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Levodopa response in later stages of Parkinson's disease: a case-control study

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Resumo:Levodopa (l-dopa) remains the gold-standard of Parkinson's disease (PD) treatment. With disease progression, l-dopa efficacy on PD cardinal motor symptoms may decrease. Nevertheless, l-dopa has a safer profile compared to other antiparkinsonian drugs, especially in elderly and frail patients. Indeed, a simplification of drug regimen in later disease stages may be beneficial. We have recently reported a smaller l-dopa responsiveness of motor and non-motor symptoms (NMS), in a population of late-stage (LS) PD patients compared indirectly with an unmatched advanced (AD) PD group previously submitted to deep brain stimulation (DBS).
Autores principais:Fabbri, Margherita
Outros Autores:Coelho, Miguel; Abreu, Daisy; Ferreira, Joaquim J
Assunto:Dementia Late stage Levodopa Parkinson's disease
Ano:2020
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso restrito
Instituição associada:Universidade de Lisboa
Idioma:inglês
Origem:Repositório da Universidade de Lisboa
Descrição
Resumo:Levodopa (l-dopa) remains the gold-standard of Parkinson's disease (PD) treatment. With disease progression, l-dopa efficacy on PD cardinal motor symptoms may decrease. Nevertheless, l-dopa has a safer profile compared to other antiparkinsonian drugs, especially in elderly and frail patients. Indeed, a simplification of drug regimen in later disease stages may be beneficial. We have recently reported a smaller l-dopa responsiveness of motor and non-motor symptoms (NMS), in a population of late-stage (LS) PD patients compared indirectly with an unmatched advanced (AD) PD group previously submitted to deep brain stimulation (DBS).