Dopaminergic responsiveness to apomorphine after chronic treatment with subcutaneous lisuride infusion in Parkinson's disease.
Identifieur interne : 003C78 ( Ncbi/Merge ); précédent : 003C77; suivant : 003C79Dopaminergic responsiveness to apomorphine after chronic treatment with subcutaneous lisuride infusion in Parkinson's disease.
Auteurs : J. Vaamonde [Espagne] ; M R Luquin ; J A ObesoSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1990.
English descriptors
- KwdEn :
- Administration, Oral, Adult, Aged, Apomorphine (therapeutic use), Drug Tolerance, Ergolines (administration & dosage), Humans, Infusion Pumps, Levodopa (administration & dosage), Levodopa (therapeutic use), Lisuride (administration & dosage), Lisuride (therapeutic use), Middle Aged, Movement Disorders (drug therapy), Movement Disorders (etiology), Parkinson Disease (complications), Parkinson Disease (drug therapy).
- MESH :
- chemical , administration & dosage : Ergolines, Levodopa, Lisuride.
- chemical , therapeutic use : Apomorphine, Levodopa, Lisuride.
- complications : Parkinson Disease.
- drug therapy : Movement Disorders, Parkinson Disease.
- etiology : Movement Disorders.
- Administration, Oral, Adult, Aged, Drug Tolerance, Humans, Infusion Pumps, Middle Aged.
Abstract
The aim of this study was to assess whether or not continuous infusion of lisuride in combination with intermittent levodopa-carbidopa administration was associated with tolerance. Intravenous apomorphine was given to four patients before initiation of chronic treatment with subcutaneous lisuride infusion and oral levodopa. The study was repeated under identical conditions after a mean of 18 months of treatment. In no case was the motor response induced by apomorphine infusion reduced as compared to baseline assessment. Choreic dyskinesias accompanying the "on" state were enhanced in all patients. These findings suggest that chronic continuous infusion of a dopamine agonist like lisuride, associated with oral levodopa, is not accompanied by tolerance or down-regulation of striatal dopaminergic receptors.
DOI: 10.1002/mds.870050316
PubMed: 2388647
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pubmed:2388647Le document en format XML
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<author><name sortKey="Vaamonde, J" sort="Vaamonde, J" uniqKey="Vaamonde J" first="J" last="Vaamonde">J. Vaamonde</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, University of Navarra, Pamplona, Spain.</nlm:affiliation>
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<wicri:regionArea>Department of Neurology, University of Navarra, Pamplona</wicri:regionArea>
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<author><name sortKey="Luquin, M R" sort="Luquin, M R" uniqKey="Luquin M" first="M R" last="Luquin">M R Luquin</name>
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<author><name sortKey="Obeso, J A" sort="Obeso, J A" uniqKey="Obeso J" first="J A" last="Obeso">J A Obeso</name>
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<author><name sortKey="Vaamonde, J" sort="Vaamonde, J" uniqKey="Vaamonde J" first="J" last="Vaamonde">J. Vaamonde</name>
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<term>Adult</term>
<term>Aged</term>
<term>Apomorphine (therapeutic use)</term>
<term>Drug Tolerance</term>
<term>Ergolines (administration & dosage)</term>
<term>Humans</term>
<term>Infusion Pumps</term>
<term>Levodopa (administration & dosage)</term>
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<term>Lisuride (administration & dosage)</term>
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<term>Middle Aged</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term>
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<term>Parkinson Disease</term>
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<term>Adult</term>
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<front><div type="abstract" xml:lang="en">The aim of this study was to assess whether or not continuous infusion of lisuride in combination with intermittent levodopa-carbidopa administration was associated with tolerance. Intravenous apomorphine was given to four patients before initiation of chronic treatment with subcutaneous lisuride infusion and oral levodopa. The study was repeated under identical conditions after a mean of 18 months of treatment. In no case was the motor response induced by apomorphine infusion reduced as compared to baseline assessment. Choreic dyskinesias accompanying the "on" state were enhanced in all patients. These findings suggest that chronic continuous infusion of a dopamine agonist like lisuride, associated with oral levodopa, is not accompanied by tolerance or down-regulation of striatal dopaminergic receptors.</div>
</front>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
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<ArticleTitle>Dopaminergic responsiveness to apomorphine after chronic treatment with subcutaneous lisuride infusion in Parkinson's disease.</ArticleTitle>
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<Abstract><AbstractText>The aim of this study was to assess whether or not continuous infusion of lisuride in combination with intermittent levodopa-carbidopa administration was associated with tolerance. Intravenous apomorphine was given to four patients before initiation of chronic treatment with subcutaneous lisuride infusion and oral levodopa. The study was repeated under identical conditions after a mean of 18 months of treatment. In no case was the motor response induced by apomorphine infusion reduced as compared to baseline assessment. Choreic dyskinesias accompanying the "on" state were enhanced in all patients. These findings suggest that chronic continuous infusion of a dopamine agonist like lisuride, associated with oral levodopa, is not accompanied by tolerance or down-regulation of striatal dopaminergic receptors.</AbstractText>
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