Levodopa alone and in combination with a peripheral decarboxylase inhibitor benserazide (madopar®) in the treatment of Parkinson's disease

1975 ◽  
Vol 211 (1) ◽  
pp. 1-9 ◽  
Author(s):  
U. K. Rinne ◽  
E. Birket-Smith ◽  
E. Dupont ◽  
E. Hansen ◽  
M. Hyyppä ◽  
...  
1991 ◽  
Vol 29 (2) ◽  
pp. 7-8

Bromocriptine, lysuride (formerly lisuride, Revanil – Roche) and pergolide (not yet marketed in the UK) are dopamine agonists developed for use in the treatment of patients with Parkinson’s disease. Combination of a dopamine agonist with levodopa plus a dopa-decarboxylase inhibitor (‘co-dieldopa’)* may have advantages at all stages of the disease. The aim of combined co-dieldopa + agonist treatment is to limit some of the problems with prolonged co-dieldopa use alone; especially fluctuations in motor disability.1 It is still not clear how the three agonists compare with each other for therapeutic efficacy, duration of action, and side effects, nor how they are best combined with co-dieldopa.


1984 ◽  
Vol 22 (10) ◽  
pp. 37-40

The symptoms of idiopathic Parkinson’s disease are due mainly to progressive degeneration of the dopaminergic nigro-striatal pathways in the brain. The drugs which can help fall into five categories: dopamine replacement, using dopa with a decarboxylase inhibitor; a dopamine agonist, bromocriptine;1 selegiline, recently introduced, which inhibits monoamine oxidase B; anticholinergic drugs; and amantadine.2 This article discusses recent ideas about the management of Parkinson’s disease, particularly about levodopa dosage, bromocriptine and selegiline.


1990 ◽  
Vol 28 (14) ◽  
pp. 55-56

Our last full discussion of Parkinson’s disease recommended using the minimum effective dose of levodopa in combination with a peripheral dopa decarboxylase inhibitor1 - carbidopa in Sinemet (co-careldopa) and benserazide in Madopar (co-beneldopa). Combined formulations offer levodopa in various doses together with an inhibitor: Madopar 62.5 contains levodopa 50mg + benserazide 12.5mg base; low strength Sinemet, Sinemet-LS, contains levodopa 50mg + carbidopa 12.5mg. Both these preparations offer a relatively low dose but the Sinemet-LS tablet is scored and the 62.5mg tablet of Madopar Dispersible can be broken so that even lower doses can be used. This article examines when these small doses are useful.


Neurology ◽  
1975 ◽  
Vol 25 (10) ◽  
pp. 911-911 ◽  
Author(s):  
A. LIEBERMAN ◽  
A. GOODGOLD ◽  
S. JONAS ◽  
M. LEIBOWITZ

1972 ◽  
Vol 202 (1) ◽  
pp. 1-20 ◽  
Author(s):  
U. K. Rinne ◽  
V. Sonninen ◽  
T. Siirtola

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