Document Detail


Cascade of levodopa dose and weight-related dyskinesia in Parkinson's disease (LD-WD-PD cascade).
MedLine Citation:
PMID:  16935018     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We have studied a cohort of 220 Parkinson's disease (PD) patients for risk factors of developing new dyskinesia. Twenty-nine patients were noticed to have developed new dyskinesia at the second assessment. The dyskinetic patients received significantly higher maximum level daily dose of levodopa. These patients had lost weight during the course of the disease from 72+/-15 to 66+/-17kg, p=0.002. The dyskinetic patients received significantly higher daily dose of levodopa per kilogram body weight, 8.4+/-3.5mg/kg vs. 6.0+/-3.9mg, p=0.003. Weight-losers PD patients developed significantly more dyskinesia than non-weight losers-p=0.002. Logistic regression analysis revealed weight loss and daily levodopa dose per kilogram body weight to be the only significant factors for dyskinesia in addition to disease duration. There was a "dose response to developing dyskinesia" according to the increasing levodopa dose per kilogram body weight.
Authors:
Jagdish C Sharma; Lorna Macnamara; Mohammad Hasoon; Michael Vassallo; Ian Ross
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Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2006-08-28
Journal Detail:
Title:  Parkinsonism & related disorders     Volume:  12     ISSN:  1353-8020     ISO Abbreviation:  Parkinsonism Relat. Disord.     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-29     Completed Date:  2007-02-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9513583     Medline TA:  Parkinsonism Relat Disord     Country:  England    
Other Details:
Languages:  eng     Pagination:  499-505     Citation Subset:  IM    
Affiliation:
Parkinson's Disease Services, Sherwood Forest Hospitals NHS Trust, Bournemouth, BH7 7 DW, UK. Jagdish.Sharma@sfh-tr.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Antiparkinson Agents / adverse effects*
Cohort Studies
Dose-Response Relationship, Drug
Dyskinesia, Drug-Induced / etiology*
Female
Humans
Levodopa / adverse effects*
Logistic Models
Male
Parkinson Disease / drug therapy,  physiopathology
Retrospective Studies
Risk Factors
Sex Factors
Weight Loss* / drug effects
Chemical
Reg. No./Substance:
0/Antiparkinson Agents; 0/Levodopa

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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