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19th July 2009 - New research
THE EFFECT OF ADDING AGONISTS TO L-DOPA IN PARKINSON'S DISEASE
Neural Stem International Journal of Clinical Practice [2009] 63 (4) : 
613-623 (Talati R, Baker WL, Patel AA, Reinhart K, Coleman CI.) Complete 
abstract

Adding the use of dopamine agonists to the existing use of L-dopa has been 
found to reduce Parkinson's Disease symptoms, but it increases the side 
effects. As the effect of L-dopa tends to wear off, some patients are given 
dopamine agonists for an additional effect. Scores on the primary assessment 
of Parkinson's Disease, the UPDRS, are reduced when people added dopamine 
agonists to the existing use of L-dopa. They also experienced symptoms for 
less time, and were able to reduce their dosage of L-dopa. However, the 
incidence of dyskinesia and hallucinations was higher when dopamine agonists 
were added to the existing use of L-dopa. So the increase in efficacy was 
paid for with increased adverse events. Although the effect of L-dopa wears 
off in time, so does the effect of dopamine agonists. Dopamine agonists work 
by stimulating the dopamine receptors. However, continuous use of dopamine 
agonists makes the dopamine receptors progressively less sensitive to 
dopamine and dopamine agonists. In order to refer to this article on its own 
click here.

17th July 2009 - New research

Rayilyn Brown
Director AZNPF
Arizona Chapter National Parkinson Foundation
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