Double-blind study of the activity and tolerability of cabergoline versus placebo in parkinsonians with motor fluctuations.

Abstract:

:The use of a dopamine agonist with a long duration of action has theoretical advantages in attempting to reduce the motor fluctuations in Parkinson's disease. We report the results of a double-blind controlled study of adding cabergoline, an ergot derivative with potent long-lasting high affinity for the D2 receptor, to levodopa therapy in 37 patients with severe fluctuations in response to treatment. Increasing dosages of cabergoline (19 patients) or placebo (18 patients) were added to each patient's stable levodopa regime. The two patient groups were similar at baseline in terms of age, disease duration, duration of levodopa treatment, and average hours "off" per day. Following incremental dose titration, patients in the cabergoline group had a significant reduction in hours "off" per day from 5.0 (SD 2.1) to 3.0 (SD 2.5), but there was no change in this measure in the placebo group [4.0 (2.2) and 3.3 (2.3) respectively]. This was not at the expense of a significant increase in dyskinesia. However, there was no difference between the groups when comparing their average Hoehn and Yahr stage of disease, and Schwab and England activities of daily living index.

journal_name

J Neurol

journal_title

Journal of neurology

authors

Steiger MJ,El-Debas T,Anderson T,Findley LJ,Marsden CD

doi

10.1007/BF00878534

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

68-72

issue

1

eissn

0340-5354

issn

1432-1459

journal_volume

243

pub_type

临床试验,杂志文章,随机对照试验
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