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Drug that improves all main Parkinson disease symptoms
Posted on Monday, January 01, 2007 (EST)
A drug used to treat epilepsy has been found safe and effective to
significantly improve tremors, motor fluctuations, and other involuntary
movements, or dyskinesias, in patients with Parkinson disease.
Zonisamide, a drug used to treat epilepsy has been found to significantly
improve tremors, motor fluctuations, and other involuntary movements, or
dyskinesias, in patients with Parkinson disease, according to a new study.
The three-month, multi-center study in Japan involved 279 Parkinson disease
patients who weren't responding well to the commonly used drug, levodopa, to
manage their symptoms.
Researchers found at least 30 percent of patients taking zonisamide
experienced a more than 30-percent reduction in their score on a rating
scale used to follow the progression of a person's Parkinson disease. The
most significant improvement was seen in the group taking 50 mg of
zonisamide a day. That group saw a nearly 40-percent improvement in the
score.
"Zonisamide treatment improved all main Parkinson disease symptoms in these
patients, including tremor and other disabling dyskinesias. This is
consistent with findings from other, smaller studies," said lead author Miho
Murata, MD, PhD, with the National Center of Neurology and Psychiatry in
Tokyo, Japan. "Zonisamide is safe, effective, and well tolerated at 25 to
100 mg a day as an added treatment in patients with Parkinson disease."
While this study lasted only 12 weeks, Murata says their preliminary data
shows the benefits of zonisamide observed at 12 weeks were maintained for
more than a year in all 17 patients involved in a study on the long term
effects of zonisamide on Parkinson disease.
Murata says it's not fully understood yet as to why zonisamide helps
Parkinson disease symptoms and further study is needed to clarify the
mechanism behind the drug's benefits.
According to the study, the drug's most common side effects were drowsiness,
apathy, weight loss, and constipation.
The study was supported by Dainippon Sumitomo Pharma, which discovered
zonisamide.
The study is published in the January 2, 2007, issue of Neurology, the
scientific journal of the American Academy of Neurology.

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