- Last edited on June 25, 2023
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geri:parkinsons [on June 2, 2019] |
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==== Levodopa ==== | ==== Levodopa ==== | ||
<callout type="success">{{fa>arrow-circle-right?color=green}} See main article: **[[meds:dopamine-agonists:carbidopa-levodopa|]]**</callout> | <callout type="success">{{fa>arrow-circle-right?color=green}} See main article: **[[meds:dopamine-agonists:carbidopa-levodopa|]]**</callout> | ||
- | Administration of dopamine alone is ineffective because dopamine cannot cross the blood–brain barrier. Thus, the main treatment for all patients with Parkinson's is levodopa, a dopamine precursor. When ingested alone, levodopa is rapidly converted to dopamine outside the CNS. Thus carbidopa, a DOPA decarboxylase inhibitor (DDCI), is added to inhibit the conversion of levodopa to dopamine outside the CNS. | + | The main treatment for PD is levodopa, a dopamine precursor (since dopamine itself cannot cross the blood–brain barrier). When taken orally, levodopa is rapidly converted to dopamine outside the CNS. Thus carbidopa, a DOPA decarboxylase inhibitor (DDCI), is added to inhibit the conversion of levodopa to dopamine outside the CNS. |
==== Dopamine Agonists ==== | ==== Dopamine Agonists ==== | ||
- | Dopamine agonists such as [[meds:dopamine-agonists:ropinirole|ropinirole]] and [[meds:dopamine-agonists:pramipexole|pramipexole]] are also used. | + | Dopamine agonists include the ergot derivatives: [[meds:dopamine-agonists:bromocriptine|bromocriptine]], cabergoline, dihydroergocryptine, lisuride, and pergolide. There are also the non-ergot derivatives: apomorphine, piribedil, [[meds:dopamine-agonists:pramipexole|pramipexole]], [[meds:dopamine-agonists:ropinirole|ropinirole]], rotigotine. |
==== Dopamine Agonist Withdrawal Syndrome (DAWS) ==== | ==== Dopamine Agonist Withdrawal Syndrome (DAWS) ==== |