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Chapter-24 Antiparkinsonian Drugs

BOOK TITLE: Pharmacology for Medical Undergraduates

Author
1. Bhandari Prasan R
ISBN
9789352702718
DOI
10.5005/jp/books/14244_25
Edition
1/e
Publishing Year
2018
Pages
6
Author Affiliations
1. SDM College of Medical Sciences and Hospital, Sattur, Dharwad, Karnataka, India, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka, India
Chapter keywords
Parkinsonism, antiparkinsonian drug, dopamine precursor, dopamine releaser, dopamine receptor agonist, dopamine metabolism inhibitor, central anticholinergics, drug-induced parkinsonism, Alzheimer’s disease

Abstract

Parkinsonism is a chronic progressive motor disorder. Treatment strategy is to increase central nervous system (CNS) dopamine and decrease acetylcholine. Antiparkinsonian drugs are classified into drugs that enhance dopamine activity, dopamine metabolism inhibitors, and drugs depressing cholinergic activity. Dopamine has no therapeutic value since it does not cross blood-brain barrier (BBB). Levodopa is a prodrug, which is able to cross the BBB. Carbidopa and benserazide are peripheral dopa decarboxylase inhibitors. Dopamine releasers, dopamine receptor agonists, dopamine metabolism inhibitors, central anticholinergics, drug-induced parkinsonism, and drugs for Alzheimer’s disease are the other discussed topics of this chapter.

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