Medical treatment of later-stage motor problems of Parkinson disease

Mayo Clin Proc. 1999 Dec;74(12):1239-54. doi: 10.4065/74.12.1239.

Abstract

Parkinson disease progression is associated with the development of levodopa short-duration responses and dyskinesias, as well as gait freezing. Levodopa dose adjustment and adjunctive treatment with dopamine agonists form the major therapeutic strategies. Catechol O-methyltransferase inhibitors are also appropriate considerations, whereas other drugs, including selegiline, amantadine, anticholinergic agents, and propranolol, have a more minor role.

Publication types

  • Review

MeSH terms

  • Amantadine / therapeutic use
  • Antiparkinson Agents / administration & dosage
  • Antiparkinson Agents / adverse effects
  • Antiparkinson Agents / therapeutic use*
  • Benzophenones / therapeutic use
  • Carbidopa / therapeutic use
  • Catechol O-Methyltransferase Inhibitors
  • Catechols / therapeutic use
  • Cholinergic Antagonists / therapeutic use
  • Dopamine Agonists / therapeutic use
  • Dose-Response Relationship, Drug
  • Drug Combinations
  • Dyskinesia, Drug-Induced / etiology
  • Enzyme Inhibitors / therapeutic use
  • Humans
  • Levodopa / therapeutic use
  • Nitriles
  • Nitrophenols
  • Parkinson Disease, Secondary / drug therapy*
  • Propranolol / therapeutic use
  • Randomized Controlled Trials as Topic
  • Selegiline / therapeutic use
  • Tolcapone

Substances

  • Antiparkinson Agents
  • Benzophenones
  • Catechol O-Methyltransferase Inhibitors
  • Catechols
  • Cholinergic Antagonists
  • Dopamine Agonists
  • Drug Combinations
  • Enzyme Inhibitors
  • Nitriles
  • Nitrophenols
  • carbidopa, levodopa drug combination
  • Selegiline
  • Levodopa
  • entacapone
  • Propranolol
  • Amantadine
  • Tolcapone
  • Carbidopa