Serveur d'exploration sur la maladie de Parkinson

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A double‐blind comparison of levodopa, madopa, and sinemet in Parkinson disease

Identifieur interne : 002C14 ( Main/Exploration ); précédent : 002C13; suivant : 002C15

A double‐blind comparison of levodopa, madopa, and sinemet in Parkinson disease

Auteurs : Diamond [États-Unis] ; Charles H. Markham [États-Unis] ; Leo J. Treciokas [États-Unis]

Source :

RBID : ISTEX:F5A420AC591D1D09DD00D5DC484E0E2D12F46708

Abstract

A sixteen‐week study examined the effect of Madopa and Sinemet on patients with Parkinson disease suffering nausea or vomiting as side‐effects of levodopa therapy and compared the efficacy of the three preparations in controlling the symptoms of Parkinson disease. Following a control period on levodopa, 20 patients underwent four consecutive four‐week regimens as follows: (1) double‐blind, in which a randomized half received levodopa and half received Madopa; (2) single‐blind, in which all received Madopa; (3) double‐blind, in which a re‐randomized half received Madopa and half Sinemet; and (4) single‐blind, in which all received Sinemet. Levodopa administration via Sinemet and Madopa was held to a fixed 20% of prior levodopa dosage. Almost all patients showed great reduction in nausea and vomiting with both Madopa and Sinemet. Seventy percent of the patients showed improvement in disability compared to their levodopa baseline levels. Group means showed no difference between the improvement seen on Madopa and that seen on Sinemet. However, examination of individual responses showed that the majority of patients fared distinctly better on either Sinemet or Madopa.

Url:
DOI: 10.1002/ana.410030314


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">A sixteen‐week study examined the effect of Madopa and Sinemet on patients with Parkinson disease suffering nausea or vomiting as side‐effects of levodopa therapy and compared the efficacy of the three preparations in controlling the symptoms of Parkinson disease. Following a control period on levodopa, 20 patients underwent four consecutive four‐week regimens as follows: (1) double‐blind, in which a randomized half received levodopa and half received Madopa; (2) single‐blind, in which all received Madopa; (3) double‐blind, in which a re‐randomized half received Madopa and half Sinemet; and (4) single‐blind, in which all received Sinemet. Levodopa administration via Sinemet and Madopa was held to a fixed 20% of prior levodopa dosage. Almost all patients showed great reduction in nausea and vomiting with both Madopa and Sinemet. Seventy percent of the patients showed improvement in disability compared to their levodopa baseline levels. Group means showed no difference between the improvement seen on Madopa and that seen on Sinemet. However, examination of individual responses showed that the majority of patients fared distinctly better on either Sinemet or Madopa.</div>
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