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Rapid switch from oral antiparkinsonian combination drug therapy to duodenal levodopa infusion
Six patients with Parkinson's disease (PD) with severe motor complications were directly switched from their oral antiparkinsonian combination drug regime to nasoduodenal levodopa infusion without previously recommended transient treatment with levodopa alone. Duodenal levodopa infusion reduced...
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Published in: | Movement disorders 2008-01, Vol.23 (1), p.145-146 |
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container_title | Movement disorders |
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creator | Meiler, Birgit Andrich, Jürgen Müller, Thomas |
description | Six patients with Parkinson's disease (PD) with severe motor complications were directly switched from their oral antiparkinsonian combination drug regime to nasoduodenal levodopa infusion without previously recommended transient treatment with levodopa alone. Duodenal levodopa infusion reduced motor complications to a considerable extent. We have shown that a prior change to an oral levodopa monotherapy and a slow titration of duodenal levodopa infusion may be skipped and a direct switch to duodenal levodopa is a safe option. © 2007 Movement Disorder Society |
doi_str_mv | 10.1002/mds.21800 |
format | article |
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Antiparkinson agents</subject><subject>Biological and medical sciences</subject><subject>Drug Therapy, Combination</subject><subject>Duodenum</subject><subject>Female</subject><subject>Humans</subject><subject>Infusions, Parenteral</subject><subject>Jejunostomy</subject><subject>Levodopa - administration & dosage</subject><subject>Levodopa - therapeutic use</subject><subject>levodopa infusion</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Neuropharmacology</subject><subject>Parkinson Disease - drug therapy</subject><subject>Parkinson's disease</subject><subject>Pharmacology. 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Antiepileptics. Antiparkinson agents</topic><topic>Biological and medical sciences</topic><topic>Drug Therapy, Combination</topic><topic>Duodenum</topic><topic>Female</topic><topic>Humans</topic><topic>Infusions, Parenteral</topic><topic>Jejunostomy</topic><topic>Levodopa - administration & dosage</topic><topic>Levodopa - therapeutic use</topic><topic>levodopa infusion</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neurology</topic><topic>Neuropharmacology</topic><topic>Parkinson Disease - drug therapy</topic><topic>Parkinson's disease</topic><topic>Pharmacology. 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Disord</addtitle><date>2008-01</date><risdate>2008</risdate><volume>23</volume><issue>1</issue><spage>145</spage><epage>146</epage><pages>145-146</pages><issn>0885-3185</issn><eissn>1531-8257</eissn><abstract>Six patients with Parkinson's disease (PD) with severe motor complications were directly switched from their oral antiparkinsonian combination drug regime to nasoduodenal levodopa infusion without previously recommended transient treatment with levodopa alone. Duodenal levodopa infusion reduced motor complications to a considerable extent. We have shown that a prior change to an oral levodopa monotherapy and a slow titration of duodenal levodopa infusion may be skipped and a direct switch to duodenal levodopa is a safe option. © 2007 Movement Disorder Society</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>17987653</pmid><doi>10.1002/mds.21800</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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source | Wiley-Blackwell Read & Publish Collection |
subjects | Administration, Oral Aged Anticonvulsants. Antiepileptics. Antiparkinson agents Biological and medical sciences Drug Therapy, Combination Duodenum Female Humans Infusions, Parenteral Jejunostomy Levodopa - administration & dosage Levodopa - therapeutic use levodopa infusion Male Medical sciences Neurology Neuropharmacology Parkinson Disease - drug therapy Parkinson's disease Pharmacology. Drug treatments Time Factors |
title | Rapid switch from oral antiparkinsonian combination drug therapy to duodenal levodopa infusion |
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