Pergolide in late-stage Parkinson disease.

Abstract:

:Twenty-six patients with late-stage Parkinson disease were given 0.4 to 15 mg of pergolide mesylate daily in addition to, or as replacement for, levodopa or bromocriptine therapy. Despite treatment with individually determined optimum doses of levodopa, bromocriptine, and anticholinergics, they had shown response failure or fluctuating response. Forty percent (11 patients) were unable to tolerate pergolide. Nausea and vomiting, somnolence, and psychiatric disturbances were the most frequent side effects. Eleven of the remaining patients improved on pergolide, 2 were unchanged, and 2 were slightly worse. Among the patients who benefited, pergolide improved dose-related response fluctuations more than non-dose-related fluctuations, with a reduction in number and duration of "off" periods and improvement in quality of sleep and early morning akinesia but little change in freezing episodes. Despite treatment failure in many cases, pergolide is at present the best available drug for specific late-stage management problems.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Lang AE,Quinn N,Brincat S,Marsden CD,Parkes JD

doi

10.1002/ana.410120305

subject

Has Abstract

pub_date

1982-09-01 00:00:00

pages

243-7

issue

3

eissn

0364-5134

issn

1531-8249

journal_volume

12

pub_type

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