Success and problems of long-term levodopa therapy in Parkinson's disease

Lancet. 1977 Feb 12;1(8007):345-9. doi: 10.1016/s0140-6736(77)91146-1.

Abstract

The patient with Parkinson' disease on chronic levodopa therapy, like the diabetic on insulin, is dependent on the drug. Like the diabetic, the patients with Parkinson's disease may run into problems during long-term treatment. Two have emerged as frequent and serious, an insidious and progressive loss of benefit and the appearance of progessively more severe fluctuations in disability. It is concluded that progression of the underlying pathology of the disease is probably responsible. Discovery of the exact causes for loss of benefit may provide a rational basis for new therapy.

MeSH terms

  • Brain / metabolism
  • Corpus Striatum / pathology
  • Dopamine / deficiency
  • Dopamine / metabolism
  • Dose-Response Relationship, Drug
  • Drug Evaluation
  • Glutamate Dehydrogenase / deficiency
  • Humans
  • Levodopa / administration & dosage*
  • Levodopa / therapeutic use
  • Motor Neurons / physiology
  • Norepinephrine / deficiency
  • Parkinson Disease / complications
  • Parkinson Disease / drug therapy*
  • Parkinson Disease / etiology
  • Receptors, Dopamine
  • Serotonin / deficiency
  • Time Factors
  • gamma-Aminobutyric Acid / metabolism

Substances

  • Receptors, Dopamine
  • Serotonin
  • Levodopa
  • gamma-Aminobutyric Acid
  • Glutamate Dehydrogenase
  • Dopamine
  • Norepinephrine