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Tolcapone

Tolcapone Side Effects

Hope Chang, PharmD, AAHIVPAshley Wong, PharmD
Reviewed by Hope Chang, PharmD, AAHIVP, Ashley Wong, PharmD
Last reviewed on December 17, 2021

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Involuntary movements (dyskinesia, 42%)
  • Nausea (30%)
  • Sleep problems (24%)
  • Excessive dreaming (21%)
  • Muscle contractions and cramps (17—19%)
  • Loss of appetite (19%)
  • Sleepiness (18%)
  • Low blood pressure (17%)
  • Diarrhea (16%)
  • Dizziness (13%)
  • Confusion (11%)
  • Headache (10%)

Less Common Side Effects

  • Hallucinations
  • Tiredness
  • Fainting
  • Stomach pain and upset stomach
  • Vomiting
  • Constipation
  • Dry mouth
  • Falling
  • More sweating
  • Bladder infection
  • Common cold or flu

Tolcapone serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Serious liver damage: yellowing of the skin or eyes, pale colored stools, loss of appetite, persistent nausea, tiredness, low energy, dark urine, itchiness, tenderness in the upper right side of your stomach
  • Severe muscle damage (rhabdomyolysis): muscle aches, soreness, cramping, dark-colored urine
  • Symptoms similar to neuroleptic malignant syndrome (NMS): very high fevers, irregular pulse, sweating, muscle stiffness, confusion, changes in blood pressure
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Source: DailyMed

The following Tolcapone side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

Dark urine

itching

light-colored stools

loss of appetite

nausea (continuing)

tenderness in upper right part of abdomen

unusual drowsiness, dullness, or feeling sluggish

unusual tiredness or weakness

yellow eyes or skin

Check with your doctor as soon as possible if any of the following side effects occur:

More common

Abdominal pain

cough

diarrhea

dizziness

dizziness or lightheadedness when getting up from a lying or sitting position

drowsiness

fainting

fever

hallucinations (seeing, hearing, or feeling things that are not there)

headache

nasal congestion (stuffy nose)

nausea

runny nose

sneezing

sore throat

trouble in sleeping

twitching, twisting, or other unusual body movements

vomiting

Less common

Absence of or decrease in body movement

blood in urine

chest pain

chills

confusion

falling

general feeling of discomfort or illness

hyperactivity

loss of balance control

muscle pain

troubled breathing

Rare

Agitation

bloody or cloudy urine

burning of feet

burning, prickling, or tingling sensations

chest discomfort

difficult or painful urination

difficulty in thinking or concentrating

frequent urge to urinate

irritability

joint pain, redness, or swelling

low blood pressure

muscle cramps

neck pain

stiffness

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Constipation

dryness of mouth

excessive dreaming

increased sweating

Less common

Bleeding

difficulty in sleeping

excessive muscle tone

fever

heartburn

gas

muscle stiffness

muscle tension or tightness

trouble in holding or releasing urine

After you stop using this medicine, it may still produce some side effects that need attention. During this period of time, check with your doctor immediately if you notice the following side effects:

Confusion

fever

muscle rigidity

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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Why trust our experts?

Hope Chang is a freelance writer and content reviewer for GoodRx. She attended Howard University College of Pharmacy in Washington, D.C. and completed post-graduate residency training at the University of California, Davis Medical Center.
Ashley Wong, PharmD, is a licensed pharmacist in California. She has over 6 years of experience providing drug information.

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