A dose‐ranging study of selegiline in patients with Parkinson's disease: Effect on platelet monoamine oxidase activity
Identifieur interne : 000591 ( France/Analysis ); précédent : 000590; suivant : 000592A dose‐ranging study of selegiline in patients with Parkinson's disease: Effect on platelet monoamine oxidase activity
Auteurs : Nathalie Andreu [France] ; Christine Damase-Michel [France] ; Jean-Michel Senard [France] ; Olivier Rascol [France] ; Montastruc [France]Source :
- Movement Disorders [ 0885-3185 ] ; 1997-05.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Activity, Adult, Aged, Amine oxidase (flavin-containing), Antiparkinson Agents (administration & dosage), Antiparkinson Agents (pharmacology), Antiparkinson Agents (therapeutic use), Antiparkinson agent, Blood Platelets (metabolism), Dose activity relation, Dose-Response Relationship, Drug, Effective dose, Female, Human, Humans, MAO, MAO B inhibitor, MAO inhibitors, Male, Measurement, Middle Aged, Monoamine Oxidase (blood), Monoamine Oxidase (metabolism), Parkinson Disease (drug therapy), Parkinson disease, Parkinson's disease, Platelet, Platelets, Randomization, Selegiline, Selegiline (administration & dosage), Selegiline (pharmacology), Selegiline (therapeutic use), Treatment.
- MESH :
- chemical , administration & dosage : Antiparkinson Agents, Selegiline.
- chemical , blood : Monoamine Oxidase.
- chemical , metabolism : Monoamine Oxidase.
- chemical , pharmacology : Antiparkinson Agents, Selegiline.
- chemical , therapeutic use : Antiparkinson Agents, Selegiline.
- drug therapy : Parkinson Disease.
- metabolism : Blood Platelets.
- Adult, Aged, Dose-Response Relationship, Drug, Female, Humans, Male, Middle Aged.
Abstract
A dose‐ranging study of selegiline was performed in patients with Parkinson's disease to determine the minimal dosage of the drug able to inhibit ≥95% of platelet monoamine oxidase (MAO) activity. Different doses of selegiline (5 or 10 mg daily, 10 or 20 mg weekly) were studied in four groups of six patients with Parkinson's disease. Platelet MAO activity was measured before and after 1 month's treatment with selegiline. The doses of 5 or 10 mg daily and 20 mg (i.e., 10 mg × 2) weekly induced a complete inhibition of platelet MAO‐B activity from day 7 to day 28 (96.0–99.5%). In contrast, platelet MAO‐B inhibition was only 75.9% of the basal value after a dosage of 10 mg weekly. These results demonstrate that 20 mg weekly is the minimal dosage of selegiline able to induce a maximal and long‐lasting inhibition of platelet MAO‐B activity in patients with parkinsonism. Further clinical trials are needed to investigate the clinical efficacy of this dose.
Url:
DOI: 10.1002/mds.870120305
Affiliations:
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<term>Adult</term>
<term>Aged</term>
<term>Amine oxidase (flavin-containing)</term>
<term>Antiparkinson Agents (administration & dosage)</term>
<term>Antiparkinson Agents (pharmacology)</term>
<term>Antiparkinson Agents (therapeutic use)</term>
<term>Antiparkinson agent</term>
<term>Blood Platelets (metabolism)</term>
<term>Dose activity relation</term>
<term>Dose-Response Relationship, Drug</term>
<term>Effective dose</term>
<term>Female</term>
<term>Human</term>
<term>Humans</term>
<term>MAO</term>
<term>MAO B inhibitor</term>
<term>MAO inhibitors</term>
<term>Male</term>
<term>Measurement</term>
<term>Middle Aged</term>
<term>Monoamine Oxidase (blood)</term>
<term>Monoamine Oxidase (metabolism)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson disease</term>
<term>Parkinson's disease</term>
<term>Platelet</term>
<term>Platelets</term>
<term>Randomization</term>
<term>Selegiline</term>
<term>Selegiline (administration & dosage)</term>
<term>Selegiline (pharmacology)</term>
<term>Selegiline (therapeutic use)</term>
<term>Treatment</term>
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<term>Male</term>
<term>Middle Aged</term>
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<term>Amine oxidase (flavin-containing)</term>
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<term>Mesure</term>
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<term>Relation dose réponse</term>
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<front><div type="abstract" xml:lang="en">A dose‐ranging study of selegiline was performed in patients with Parkinson's disease to determine the minimal dosage of the drug able to inhibit ≥95% of platelet monoamine oxidase (MAO) activity. Different doses of selegiline (5 or 10 mg daily, 10 or 20 mg weekly) were studied in four groups of six patients with Parkinson's disease. Platelet MAO activity was measured before and after 1 month's treatment with selegiline. The doses of 5 or 10 mg daily and 20 mg (i.e., 10 mg × 2) weekly induced a complete inhibition of platelet MAO‐B activity from day 7 to day 28 (96.0–99.5%). In contrast, platelet MAO‐B inhibition was only 75.9% of the basal value after a dosage of 10 mg weekly. These results demonstrate that 20 mg weekly is the minimal dosage of selegiline able to induce a maximal and long‐lasting inhibition of platelet MAO‐B activity in patients with parkinsonism. Further clinical trials are needed to investigate the clinical efficacy of this dose.</div>
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