Relationship between 3-O-methyldopa and the clinical effects of entacapone in advanced Parkinson's disease.
نویسندگان
چکیده
The aim of this study is to clarify the relationship between serum 3-O-methyldopa (3-OMD) and the clinical effects of entacapone. The 3-OMD and maximum serum concentration (Cmax) of levodopa were measured in 21 Parkinson's Disease patients who took 100 mg levodopa / dopa decarboxylase inhibitor. After the administration of entacapone, the 3-OMD concentration and percentage of "on" time during waking hours (% of "on" time) were studied for 8 weeks. The 3-OMD concentration was reduced by 34%, and the increase in % of "on" time was 28% at the 8th week compared with baseline. We defined the COMT-index as [baseline 3-OMD concentration] / [levodopa Cmax when 100 mg levodopa was administered alone]. The COMT-index was significantly correlated with the increase in % of "on" time at the 8th week. In conclusion, the measurement of baseline 3-OMD and levodopa pharmacokinetics is useful for predicting the clinical effects of entacapone.
منابع مشابه
List of Original Publications L-dopa
Parkinson’s disease (PD) is a progressive central nervous system (CNS) disorder, the cardinal symptoms of which are bradykinesia, resting tremor, muscular rigidity, and impaired postural balance. The lack of dopamine (DA) in the CNS basal ganglia is associated with these symptoms. L-dopa, an immediate precursor of DA, is used to treat PD. Unlike DA, L-dopa penetrates into the CNS where it is co...
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OBJECTIVES Entacapone is a specific, potent, peripherally acting catechol-O-methyltransferase (COMT) inhibitor. It has been shown to improve the bioavailability of plasma levodopa and extend its clinical effect when used as an adjunct to standard levodopa preparations, but there is little experience of the effect of entacapone on controlled release levodopa preparations. METHODS A double blin...
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ورودعنوان ژورنال:
- Hiroshima journal of medical sciences
دوره 60 3 شماره
صفحات -
تاریخ انتشار 2011