Naltrexone, an opiate antagonist, fails to modify motor symptoms in patients with Parkinson's disease
Identifieur interne : 000629 ( France/Analysis ); précédent : 000628; suivant : 000630Naltrexone, an opiate antagonist, fails to modify motor symptoms in patients with Parkinson's disease
Auteurs : Rascol [France] ; Nelly Fabre [France] ; Olivier Blin [France] ; Janet Poulik [France] ; Umberto Sabatini [France] ; Jean-Michel Senard [France] ; Michèle Ané [France] ; Jean-Louis Montastruc [France] ; André Rascol [France]Source :
- Movement Disorders [ 0885-3185 ] ; 1994.
English descriptors
- KwdEn :
- Aged, Bromocriptine (adverse effects), Bromocriptine (therapeutic use), Cross-Over Studies, Disability Evaluation, Dose-Response Relationship, Drug, Double-Blind Method, Drug Therapy, Combination, Dyskinesia, Drug-Induced (drug therapy), Female, Humans, Levodopa (adverse effects), Levodopa (therapeutic use), Male, Middle Aged, Motor Skills (drug effects), Motor symptoms, Naltrexone, Naltrexone (adverse effects), Naltrexone (therapeutic use), Neurologic Examination (drug effects), Parkinson Disease (drug therapy), Parkinson's disease.
- MESH :
- chemical , adverse effects : Bromocriptine, Levodopa, Naltrexone.
- chemical , therapeutic use : Bromocriptine, Levodopa, Naltrexone.
- drug effects : Motor Skills, Neurologic Examination.
- drug therapy : Dyskinesia, Drug-Induced, Parkinson Disease.
- Aged, Cross-Over Studies, Disability Evaluation, Dose-Response Relationship, Drug, Double-Blind Method, Drug Therapy, Combination, Female, Humans, Male, Middle Aged.
Abstract
One month of adjunct treatment with naltrexone (100 mg/day) was compared with placebo in a double‐blind, randomized, cross‐over design in two groups of patients with Parkinson's disease. The first group was composed of 10 patients with a moderate motor impairment insufficiently controlled by monotherapy with bromocriptine. The second group was composed of eight patients with L‐dopa‐induced peak‐dose dyskinesia. Naltrexone as compared with placebo did not demonstrate any significant change in motor function in either group. These negative clinical results do not support a significant role of endogenous opioid systems in the pathophysiology of motor impairment in Parkinson's disease.
Url:
DOI: 10.1002/mds.870090410
Affiliations:
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ISTEX:6389CD577D0213D1E320DD29FF1012103179B512Le document en format XML
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<author><name sortKey="Fabre, Nelly" sort="Fabre, Nelly" uniqKey="Fabre N" first="Nelly" last="Fabre">Nelly Fabre</name>
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<author><name sortKey="Blin, Olivier" sort="Blin, Olivier" uniqKey="Blin O" first="Olivier" last="Blin">Olivier Blin</name>
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<author><name sortKey="Poulik, Janet" sort="Poulik, Janet" uniqKey="Poulik J" first="Janet" last="Poulik">Janet Poulik</name>
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<author><name sortKey="Sabatini, Umberto" sort="Sabatini, Umberto" uniqKey="Sabatini U" first="Umberto" last="Sabatini">Umberto Sabatini</name>
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<author><name sortKey="Senard, Jean Ichel" sort="Senard, Jean Ichel" uniqKey="Senard J" first="Jean-Michel" last="Senard">Jean-Michel Senard</name>
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<term>Cross-Over Studies</term>
<term>Disability Evaluation</term>
<term>Dose-Response Relationship, Drug</term>
<term>Double-Blind Method</term>
<term>Drug Therapy, Combination</term>
<term>Dyskinesia, Drug-Induced (drug therapy)</term>
<term>Female</term>
<term>Humans</term>
<term>Levodopa (adverse effects)</term>
<term>Levodopa (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Motor Skills (drug effects)</term>
<term>Motor symptoms</term>
<term>Naltrexone</term>
<term>Naltrexone (adverse effects)</term>
<term>Naltrexone (therapeutic use)</term>
<term>Neurologic Examination (drug effects)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson's disease</term>
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<term>Naltrexone</term>
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<term>Neurologic Examination</term>
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<term>Dose-Response Relationship, Drug</term>
<term>Double-Blind Method</term>
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<front><div type="abstract" xml:lang="en">One month of adjunct treatment with naltrexone (100 mg/day) was compared with placebo in a double‐blind, randomized, cross‐over design in two groups of patients with Parkinson's disease. The first group was composed of 10 patients with a moderate motor impairment insufficiently controlled by monotherapy with bromocriptine. The second group was composed of eight patients with L‐dopa‐induced peak‐dose dyskinesia. Naltrexone as compared with placebo did not demonstrate any significant change in motor function in either group. These negative clinical results do not support a significant role of endogenous opioid systems in the pathophysiology of motor impairment in Parkinson's disease.</div>
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