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Published in: Journal of Neurology 2/2010

01-11-2010

Evidence-based initiation of dopaminergic therapy in Parkinson's disease

Author: Janis M. Miyasaki

Published in: Journal of Neurology | Special Issue 2/2010

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Abstract

The mainstay of Parkinson's disease (PD) therapy is levodopa. The crucial question is when should levodopa be initiated? Levodopa provides the most potent motor benefit for PD, but longer term use is marked by the development of motor complications such as fluctuations in response and involuntary motor movements. Dopamine agonists reduce the risk of development of motor complications in the 5-year term. However, side effects may change the risk-benefit of dopamine agonist first strategies. In the following, the evidence for levodopa and dopamine agonists as initial monotherapy for PD is examined.
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Metadata
Title
Evidence-based initiation of dopaminergic therapy in Parkinson's disease
Author
Janis M. Miyasaki
Publication date
01-11-2010
Publisher
Springer-Verlag
Published in
Journal of Neurology / Issue Special Issue 2/2010
Print ISSN: 0340-5354
Electronic ISSN: 1432-1459
DOI
https://doi.org/10.1007/s00415-010-5718-x

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