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Article from WE MOVE ()
July 19, 2004
H. pylori Eradication, Seed Powder Treatment
E-MOVE reports from the Eight International Congress of Parkinson’s Disease and
Movement Disorders, Rome June 14-17, 2004. Page (S) and poster (P) numbers
are from Movement Disorders 2004;19 (suppleme


1. Long-term effects of Helicobacter pylori eradication on L-Dopa absorption in
Parkinson’s disease patients
L Brusa, A Pietroiusti, M Pierantozzi, S Galati, E Fedele, P Stanzione
P1133, S387

Eradication of Helicobacter pylori improves levodopa pharmacokinetics, according
to this study.

Twenty-five patients with H. pylori infection and unsatisfactory levodopa response
received placebo followed by either H. pylori eradication therapy or antioxidant
therapy with allopurinol. Pharmacokinetic, clinical, and histological response was
gauged at 2 weeks and 3 months after treatment. Compared to placebo and
allopurinol, eradication therapy increased levodopa C-max and area under the
curve, with maximal benefits at 3 months, correlated with improvements in gastritis
and duodenitis.

The authors suggest that testing for and treatment of infection in PD patients with
motor fluctuations may be beneficial.

2. Mucuna pruriens in Parkinson’s disease: A double-blind clinical and
pharmacological study
R Katzenschlager, A Evans, A Manson, PN Patsalos, N Ratnaraj, H Watt, L
Timmermann, R Van de Giessen, AJ Lees
P710, S249

Levodopa-containing seed powder from Mucuna pruriens (cowhage, velvet bean,
atmagupta) produces a rapid-onset symptomatic treatment for Parkinson’s disease,
according to this study.

Eight patients with dyskinesias were randomized to receive either 200 mg levodopa
or 15 or 30 mg M. pruriens followed by crossover. Onset of effect for the 30 mg
dose was 34.6 minutes, vs. 68.5 minutes for levodopa (p = 0.021). Mean on time
was 22% longer and area under the curve was 165% larger. No differences were
seen in dyskinesias as assessed by two blinded video raters.

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