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Inform your doctor if your condition does not improve or if it worsens. It may also be given to relieve Parkinson-like sinemet sem receita expedidos symptoms caused by encephalitis brain fever carbon monoxide poisoning, or manganese poisoning. Tell your doctor immediately if any of these rare but very serious side effects occur: easy bleeding bruising, signs of infection. There have been rare reports of adverse reactions, including hypertension and dyskinesia, resulting from the concomitant use of tricyclic antidepressants and Sinemet. Separate your dose of this medication as many hours as possible from any iron supplements or products containing iron.