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Continous Levodopa Therapy for Parkinson's Disease
Friday, October 5, 2007
Since many years, Doctors have wondered whether direct supply of levodopa
and carbidopa to the intestines would give optimal effect. They have found
out that the patients undergoing continuous levodopa therapy experienced a
"heightened therapeutic effect, including a reduction in motor fluctuations.
Now , the medication called duodopa, administered into an area of the small
intestine called the duodenum, is still in clinical trial in the United
States. Using a small patient-controlled pump, the drug is continuously
delivered through a tube that ends in the upper small intestine where it is
rapidly absorbed. Some patients use a tube that travels through the nose,
throat, and stomach, while others have the tube inserted surgically through
the abdominal wall. Patients load the pump with a gel that contains levodopa
and carbidopa. This delivery system ensures a more even supply and uptake
compared with the conventional tablet treatment.
Duodopa administered as continuous levodopa therapy has shown remarkable
results in people with advanced Parkinson's disease. Among the most
optimistic reports, some people who were previously bedridden were able to
walk again and use ability they had lost.
Hopefully this therapy makes its way through clinical trials quickly for
people in the United States. It appears to have considerable potential to
help people with Parkinson's disease. It has also been in practice in India
by many neurophysicians. The response has been quite variable.

Posted by s.H.a.S.h.I at 1:45 PM

Rayilyn Brown
Board Member AZNPF
Arizona Chapter National Parkinson's Foundation
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