Foslevodopa/Foscarbidopa Calculator

This tool is in the beta stages of development. It is intended for use as a clinical decision support aid only. It does not replace clinical judgement.

All suggested doses must be reviewed and approved by a qualified clinician before being prescribed or administered.

By continuing, you confirm that you are a healthcare professional and agree to use this tool accordingly.

Foslevodopa/Foscarbidopa Calculator

Foslevodopa/Foscarbidopa Dose Calculator

Select a calculator to get started. See below for instructions and references.

⚠️ For clinical decision support only. All suggested doses must be reviewed by a qualified clinician before prescribing. Not a substitute for clinical judgement.
About

Developed by Dr Owen Chan. This calculator is intended as a bedside aid for clinicians caring for patients receiving foslevodopa/foscarbidopa (Vyalev).

How to use

For patients starting foslevodopa/foscarbidopa, use the LED Calculator and Starting Dose cards to calculate your Levodopa Equivalent Dose. LED results carry through to the Starting Dose calculator automatically.

For patients already on foslevodopa/foscarbidopa, use the Dose Adjustment card. This includes calculations for weaning dopamine agonists and adjustment for COMT inhibitor status.

This tool is designed for clinicians. Override options exist throughout, so you can tailor the treatment to your patients as you see fit.

References

Dopamine agonist and COMT inhibitor levodopa equivalence values are derived from: Jost ST, et al. Levodopa equivalent dose conversion factors: an updated proposal. Mov Disord Clin Pract. 2023.

Ccalculations are derived from: AbbVie Pty Ltd. Vyalev Australian Product Information. TGA, 2024.

Contact

If you have any questions or feedback, please reach out at owen@owenchan.com.au.

Thank you for using this calculator. I hope it helps your patients and your clinical workflow.

Levodopa Medications
Total LED
Total LED
mg/day
Step 1 — Total Levodopa Dose
Calculated LED mg/day
Step 2 — COMT Inhibitor
Step 3 — Suggested Base Rate
Check against Vyalev PI Table 2 (page 4)
Suggested BR mL/hr
mL/hr
Step 4 — HR / LR Adjustments
HR above BR
LR below BR
Step 5 — Final Regimen
mL/hr
mL/hr
BR
mL/hr
HR
mL/hr
LR
mL/hr
Volume
mL/day
LDp
mg/day
Vials
/day
Current Regimen
BR mL/hr · hrs
HR mL/hr · hrs
LR mL/hr · hrs
hrs
Section A — Dopamine Agonist Wean
mg/day
HR above BR
LR below BR
Section B — Adding a COMT Inhibitor

Only use if the patient is NOT already on a COMT inhibitor

New BR
mL/hr
New HR
mL/hr
New LR
mL/hr
Loading Dose

Use when the pump has been off for more than 3 hours. Maximum loading dose is 3 mL.

Loading volume
mL
Bolus Dose

Convert an oral levodopa dose to an equivalent bolus volume.

Bolus volume
mL