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pubmed-article:1327609pubmed:abstractTextIn a multicenter study we selected 84 patients with fluctuating Parkinson's disease in order to evaluate the effects of controlled-release Sinemet 50/200 (=CR) versus standard Sinemet 25/100 (=STD) in an open-label 8-week titration period, followed by a double-blind, double-dummy 24-week treatment period. In contrast with previous double-blind studies, the efficacy of Sinemet CR proved to be significantly superior to that of Sinemet-STD according to NYUPDS and NUDS rating scales. This higher efficacy of Sinemet CR was not achieved at the expense of safety and/or tolerability. Actual total daily levodopa dosage in patients treated with Sinemet CR was increased by 33%; however, the plasma level of this dosage is calculated to be similar to that of the previous dosage of Sinemet-STD (bio-availability of Sinemet CR is 71%). Mean numbers of daily doses, off-hours, and off-periods were decreased significantly during Sinemet CR treatment. Although all other variables suggest that the number of on-hours had to be increased, statistical significance could not be reached in this respect.lld:pubmed
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pubmed-article:1327609pubmed:pagination205-11lld:pubmed
pubmed-article:1327609pubmed:dateRevised2009-10-14lld:pubmed
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pubmed-article:1327609pubmed:articleTitleClinical efficacy of Sinemet CR 50/200 versus Sinemet 25/100 in patients with fluctuating Parkinson's disease. An open, and a double-blind, double-dummy, multicenter treatment evaluation. The Dutch Sinemet CR Study Group.lld:pubmed
pubmed-article:1327609pubmed:affiliationDepartment of Neurology, Free University Hospital, Amsterdam, The Netherlands.lld:pubmed
pubmed-article:1327609pubmed:publicationTypeJournal Articlelld:pubmed
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pubmed-article:1327609pubmed:publicationTypeRandomized Controlled Triallld:pubmed
pubmed-article:1327609pubmed:publicationTypeMulticenter Studylld:pubmed