Cabergoline in Parkinson's disease: long-term follow-up.

Abstract:

:We treated 36 patients with motor fluctuations and dyskinesias on chronic levodopa therapy with cabergoline (CBG) once a day for a mean period of 14.2 +/- 5.8 months. There was a significant increase in the "on" hours and a reduction in "off-period" dystonia. Ten patients continued to show a marked improvement after 28.3 months of treatment (mean dose, 11.3 +/- 4.5 mg). In 23 patients, increased dyskinesias (daily CBG dose, 11 +/- 4.3 mg) had complicated the positive effect after 17.2 +/- 4.8 months. Three patients (daily CBG dose, 14.3 mg) were therapeutic failures, and administration of CBG was stopped. Side effects leading to CBG discontinuation were visual hallucinations (n = 5), heart failure (n = 5), and nausea and vomiting (n = 1). Plasma CBG levels, measured in seven patients taking 3, 5, or 7 mg daily (po), showed fairly stable concentrations throughout the 24 hours. We concluded that CBG is an efficient dopamine agonist that can provide continuous dopaminergic stimulation when taken orally once a day.

journal_name

Neurology

journal_title

Neurology

authors

Lera G,Vaamonde J,Rodriguez M,Obeso JA

doi

10.1212/wnl.43.12.2587

subject

Has Abstract

pub_date

1993-12-01 00:00:00

pages

2587-90

issue

12

eissn

0028-3878

issn

1526-632X

journal_volume

43

pub_type

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