Serveur d'exploration sur la maladie de Parkinson

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PARKINSON'S DISEASE TREATED WITH SINEMET OR MADOPAR

Identifieur interne : 003118 ( Main/Corpus ); précédent : 003117; suivant : 003119

PARKINSON'S DISEASE TREATED WITH SINEMET OR MADOPAR

Auteurs : Henning Pakkenberg ; Erik Birket-Smith ; Erik Dupont ; Erie Hansen ; Bent Mikkelsen ; Jan Presthus ; Ilkka Rautakorpi ; Eva Riman ; Urpo K. Rinne

Source :

RBID : ISTEX:C9BBBCFB906D4FFFF73A0E20EB39BDF27F59E9DF

Abstract

92 patients with Parkinson's disease not previously treated with levodopa were considered as eligible for this triple‐blind trial. Patients were allocated at random to treatment with either levodopa + benserazide ratio 4:1 (Madopar®) or levodopa + carbidopa ratio 10:1 (Sinemet®) using dosage schedules recommended by the manufacturers which they had to adhere to for 6 months. Unless prohibitive side‐effects occurred daily maximum dosages of 800 mg levodopa + 200 mg benserazide respectively 1,500 mg levodopa + 150 mg carbidopa were obtained after 6 weeks and 3 weeks, respectively. the effect of the two schedules on the Parkinsonian symptoms were equal and appeared equally fast. the frequency of gastrointestinal side‐effects and involuntary movements were significantly higher and more severe for Sinemct® than for Madopar®. These side effects are usually symptoms of levodopa overdosing, but whether or not a different dosage schedule with Sinemet would have given fewer side‐effects without concurrent lower efficacy remains open to speculation. the treatment schedules did not differ with regard to other side‐effects and influence on blood pressure. Neither treatment seemed to influence liver function, renal function and hematological parameters in a statistically way.

Url:
DOI: 10.1111/j.1600-0404.1976.tb04355.x

Links to Exploration step

ISTEX:C9BBBCFB906D4FFFF73A0E20EB39BDF27F59E9DF

Le document en format XML

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<div type="abstract" xml:lang="en">92 patients with Parkinson's disease not previously treated with levodopa were considered as eligible for this triple‐blind trial. Patients were allocated at random to treatment with either levodopa + benserazide ratio 4:1 (Madopar®) or levodopa + carbidopa ratio 10:1 (Sinemet®) using dosage schedules recommended by the manufacturers which they had to adhere to for 6 months. Unless prohibitive side‐effects occurred daily maximum dosages of 800 mg levodopa + 200 mg benserazide respectively 1,500 mg levodopa + 150 mg carbidopa were obtained after 6 weeks and 3 weeks, respectively. the effect of the two schedules on the Parkinsonian symptoms were equal and appeared equally fast. the frequency of gastrointestinal side‐effects and involuntary movements were significantly higher and more severe for Sinemct® than for Madopar®. These side effects are usually symptoms of levodopa overdosing, but whether or not a different dosage schedule with Sinemet would have given fewer side‐effects without concurrent lower efficacy remains open to speculation. the treatment schedules did not differ with regard to other side‐effects and influence on blood pressure. Neither treatment seemed to influence liver function, renal function and hematological parameters in a statistically way.</div>
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