Parkinson's Disease Tulip


advertisement
 
 
Thread Tools Display Modes
Prev Previous Post   Next Post Next
Old 06-24-2017, 09:20 PM #11
johnt johnt is offline
Senior Member
 
Join Date: Apr 2009
Location: Stafford, UK
Posts: 1,059
15 yr Member
johnt johnt is offline
Senior Member
 
Join Date: Apr 2009
Location: Stafford, UK
Posts: 1,059
15 yr Member
Default

Thanks for the contributions from jeffreyn, soccertese, tupelo3, TexasTom.

(L=levodopa, C=carbidopa, E=entacapone. In what follows below L means L and not L/C.)

So, the question is: Why is there no L/E medication available? And to clarify once more, that's levodopa and entacapone, but without carbidopa.

A literature search is made difficult because "levodopa" is often used to mean "levodopa/carbidopa". However, I did find a few references to unambiguous L and L/E.

Ahlskog writes [1]: "entacapone in the absence of carbidopa/levodopa has no anti-parkinsonian effect".

I see it differently however: L/E is likely to be slightly more therapeutic than L, but it is overshadowed by L/C which is better. L/C/E is better still.

The method of working of both C, a DDC inhibitor, and E, a COMT inhibitor, is to prolong the peripheral life of the L that they are taken with. So, we are interested in the metabolism of L: the metabolic pathways, their relative power, their metabolites. The metabolic pathways of L are [2][3]:

DDC, 70%, Dopamine
COMT, 10%, 3-O-Methyldopa
TAT, ?, 3,4-Dihydroxphenylpyruvic acid
Tyrosinase, ?, Dopa quinone
PST, ?, Conjugation products

So, the effect of DDC is much stronger than COMT. Moreover, as others have mentioned DDC inhibitors reduce the amount of peripheral dopamine, which is good because peripheral dopamine causes nausea.

References:

[1] "The New Parkinson's Disease Treatment Book"
p142,
Ahlskog J., 2015

[2] Benserazide - ScienceDirect Topics

[3] "Encyclopedia of Movement Disorders, Vol 1"
ed. Kompoliti K. and Metman L.
2010
isbn:1237415X - Google Search

John
__________________
Born 1955. Diagnosed PD 2005.
Meds 2010-Nov 2016: Stalevo(75 mg) x 4, ropinirole xl 16 mg, rasagiline 1 mg
Current meds: Stalevo(75 mg) x 5, ropinirole xl 8 mg, rasagiline 1 mg
johnt is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
jeffreyn (06-24-2017)
 

Tags
carbidopa, ddc, entacapone, inhibitor, levodopa


Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Pain-RX - Cox 2 Inhibitor caroline2 Vitamins, Nutrients, Herbs and Supplements 3 04-20-2019 09:45 PM
LRRK2 inhibitor may slow progression for all PWPs lab rat Parkinson's Disease 0 06-10-2014 07:23 PM
Ace inhibitor? Ccm47 Reflex Sympathetic Dystrophy (RSD and CRPS) 1 05-18-2013 09:23 AM
Common Herbs With MAO Inhibitor Activity imark3000 Parkinson's Disease 0 04-08-2011 01:45 AM
FP0011 can be a potent, safe glutamate release inhibitor ZucchiniFlower Parkinson's Disease 0 06-06-2007 05:03 PM


All times are GMT -5. The time now is 08:45 PM.

Powered by vBulletin • Copyright ©2000 - 2024, Jelsoft Enterprises Ltd.

vBulletin Optimisation provided by vB Optimise v2.7.1 (Lite) - vBulletin Mods & Addons Copyright © 2024 DragonByte Technologies Ltd.
 

NeuroTalk Forums

Helping support those with neurological and related conditions.

 

The material on this site is for informational purposes only,
and is not a substitute for medical advice, diagnosis or treatment
provided by a qualified health care provider.


Always consult your doctor before trying anything you read here.