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Cough Medicine Fights Dyskinesias In Parkinson's
ScienceDaily (Nov. 9, 2007) — A cough suppressant and a drug tested as a 
schizophrenia therapy curb the involuntary movements that are disabling side 
effects of taking the Parkinson's disease medication levodopa, Portland 
scientists have found.


Dextromethorphan, used in such cold and flu medications as Robitussin, 
Sucrets, Triaminic and Vicks, suppresses dyskinesias in rats, researchers at 
Oregon Health & Science University and the Portland Veterans Affairs Medical 
Center found. Dyskinesias are the spastic or repetitive motions that result 
from taking levodopa, or L-dopa, over long periods.
The researchers also found that BMY-14802, a drug previously tested in people 
with schizophrenia and found to be safe -- although not effective in treating 
schizophrenia symptoms -- suppressed dyskinesias in rats more effectively 
than dextromethorphan did, suggesting that BMY-14802 might work to block 
dyskinesias in people with Parkinson's.
"These results were unexpected, but very exciting," said the study's lead 
author, Melanie A. Paquette, Ph.D., postdoctoral fellow in the Department of 
Behavioral Neuroscience, OHSU School of Medicine, and the PVAMC. "We have 
filed a patent for the use of BMY-14802 for dyskinesias and we hope to get 
funding to begin human trials very soon."
The study, titled "Differential effects of NMDA antagonists and sigma ligands 
on L-dopa-induced behavior in the hemiparkinson rat," is being presented 
during a poster session today at Neuroscience 2007, the 37th annual Society 
for Neuroscience conference in San Diego.
The results also affirm the value of the rat model for dyskinesias that 
Paquette's team used in the study. Previous studies by other researchers have 
shown the drug amantadine already is effective in treating dyskinesias in 
both humans and rats, and dextromethorphan's effectiveness against the 
condition in rats provides more data supporting the use of the model.
"Basically, these two drugs work to block dyskinesias in both humans and rats, 
and that means the rats are a good model to screen potential drug treatments 
for humans with dyskinesias," Paquette said.
But BMY-14802, which is an antagonist at sigma-1 receptor sites in the 
brain, "worked much better than dextromethorphan," an antagonist at 
N-methyl-D-aspartate (NMDA) receptors.
"There's something special about BMY-14802," Paquette explained. "The effect 
on dyskinesias is really striking and I've repeated it several times, so it's 
a reliable finding. It's a very exciting result."
The study was funded by the National Institute on Drug Abuse and the National 
Institute of Neurological Disorders and Stroke, National Institutes of 
Health, and the U.S. Department of Veterans Affairs. 
Adapted from materials provided by Oregon Health & Science University.

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