0
Article |

International Symposium on Early Dopamine Agonist Therapy of Parkinson's Disease

Roger Kurlan, MD
[+] Author Affiliations

Accepted for publication Oct 7, 1987.

Reprints not available.


Arch Neurol. 1988;45(2):204-208. doi:10.1001/archneur.1988.00520260092026
Text Size: A A A
Published online

The use of levodopa for the treatment of Parkinson's disease has had a remarkable impact on the prognosis of the disorder. Survival now approaches normal age-adjusted life expectancy and levodopa has clearly resulted in lessened morbidity as well, and, thus, an improved quality of life. The limitations of levodopa treatment, however, have become clear. Neurologic disability reappears and worsens over time despite levodopa therapy, the beneficial response to levodopa being lost steadily over several years. Levodopa is symptomatic therapy only, having no influence on the progressive loss of nigral neurons. In addition, levodopa therapy, even in combination with a peripheral levodopa decarboxylase inhibitor, is accompanied by a variety of acute and chronic side effects. The appearance of involuntary movements and fluctuations in motor performance have become major limiting side effects of chronic levodopa therapy.

Due to the limitations of long-term levodopa therapy, attempts have been made to develop novel

REFERENCES

Teychenne PF, Bergsrud D, Racy A, et al:  Bromocriptine: Low-dose therapy in Parkinson's disease . Neurology 1982;;32:577-583.
Lees AJ, Stern GM:  Sustained low-dose levodopa therapy in Parkinson's disease: A three-year follow-up . Adv Neurol 1983;;37:9-15.
Devathasan G, Chong PN, Puvanendran K, et al:  Low-dose bromocriptine therapy in severe Parkinson's disease . Clin Neuropharmacol 1984;;7:231-237.
Rinne UK:  Combined bromocriptine-levodopa therapy early in Parkinson's disease . Neurology 1985;;35:1196-1198.
Rinne UK:  Early combination of bromocriptine and levodopa in the treatment of Parkinson's disease , in Fahn S, Marsden D, Jenner P, et al (eds): Recent Developments in Parkinson's Disease . New York, Raven Press, 1986;, pp 267-271.
Rinne UK:  Early combination of bromocriptine and levodopa in the treatment of Parkinson's disease: A five-year follow-up study . Neurology 1987;;37:826-828.
Stern GM, Lees AJ:  Sustained bromocriptine therapy in 50 previously untreated patients with Parkinson's disease . Adv Neurol 1983;;37:17-21.
Grimes JD, Delgado MR:  Bromocriptine: Problems with low-dose de novo therapy in Parkinson's disease . Clin Neuropharmacol 1985;;8:73-77.
Olanow CW, Alberts M:  Low-dose bromocriptine in previously untreated Parkinson patients , in Fahn S, Marsden D, Jenner P, et al (eds): Recent Developments in Parkinson's Disease . New York, Raven Press, 1986;, pp 273-278.
Staal-Schreinemachers AL, Wesseling H, Kamphuis DJ, et al:  Low-dose bromocriptine therapy in Parkinson's disease: Double-blind, placebo-controlled study . Neurology 1986;;36:291-293.

First Page Preview

First page PDF preview

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Teychenne PF, Bergsrud D, Racy A, et al:  Bromocriptine: Low-dose therapy in Parkinson's disease . Neurology 1982;;32:577-583.
Lees AJ, Stern GM:  Sustained low-dose levodopa therapy in Parkinson's disease: A three-year follow-up . Adv Neurol 1983;;37:9-15.
Devathasan G, Chong PN, Puvanendran K, et al:  Low-dose bromocriptine therapy in severe Parkinson's disease . Clin Neuropharmacol 1984;;7:231-237.
Rinne UK:  Combined bromocriptine-levodopa therapy early in Parkinson's disease . Neurology 1985;;35:1196-1198.
Rinne UK:  Early combination of bromocriptine and levodopa in the treatment of Parkinson's disease , in Fahn S, Marsden D, Jenner P, et al (eds): Recent Developments in Parkinson's Disease . New York, Raven Press, 1986;, pp 267-271.
Rinne UK:  Early combination of bromocriptine and levodopa in the treatment of Parkinson's disease: A five-year follow-up study . Neurology 1987;;37:826-828.
Stern GM, Lees AJ:  Sustained bromocriptine therapy in 50 previously untreated patients with Parkinson's disease . Adv Neurol 1983;;37:17-21.
Grimes JD, Delgado MR:  Bromocriptine: Problems with low-dose de novo therapy in Parkinson's disease . Clin Neuropharmacol 1985;;8:73-77.
Olanow CW, Alberts M:  Low-dose bromocriptine in previously untreated Parkinson patients , in Fahn S, Marsden D, Jenner P, et al (eds): Recent Developments in Parkinson's Disease . New York, Raven Press, 1986;, pp 273-278.
Staal-Schreinemachers AL, Wesseling H, Kamphuis DJ, et al:  Low-dose bromocriptine therapy in Parkinson's disease: Double-blind, placebo-controlled study . Neurology 1986;;36:291-293.

Correspondence

CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.