Pharmacokinetics of oral entacapone after frequent multiple dosing and effects on levodopa disposition.

Author: GordinA, HuhtalaS, HuupponenR, KorpelaK, ReinikainenK, RouruJ, SavontausE, ScheininM

Paper Details 
Original Abstract of the Article :
Entacapone is a peripherally acting catechol O-methyltransferase (COMT) inhibitor used as an adjunct to each daily levodopa/dopa decarboxylase (DDC) inhibitor dose in the treatment of Parkinson's disease. Parkinsonian patients with advanced disease and motor fluctuations take several doses of levodo...See full text at original site
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引用元:
https://doi.org/10.1007/s002280050657

データ提供:米国国立医学図書館(NLM)

Entacapone: Optimizing Levodopa Therapy for Parkinson's Disease

Parkinson's disease, a neurodegenerative disorder that affects movement, often requires long-term treatment with levodopa, a medication that helps replenish dopamine levels in the brain. However, levodopa has a short duration of action, leading to fluctuations in symptoms and requiring frequent doses. This research investigates the pharmacokinetics and pharmacodynamic effects of entacapone, a peripheral catechol O-methyltransferase (COMT) inhibitor, when used as an adjunct to levodopa therapy in Parkinson's disease. The study examined the effects of entacapone on levodopa disposition and the pattern of COMT inhibition in erythrocytes.

The researchers found that entacapone exhibited predictable pharmacokinetic properties after multiple dosing, reaching steady state within a few days. They observed that entacapone effectively inhibited COMT activity in erythrocytes, leading to increased levodopa bioavailability and a prolonged therapeutic effect. These findings suggest that entacapone can enhance the efficacy of levodopa therapy by prolonging its duration of action.

Improving the Lives of Parkinson's Patients

This research highlights the potential of entacapone to enhance the effectiveness of levodopa therapy for Parkinson's disease. By prolonging the duration of action of levodopa, entacapone can help reduce symptom fluctuations and improve the quality of life for patients. The findings underscore the importance of using adjunctive therapies to optimize levodopa treatment and enhance patient outcomes.

Tailoring Treatment to Individual Needs

This research emphasizes the importance of tailoring treatment to the individual needs of Parkinson's patients. The use of adjunctive therapies like entacapone can help improve symptom management and optimize treatment outcomes. Just as a camel adapts its pace and strategy to the specific challenges of its journey, we must adjust our approach to Parkinson's disease treatment to ensure that patients receive the most effective and personalized care.

Dr. Camel's Conclusion

This research demonstrates the effectiveness of entacapone in enhancing levodopa therapy for Parkinson's disease, showing its ability to prolong levodopa's duration of action and improve symptom management. These findings underscore the importance of personalized treatment approaches and the potential of adjunctive therapies to optimize outcomes for Parkinson's patients.

Date :
  1. Date Completed 1999-10-12
  2. Date Revised 2019-08-13
Further Info :

Pubmed ID

10492060

DOI: Digital Object Identifier

10.1007/s002280050657

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