
Strength
How long a supply?
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Annual cost
$2040a year at this pack size
Prescription required
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50mg
100mg
About Xadago
Overview
Xadago contains safinamide, a monoamine oxidase type B (MAO-B) inhibitor. It is used alongside levodopa/carbidopa to treat people with Parkinson’s disease who experience “off” episodes. It blocks an enzyme that breaks down dopamine, which is thought to increase dopamine levels and activity in the brain, although its exact therapeutic mechanism is unknown.
What it treats
Parkinson’s disease with “off” episodes, used as an add-on to levodopa/carbidopa.
Safety information
Side effects
Common side effects include uncontrolled movements (dyskinesia), falls, nausea and difficulty sleeping (insomnia). Contact a doctor promptly if you develop high or worsening blood pressure, fall asleep during everyday activities, have new or worsening uncontrolled movements, experience hallucinations or psychotic behaviour, or develop compulsive behaviours or difficulty controlling urges. The label also lists retinal problems affecting the back of the eye as a serious risk. Seek urgent medical attention for suspected serotonin syndrome, which may occur when Xadago is used with MAO inhibitors, antidepressants or opioid medicines, or for very high fever and confusion after stopping treatment.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
Do not take Xadago if you have had an allergic reaction to safinamide or have severe liver impairment. Reported allergic reactions include swelling of the tongue or lining of the mouth and difficulty breathing. Do not take Xadago with: • Other monoamine oxidase inhibitors (MAOIs) or medicines that strongly inhibit monoamine oxidase, including linezolid. These combinations can cause dangerously high blood pressure. • Opioid medicines, including meperidine and related medicines, methadone, propoxyphene or tramadol; SNRI, tricyclic, tetracyclic or triazolopyridine antidepressants; cyclobenzaprine; methylphenidate, amphetamine or their derivatives; or St John’s wort. These combinations can cause life-threatening serotonin syndrome. • Dextromethorphan, because combining it with MAOIs has been associated with psychosis or abnormal behaviour. Xadago may cause or worsen high blood pressure and uncontrolled movements (dyskinesia). It may also cause falling asleep during everyday activities, hallucinations, psychotic behaviour, or problems controlling impulses and compulsive behaviours. Withdrawal may cause very high fever and confusion. If you are pregnant or planning a pregnancy, discuss this with your prescriber. Animal studies suggest Xadago may harm an unborn baby.
Interactions
Tell your doctor if you take selective serotonin reuptake inhibitors (SSRIs), as monitoring for serotonin syndrome is needed with Xadago. Sympathomimetic medicines require monitoring for high blood pressure. Tyramine can cause severely high blood pressure with Xadago. Ask your doctor about tyramine-containing foods.
Using Xadago
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store below 25°C in a dry place, in the original pack, away from direct light and moisture. Do not keep it in a bathroom. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label XADAGO (SAFINAMIDE MESYLATE) TABLET, FILM COATED [MDD US OPERATIONS LLC, A SUBSIDIARY OF SUPERNUS PHARMACEUTICALS, INC.] (DailyMed, retrieved 19 September 2026).
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