The initial treatment of Parkinson's disease should begin with levodopa
Identifieur interne : 004C24 ( Main/Exploration ); précédent : 004C23; suivant : 004C25The initial treatment of Parkinson's disease should begin with levodopa
Auteurs : William J. Weiner [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 1999-09.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Aged, Antiparkinson Agents (pharmacology), Antiparkinson Agents (therapeutic use), Antiparkinson agent, Benzothiazoles, Bromocriptine (therapeutic use), Chemotherapy, Dopamine receptor agonists, Drug Therapy, Combination, Early, Essential Tremor (drug therapy), Female, Human, Humans, Indoles (therapeutic use), Levodopa, Levodopa (pharmacology), Levodopa (therapeutic use), Levodopa‐sparing strategies, Male, Middle Aged, Parkinson Disease (drug therapy), Parkinson disease, Parkinson's disease, Pergolide (therapeutic use), Receptors, Dopamine (drug effects), Thiazoles (therapeutic use), Time Factors, Toxicity, Treatment.
- MESH :
- chemical , drug effects : Receptors, Dopamine.
- chemical , pharmacology : Antiparkinson Agents, Levodopa.
- chemical , therapeutic use : Antiparkinson Agents, Bromocriptine, Indoles, Levodopa, Pergolide, Thiazoles.
- drug therapy : Essential Tremor, Parkinson Disease.
- Aged, Benzothiazoles, Drug Therapy, Combination, Female, Humans, Male, Middle Aged, Time Factors.
Abstract
For over two decades controversy has surrounded the initial choice of therapeutic agent for patients with early symptomatic Parkinson's disease. Whether levodopa or dopamine receptor agonist monotherapy in these patients is more efficacious and/or results in fewer long‐term complications of dopaminergic therapy such as motor fluctuations, dyskinesias, or psychiatric disorders is unresolved. This article examines the evidence related to levodopa‐sparing strategies and levodopa‐induced toxicity in Parkinson's disease. At this time, there is little evidence to support levodopa‐sparing strategies or to suggest that levodopa is toxic and harmful to patients with Parkinson's disease.
Url:
DOI: 10.1002/1531-8257(199909)14:5<716::AID-MDS1002>3.0.CO;2-Q
Affiliations:
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Le document en format XML
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<term>Antiparkinson Agents (therapeutic use)</term>
<term>Antiparkinson agent</term>
<term>Benzothiazoles</term>
<term>Bromocriptine (therapeutic use)</term>
<term>Chemotherapy</term>
<term>Dopamine receptor agonists</term>
<term>Drug Therapy, Combination</term>
<term>Early</term>
<term>Essential Tremor (drug therapy)</term>
<term>Female</term>
<term>Human</term>
<term>Humans</term>
<term>Indoles (therapeutic use)</term>
<term>Levodopa</term>
<term>Levodopa (pharmacology)</term>
<term>Levodopa (therapeutic use)</term>
<term>Levodopa‐sparing strategies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson disease</term>
<term>Parkinson's disease</term>
<term>Pergolide (therapeutic use)</term>
<term>Receptors, Dopamine (drug effects)</term>
<term>Thiazoles (therapeutic use)</term>
<term>Time Factors</term>
<term>Toxicity</term>
<term>Treatment</term>
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<term>Levodopa</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term>
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<term>Indoles</term>
<term>Levodopa</term>
<term>Pergolide</term>
<term>Thiazoles</term>
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<term>Parkinson Disease</term>
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<term>Benzothiazoles</term>
<term>Drug Therapy, Combination</term>
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<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Time Factors</term>
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<term>Chimiothérapie</term>
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<term>Lévodopa</term>
<term>Parkinson maladie</term>
<term>Précoce</term>
<term>Traitement</term>
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<front><div type="abstract" xml:lang="en">For over two decades controversy has surrounded the initial choice of therapeutic agent for patients with early symptomatic Parkinson's disease. Whether levodopa or dopamine receptor agonist monotherapy in these patients is more efficacious and/or results in fewer long‐term complications of dopaminergic therapy such as motor fluctuations, dyskinesias, or psychiatric disorders is unresolved. This article examines the evidence related to levodopa‐sparing strategies and levodopa‐induced toxicity in Parkinson's disease. At this time, there is little evidence to support levodopa‐sparing strategies or to suggest that levodopa is toxic and harmful to patients with Parkinson's disease.</div>
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