학술논문

Orthostatic stability with intravenous levodopa
Document Type
article
Source
PeerJ, Vol 3, p e1198 (2015)
Subject
Carbidopa
Levodopa
Tourette syndrome
Heart rate
Randomized controlled trial
Blood pressure
Medicine
Biology (General)
QH301-705.5
Language
English
ISSN
2167-8359
Abstract
Intravenous levodopa has been used in a multitude of research studies due to its more predictable pharmacokinetics compared to the oral form, which is used frequently as a treatment for Parkinson’s disease (PD). Levodopa is the precursor for dopamine, and intravenous dopamine would strongly affect vascular tone, but peripheral decarboxylase inhibitors are intended to block such effects. Pulse and blood pressure, with orthostatic changes, were recorded before and after intravenous levodopa or placebo—after oral carbidopa—in 13 adults with a chronic tic disorder and 16 tic-free adult control subjects. Levodopa caused no statistically or clinically significant changes in blood pressure or pulse. These data add to previous data that support the safety of i.v. levodopa when given with adequate peripheral inhibition of DOPA decarboxylase.