Parkinson's Disease Flashcards
Catechol O-Methyltransferase inhibitors
Entacapone
Tolcapone
Dopa decarboxylate inhibitors
Carbidopa (Sinemet)
Benserazide (Madopar)
DBS target for tremor
Thalamus
DBS target for dyskinesia
Pallidum (GPi)
DBS for akinesia and rigidity
Subthalamic nucleus
Dopamine agonists
Ropinirole
Rotigotine patch
Pramipexole
Apomorphine
Monoamine oxidase B inhibitors
Selegiline
Rasagiline
Accessory therapies
COMT inhibitors
Amantidine (early PD; dopamine sparing agent)
Anticholinergics (benzhexol)
Apomorphine administration
APO-go pen 6 off periods per day
Initial treatments?
Levodopa - most effective, best tolerance, but requires multiple doses a day and has long term side effects: dyskinesia
Dopamine agonists - less effective, once daily but side effects include swollen legs, hallucinations, psychiatric disturbances (paranoia, pathological gambling, hypersexuality)
Monoamine oxidase B inhibitors - least effective, but once daily and not associated with side effects