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Parkinson Drugs
| Question | Answer |
|---|---|
| Levodopa | Converted into dopamine, can cross blood brain barrier |
| Carbidopa | Prevents degradation of Levodopa in PNS |
| Apomorphine | dopamine agonists, used for rescue therapy during "off" times |
| Pramipexole, Ropinorole | dopamine agonists, first-line drugs, or supplement to levodopa, |
| bromocriptine, carbergoline | less selective dopamine agonist, ergot derivatives |
| Tolcapone | Inhibit breakdown of levodopa by COMT |
| Entacapone | Safer and more effective than tolcapone. |
| Selegiline, Rasaginline | MAO-B inhibitor, used to manage off times |
| Amantadine | Promotes release of dopamine(DA), can block DA reuptake |
| COMPT stands for what? | Catechol-O-Methyltransferase |
| How does carbidopa work? | It supresses decarboxylate activity to allow more levodopa to get to the CNS. |
| What side-effect can extra carbidopa reduce? | Nausea and vomiting caused by levodopa. |