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New drug could improve muscle control in Parkinson's patients

(May 22, 1998 10:26 a.m. EDT http://www.nando.net) - The generic drug
amantadine can improve the jerky, involuntary muscle movements that occur
after long use of the leading medication for Parkinson's disease, researchers
say.

"By adding amantadine to Parkinson's treatment therapy, many patients in the
advanced stages of Parkinson's disease can expect a better quality of life and
improved muscular functioning," said Dr. Thomas Chase of the National
Institute of Neurological Disorders and Stroke in Bethesda, Md.

"Amantadine is cheap, available, safe and makes a substantial difference."

Chase carried out a study on 14 patients with advanced Parkinson's disease in
which half got a placebo drug and half amantadine, with neither patients nor
the caregivers knowing who got the real pill.

Results of the study were published in the May issue of Neurology, the journal
of the American Academy of Neurology.

Parkinson's disease develops when the brain is unable to produce enough of the
brain-signaling chemical dopamine, resulting in loss of motor function,
tremors and limb weakness, among other symptoms.

More than half a million Americans suffer from the slowly progressing disease.

Doctors typically treat Parkinson's by giving large doses of Levodopa.

But after it's used for several years, many patients develop the jerky
movements that "contribute significantly to patient disability," Chase said.

The study showed that amantadine reduced the severity of such movements by 50
percent when it was given in combination with levodopa, and the beneficial
effects of the original drug were not lost.

All patients in the study decided to continue using amantadine as part of
their therapy.

"This discovery is exciting because surgery has been the only option to treat
motor fluctuations up until this point," Chase said.

Amantadine has mainly been used to treat flu symptoms and drug addiction,
although it has also been used for decades to treat early-stage Parkinson's
disease.

Researchers recently discovered that levodopa makes certain receptors in the
brain hypersensitive, and that blocking those receptors can reduce some of the
movement difficulties.

Chase decided to try amantadine because the drug was recently found to contain
properties that blocked the receptors.

By Lee Bowman, Scripps Howard News Service
Copyright 1998 Nando.net
Copyright 1998 Scripps Howard

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