A dose-ranging study of selegiline in patients with Parkinson's disease: effect of platelet monoamine oxidase activity.
Identifieur interne : 004685 ( PubMed/Curation ); précédent : 004684; suivant : 004686A dose-ranging study of selegiline in patients with Parkinson's disease: effect of platelet monoamine oxidase activity.
Auteurs : N. Andreu [France] ; C. Damase-Michel ; J M Senard ; O. Rascol ; J L MontastrucSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1997.
English descriptors
- KwdEn :
- Adult, Aged, Antiparkinson Agents (administration & dosage), Antiparkinson Agents (pharmacology), Antiparkinson Agents (therapeutic use), Blood Platelets (metabolism), Dose-Response Relationship, Drug, Female, Humans, Male, Middle Aged, Monoamine Oxidase (blood), Monoamine Oxidase (metabolism), Parkinson Disease (drug therapy), Selegiline (administration & dosage), Selegiline (pharmacology), Selegiline (therapeutic use).
- 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 > or = 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 x 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.
DOI: 10.1002/mds.870120305
PubMed: 9159721
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pubmed:9159721Le document en format XML
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<author><name sortKey="Damase Michel, C" sort="Damase Michel, C" uniqKey="Damase Michel C" first="C" last="Damase-Michel">C. Damase-Michel</name>
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<author><name sortKey="Senard, J M" sort="Senard, J M" uniqKey="Senard J" first="J M" last="Senard">J M Senard</name>
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<author><name sortKey="Rascol, O" sort="Rascol, O" uniqKey="Rascol O" first="O" last="Rascol">O. Rascol</name>
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<author><name sortKey="Montastruc, J L" sort="Montastruc, J L" uniqKey="Montastruc J" first="J L" last="Montastruc">J L Montastruc</name>
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<term>Selegiline (administration & dosage)</term>
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<term>Selegiline (therapeutic use)</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 > or = 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 x 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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<Abstract><AbstractText>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 > or = 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 x 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.</AbstractText>
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