Amantadine reduces levodopa‐induced dyskinesias in parkinsonian monkeys

Movement Disorders - Tập 13 Số 5 - Trang 798-802 - 1998
Pierre J. Blanchet1, Spyridon Konitsiotis1, Thomas N. Chase1
1Experimental Therapeutics Branch National Institute of Neurological Disorders and Stroke Bethesda, Maryland, U.S.A.

Tóm tắt

AbstractThe antidyskinetic potential of the glutamate NMDA receptor channel blocker amantadine was evaluated in four levodopa‐primed parkinsonian monkeys using two different regimens (1.25 or 2.5 mg/kg administered subcutaneously twice daily for 3–6 days). When administered with a relatively low dose of levodopa, amantadine produced a near‐total suppression of choreiform dyskinesias and a substantial reduction in dystonic dyskinesias at the expense of a significant reduction in antiparkinsonian response. With a high dose of levodopa, amantadine had a smaller but still significant effect on dyskinesias without altering the antiparkinsonian response. These results lend support to the view that glutamate receptormediated mechanisms contribute to levodopa‐induced dyskinesias. They also suggest that amantadine could alleviate such complications in parkinsonian patients, especially with careful dose optimization.

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