Skip to main content
Erschienen in: Journal of Neural Transmission 2/2013

01.02.2013 | Neurology and Preclinical Neurological Studies - CONy Pro/Con debate

Is there room for non-dopaminergic treatment in Parkinson disease?

verfasst von: Abraham Lieberman, Narayanan Krishnamurthi

Erschienen in: Journal of Neural Transmission | Ausgabe 2/2013

Einloggen, um Zugang zu erhalten

Abstract

Although levodopa and dopaminergic drugs remain the mainstay of therapy for the motor symptoms of Parkinson disease (PD), they fail to address many of the non-motor symptoms of PD including orthostatic hypotension, freezing of gait (FOG) and difficulty with balance, drug-induced paranoia and hallucinations, and drug-induced dyskinesias. Droxidopa, a drug that increases norepinephrine, treats orthostatic hypotension, cholinomimetic drugs sometimes help with FOG and difficulty with balance, pimavanserin, a drug that blocks serotonin receptors, treats paranoia and hallucinations, and anti-glutaminergic drugs treat dyskinesias. Thus, there are ample opportunities for non-dopaminergic drugs in PD.
Literatur
Zurück zum Zitat Birkmayer W, Birkmayer G, Lechner H, Riederer P (1983) DL-3,4-threo-DOPS in Parkinson’s disease: effects on orthostatic hypotension and dizziness. J Neural Transm 58(3–4):305–313PubMedCrossRef Birkmayer W, Birkmayer G, Lechner H, Riederer P (1983) DL-3,4-threo-DOPS in Parkinson’s disease: effects on orthostatic hypotension and dizziness. J Neural Transm 58(3–4):305–313PubMedCrossRef
Zurück zum Zitat Kaufmann H (2006) The discovery of the pressor effect of DOPS and its blunting by decarboxylase inhibitors. J Neural Transm Suppl 70:477–484PubMedCrossRef Kaufmann H (2006) The discovery of the pressor effect of DOPS and its blunting by decarboxylase inhibitors. J Neural Transm Suppl 70:477–484PubMedCrossRef
Zurück zum Zitat Kaufmann H (2008) L-dihydroxyphenylserine (Droxidopa): a new therapy for neurogenic orthostatic hypotension: the US experience. Clin Auto Res: Off J Clin Auto Res Soc 18(Suppl 1):19–24. doi:10.1007/s10286-007-1002-2 CrossRef Kaufmann H (2008) L-dihydroxyphenylserine (Droxidopa): a new therapy for neurogenic orthostatic hypotension: the US experience. Clin Auto Res: Off J Clin Auto Res Soc 18(Suppl 1):19–24. doi:10.​1007/​s10286-007-1002-2 CrossRef
Zurück zum Zitat Mathias CJ (2008) L-dihydroxyphenylserine (Droxidopa) in the treatment of orthostatic hypotension: the European experience. Clin Auto Res: Off J Clin Auto Res Soc 18(Suppl 1):25–29. doi:10.1007/s10286-007-1005-z CrossRef Mathias CJ (2008) L-dihydroxyphenylserine (Droxidopa) in the treatment of orthostatic hypotension: the European experience. Clin Auto Res: Off J Clin Auto Res Soc 18(Suppl 1):25–29. doi:10.​1007/​s10286-007-1005-z CrossRef
Zurück zum Zitat Meltzer HY, Mills R, Revell S, Williams H, Johnson A, Bahr D, Friedman JH (2010) Pimavanserin, a serotonin(2A) receptor inverse agonist, for the treatment of Parkinson’s disease psychosis. Neuropsychopharmacol: Off Publ Am Coll Neuropsychopharmacol 35(4):881–892. doi:10.1038/npp.2009.176 CrossRef Meltzer HY, Mills R, Revell S, Williams H, Johnson A, Bahr D, Friedman JH (2010) Pimavanserin, a serotonin(2A) receptor inverse agonist, for the treatment of Parkinson’s disease psychosis. Neuropsychopharmacol: Off Publ Am Coll Neuropsychopharmacol 35(4):881–892. doi:10.​1038/​npp.​2009.​176 CrossRef
Zurück zum Zitat Ogawa N, Yamamoto M, Takayama H (1985) L-threo-3, 4-dihydroxyphenylserine treatment of Parkinson’s disease. J Med 16(5–6):525–534PubMed Ogawa N, Yamamoto M, Takayama H (1985) L-threo-3, 4-dihydroxyphenylserine treatment of Parkinson’s disease. J Med 16(5–6):525–534PubMed
Zurück zum Zitat Rylander D, Iderberg H, Li Q, Dekundy A, Zhang J, Li H, Baishen R, Danysz W, Bezard E, Cenci MA (2010) A mGluR5 antagonist under clinical development improves l-DOPA-induced dyskinesia in parkinsonian rats and monkeys. Neurobiol Dis 39(3):352–361. doi:10.1016/j.nbd.2010.05.001 PubMedCrossRef Rylander D, Iderberg H, Li Q, Dekundy A, Zhang J, Li H, Baishen R, Danysz W, Bezard E, Cenci MA (2010) A mGluR5 antagonist under clinical development improves l-DOPA-induced dyskinesia in parkinsonian rats and monkeys. Neurobiol Dis 39(3):352–361. doi:10.​1016/​j.​nbd.​2010.​05.​001 PubMedCrossRef
Zurück zum Zitat Yarnall A, Rochester L, Burn DJ (2011) The interplay of cholinergic function, attention, and falls in Parkinson’s disease. Mov Disord: Off J Mov Disord Soc 26(14):2496–2503. doi:10.1002/mds.23932 CrossRef Yarnall A, Rochester L, Burn DJ (2011) The interplay of cholinergic function, attention, and falls in Parkinson’s disease. Mov Disord: Off J Mov Disord Soc 26(14):2496–2503. doi:10.​1002/​mds.​23932 CrossRef
Zurück zum Zitat Zoldan J, Friedberg G, Weizman A, Melamed E (1996) Ondansetron, a 5-HT3 antagonist for visual hallucinations and paranoid delusional disorder associated with chronic l-DOPA therapy in advanced Parkinson’s disease. Adv Neurol 69:541–544PubMed Zoldan J, Friedberg G, Weizman A, Melamed E (1996) Ondansetron, a 5-HT3 antagonist for visual hallucinations and paranoid delusional disorder associated with chronic l-DOPA therapy in advanced Parkinson’s disease. Adv Neurol 69:541–544PubMed
Metadaten
Titel
Is there room for non-dopaminergic treatment in Parkinson disease?
verfasst von
Abraham Lieberman
Narayanan Krishnamurthi
Publikationsdatum
01.02.2013
Verlag
Springer Vienna
Erschienen in
Journal of Neural Transmission / Ausgabe 2/2013
Print ISSN: 0300-9564
Elektronische ISSN: 1435-1463
DOI
https://doi.org/10.1007/s00702-012-0946-0

Weitere Artikel der Ausgabe 2/2013

Journal of Neural Transmission 2/2013 Zur Ausgabe

Translational Neurosciences - Review article

Immunogenicity of botulinum toxins

Neurology and Preclinical Neurological Studies - CONy Pro/Con debate

Controversies in neurology, Vienna, 2012: Steroids in bacterial meningitis: no

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.