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Tolcapone is a COMT (catechol-o-methyl transferase) inhibitor. COMT
is a natural enzyme that destroys dopamine, still the key factor in
PD. A newer variant, Entacapone, having fewer adverse effects, is
in development.


J. R. Bruman (818) 789-3694
3527 Cody Road
Sherman Oaks CA 91403


On Sat, 7 Dec 1996, Brian C.Black wrote:

> Help, I feel like a blindfolded guineu pig!
> I have just signed on to the first stage of an experiment with a drug
> called Tolcopone and I would be very greatful for any info on this drug.  I
> know it has been successfully administered to about 800 people in doses up
> to 800 mg,.  I am also aware of some potential side-effects such as
> diarrhea, headaches, dizziness and nausea.
> This first stage is just a daily diary to see if I am suitable for the
> experiment.  It's a " double-blind (as in "blindfolded guinea pig!"),
> randomized, crossover study in patients treated with Prolopa or Senemet who
> exibit end of dose wearing off."  I accepted the role of gineau pig because
> I trust my neuro, it sounds like an ideal drug for me, and most of all,
> because I'm desperate.  My  offs have become  more frequent , longer , and
> more intense recently, and this seemed like a ray of hope in this dark
> tunnel we call Parkinson's.
> The study is being carried out by Hoffman-LaRoche and medical staff with
> 150 patients in 20 sites accross Canada.  The purpose is to find out how
> effective this drug is in prolonging the effects of Senemet.  Sounds good
> to me, but I have this nagging doubt:  If it's so good, why has it never
> shown up her on the network? Or has it ?  What am I getting into?
> Any info would be appreciated.
> Brian Black
>