Levodopa and Parkinson's Disease

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Questions and Answers

What condition is levodopa primarily used to treat?

  • Alzheimer's disease
  • Multiple sclerosis
  • Parkinson's disease (correct)
  • Epilepsy

What is the primary reason for low dopamine levels in Parkinson's disease patients?

  • Overproduction of dopamine
  • Damage to the substantia nigra (correct)
  • Increased dopamine metabolism
  • Excessive dopamine reuptake

Levodopa is a precursor to which neurotransmitter?

  • GABA
  • Norepinephrine
  • Serotonin
  • Dopamine (correct)

Which enzyme converts levodopa into dopamine in the brain?

<p>DDC (Dopa-Decarboxylase) (A)</p>
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Why is carbidopa often administered alongside levodopa?

<p>To prevent the breakdown of levodopa in the periphery (D)</p>
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Which of the following is a common side effect of levodopa?

<p>Nausea and vomiting (C)</p>
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A patient taking levodopa might experience a drop in blood pressure upon standing, known as:

<p>Orthostatic hypotension (D)</p>
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Which of the following is a potential cardiac side effect of levodopa?

<p>Cardiac arrhythmias (C)</p>
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Levodopa can sometimes cause changes in a patient's mental state. What is one such potential side effect?

<p>Mental disturbances (D)</p>
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What is a possible effect of levodopa on urine color?

<p>Urine discoloration (C)</p>
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What effect can levodopa have on blood sugar levels?

<p>Hyperglycemia (B)</p>
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Which of the following is a contraindication for levodopa?

<p>Hypersensitivity (B)</p>
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Patients with a history of what condition should use levodopa with caution?

<p>Peptic ulcer disease (C)</p>
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Levodopa is contraindicated in patients taking which type of medication due to the risk of hypertensive crisis?

<p>MAOIs (A)</p>
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Which of the following conditions is a contraindication for levodopa use?

<p>Malignant melanoma (C)</p>
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Levodopa should be avoided in individuals with a history of:

<p>Psychosis (D)</p>
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A patient with what pre-existing condition should avoid Levodopa?

<p>Pre-existing neuropathy (D)</p>
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Levodopa is often avoided or used with caution in patients who have which of the following?

<p>Diabetes mellitus (B)</p>
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What property of carbidopa makes it useful when combined with levodopa?

<p>It inhibits DDC but cannot cross the blood-brain barrier. (B)</p>
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Flashcards

What is Levodopa?

A drug used to treat Parkinson's disease by increasing dopamine levels in the brain.

What is Dopa-Decarboxylase (DDC)?

An enzyme that converts levodopa into dopamine in both the brain and peripheral tissues.

What is Carbidopa?

A DDC inhibitor that prevents the early breakdown of levodopa in the periphery, but which can not cross BBB.

Common side effects of Levadopa(NOCMUH)?

Nausea, orthostatic hypotension, cardiac arrhythmias, mental disturbances, urine discoloration, and hyperglycemia.

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Contraindications of levodopa?

Hypersensitivity, history of peptic ulcers, use of MAOIs, malignant melanoma, psychosis, pre-existing neuropathy and diabetes mellitus.

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Study Notes

  • Levodopa treats Parkinson's disease by addressing low dopamine levels caused by substantia nigra damage.
  • Levodopa, a dopamine precursor, crosses the blood-brain barrier (BBB) and converts to dopamine via Dopa-Decarboxylase (DDC) in the brain.
  • DDC is present in both the brain and peripheral tissues.
  • Carbidopa, a DDC inhibitor unable to cross the BBB, is administered with levodopa to prevent its premature breakdown in the periphery.

Side Effects of Levodopa (NOCMUH)

  • Nausea, vomiting, and decreased appetite are potential side effects.
  • Orthostatic hypotension may occur.
  • Cardiac arrhythmias are a possible side effect.
  • Mental disturbances can arise.
  • Urine discoloration is a noted side effect.
  • Hyperglycemia.

Contraindications of Levodopa (H²M²P²D)

  • Hypersensitivity to levodopa is a contraindication.
  • A history of peptic ulcer disease is a contraindication.
  • Concurrent use of MAOIs is contraindicated due to the risk of hypertensive crisis.
  • Malignant melanoma is a contraindication.
  • Psychosis.
  • Pre-existing neuropathy is a contraindication.
  • Diabetes mellitus.

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