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Antiepileptic Reduces Parkinson's Symptoms Safely
Neil Osterweil
Reviewed by Zalman S. Agus, MD; Emeritus Professor at the University of 
Pennsylvania School of Medicine.
Explain to patients who ask that the antiepileptic drug Zonegran 
(zonisamide) may reduce the symptoms of Parkinson's disease when it is used 
as an adjunct to first-line therapy with levodopa.
TOKYO, Jan. 2 -- Tremors and other symptoms associated with Parkinson's 
disease can be reduced significantly by the antiepileptic drug Zonegran 
(zonisamide) without an increase in dyskinesias, according to Japanese 
researchers.
Patients with Parkinson's disease resistant to levodopa who received 
Zonegran in two of three different doses had significant improvements in 
Parkinson's disease rating-scale scores compared with patients who received 
placebo, found Miho Murata, M.D., Ph.D., of the National Center of Neurology 
and Psychiatry here and colleagues.
"Zonisamide treatment improved all main Parkinson disease symptoms in these 
patients, including tremor and other disabling dyskinesias," wrote Dr. 
Murata and colleagues in the Jan. 2 issue of Neurology. "This is consistent 
with findings from other, smaller studies."
The investigators previously published a case report and results of a small 
open-label study indicating that Zonegran could improve the main symptoms of 
Parkinson's disease, including limb rigidity, tremor, postural instability, 
and motor fluctuations that occur during wearing-off from levodopa.
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Rayilyn Brown
Director AZNPF
Arizona Chapter National Parkinson Foundation
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