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Continuous Drug Delivery Aiming Continuous Dopaminergic Stimulation in Parkinson's Disease.


ABSTRACT: Continuous dopaminergic stimulation in Parkinson's disease (PD) has several advantages over pulsatile, non-continuous, stimulation. These therapies currently consist of pump-based and transcutaneous therapies and are based on a more constant delivery of the dopaminergic drug resulting in continuous dopaminergic stimulation and a more stable treatment effect. Several clinical and experimental observations have shown that continuous stimulation of dopaminergic receptors induces fewer complications, such as dyskinesia, compared to pulsatile stimulation. Currently available non-oral pharmacological continuous therapies in PD include the transdermal Rotigotine (RTG) patch, infusion therapies with Apomorphine and Intrajejunal Levodopa (IJLI) and the Rivastigmine patch. Here we aim to provide a concise review of these current therapies and discuss ongoing and future developments of continuous non-oral pharmacological dopaminergic therapies in PD.

SUBMITTER: van Wamelen DJ 

PROVIDER: S-EPMC6311379 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Continuous Drug Delivery Aiming Continuous Dopaminergic Stimulation in Parkinson's Disease.

van Wamelen Daniel J DJ   Grigoriou Sotirios S   Chaudhuri K Ray KR   Odin Per P  

Journal of Parkinson's disease 20180101 s1


Continuous dopaminergic stimulation in Parkinson's disease (PD) has several advantages over pulsatile, non-continuous, stimulation. These therapies currently consist of pump-based and transcutaneous therapies and are based on a more constant delivery of the dopaminergic drug resulting in continuous dopaminergic stimulation and a more stable treatment effect. Several clinical and experimental observations have shown that continuous stimulation of dopaminergic receptors induces fewer complications  ...[more]

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