Print

Print


L-dopa structurally is an amino acid. Amino acids are the building blocks of
proteins. In other words, proteins are made up of amino acids which are
joined together. When protein is taken into the body in a meal, the protein
is broken down (digested) into its amino acids again. Some of these amino
acids (those known as the large neutral amino acids) rely on a special
transport system (the large neutral amino acid transport system) to get from
the gut into the blood stream, and also to get into the brain. L-dopa
resembles these large neutral amino acids and also relies on the large
neutral amino acid transport system to move from the gut into the blood and
the brain. If a patient eats a meal high in protein (any kind of protein),
the amino acids released from the protein will compete with L-dopa for the
transport system. Since there are
more amino acids released from the high protein source than there are L-dopa
molecules,  the transport system favors the
amino acids from the meal rather than L-dopa. The net result of this
competition is a lowered  therapeutic effectiveness of
the L-dopa.
 
Generally, a patient has to eat a protein-rich meal around the same time as
they take their L-dopa in order to see the reduction in therapeutic effect. A
carbohydrate snack generally won't cause a problem. Timing the dose of L-dopa
so that at least 1 hour exists between the meal and the L-dopa can help if
you think eatting is affecting your medication.
 
One other point, iron can interfer with the absoption of L-dopa from the gut.
If a patient takes iron supplementation, don't take L-dopa and the iron at
the same time.
 
And lastly,  patients respond differently to the effects of a meal on L-dopa
absorption. Each of us needs to work out what is best for "numero uno". A
dish of  "high test" fat - ladened
ice cream can slow L-dopa absortion in one patient to the point it appears
the medication is not working , and for
another patient have no experienced effect.
 
Experiment! Experiment! Experiment! And keep a diary containing your
observations.