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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1989-8-3
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pubmed:abstractText |
We evaluated the effect of administration of L-dopa, alone or in combination with a peripheral decarboxylase inhibitor, on plasma levels of aromatic-L-amino acid decarboxylase (ALAAD). After single-dose administration of L-dopa plus benserazide (Madopar) in healthy subjects and in chronically treated patients with parkinsonism, plasma ALAAD followed for 2 to 3 hours fell, but returned to predosing levels within 90 minutes. Four groups of patients with idiopathic parkinsonism were studied during chronic treatment: Group I, no L-dopa treatment (n = 31); Group II, L-dopa alone (n = 15); Group III, L-dopa plus benserazide (n = 28); and Group IV, L-dopa plus carbidopa (Sinemet, n = 30). Plasma ALAAD 2 hours after dosing was normal in Groups I and II. ALAAD was increased threefold in Groups III and IV, suggesting induction of ALAAD by the coadministration of a peripheral decarboxylase inhibitor. In a study of 3 patients in whom L-dopa/benserazide was started, plasma ALAAD rose gradually over 3 to 4 weeks. Further detailed pharmacokinetic studies of L-dopa, dopamine, and ALAAD in plasma and cerebrospinal fluid are required to determine if the apparent ALAAD induction by a peripheral decarboxylase inhibitor may be related to the loss of clinical efficacy of combination therapy in some patients and how it is related to end-of-dose deterioration and on-off phenomena.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Aromatic-L-Amino-Acid Decarboxylases,
http://linkedlifedata.com/resource/pubmed/chemical/Benserazide,
http://linkedlifedata.com/resource/pubmed/chemical/Carboxy-Lyases,
http://linkedlifedata.com/resource/pubmed/chemical/Drug Combinations,
http://linkedlifedata.com/resource/pubmed/chemical/Levodopa,
http://linkedlifedata.com/resource/pubmed/chemical/benserazide, levodopa drug...
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0364-5134
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
25
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
624-8
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pubmed:dateRevised |
2009-12-23
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pubmed:meshHeading |
pubmed-meshheading:2742363-Aged,
pubmed-meshheading:2742363-Aromatic-L-Amino-Acid Decarboxylases,
pubmed-meshheading:2742363-Benserazide,
pubmed-meshheading:2742363-Carboxy-Lyases,
pubmed-meshheading:2742363-Drug Combinations,
pubmed-meshheading:2742363-Drug Therapy, Combination,
pubmed-meshheading:2742363-Enzyme Induction,
pubmed-meshheading:2742363-Female,
pubmed-meshheading:2742363-Humans,
pubmed-meshheading:2742363-Levodopa,
pubmed-meshheading:2742363-Male,
pubmed-meshheading:2742363-Middle Aged,
pubmed-meshheading:2742363-Parkinson Disease,
pubmed-meshheading:2742363-Time Factors
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pubmed:year |
1989
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pubmed:articleTitle |
Induction of aromatic-L-amino acid decarboxylase by decarboxylase inhibitors in idiopathic parkinsonism.
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pubmed:affiliation |
Department of Internal Medicine I, University Hospital Dijkzigt, Erasmus University, Rotterdam, The Netherlands.
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pubmed:publicationType |
Journal Article
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