Levodopa in Parkinson's Disease

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Questions and Answers

What is Levodopa used as in the treatment of Parkinson's disease?

  • A dopamine precursor (correct)
  • A dopamine reuptake inhibitor
  • A dopamine receptor agonist
  • A dopamine decarboxylase inhibitor

Where is Levodopa taken up by in the basal ganglia?

  • GABAergic nerve endings
  • Serotonergic nerve endings
  • Dopaminergic nerve endings (correct)
  • Noradrenergic nerve endings

What is the therapeutic value of Levodopa in Parkinson's disease?

  • It only shows a curative activity
  • It has no therapeutic value
  • It has the highest therapeutic value (correct)
  • It stops the natural progression of the disease

When is Levodopa not recommended to be used?

<p>In the early period when symptoms are mild (A)</p> Signup and view all the answers

What percentage of patients respond well to Levodopa?

<p>1/3 (B)</p> Signup and view all the answers

What happens to the therapeutic efficacy of Levodopa over time?

<p>It decreases and disappears (B)</p> Signup and view all the answers

How is Levodopa administered?

<p>Orally (D)</p> Signup and view all the answers

What happens to Levodopa when ingested with food?

<p>Its absorption is delayed and its bioavailability may decrease (D)</p> Signup and view all the answers

What is an indicator that the dose of a drug should not be increased further?

<p>The occurrence of drug-induced involuntary movements (C)</p> Signup and view all the answers

What is the primary reason levodopa is rarely used alone in treatment?

<p>It is not produced in Turkey (A)</p> Signup and view all the answers

What is the purpose of carbidopa and benserazide in combined levodopa preparations?

<p>To inhibit the dopa-decarboxylase enzyme in the periphery (A)</p> Signup and view all the answers

In which period of treatment is the efficacy of the drug typically strongest?

<p>First two years (A)</p> Signup and view all the answers

What occurs when the dopaminergic nerve ending is lost in the striatum?

<p>Levodopa cannot convert to dopamine (A)</p> Signup and view all the answers

What is not used in the treatment of extrapyramidal disorders and parkinsonism caused by various drugs?

<p>Dopaminergic agonist drugs (B)</p> Signup and view all the answers

What happens to the number of D2 receptors with prolonged exposure to the agonist?

<p>They decrease (C)</p> Signup and view all the answers

What is the purpose of using combined levodopa preparations?

<p>To reduce the degradation of levodopa in the periphery (A)</p> Signup and view all the answers

What can occur suddenly in the daytime due to certain medications?

<p>State of sleepiness (D)</p> Signup and view all the answers

Why should Levodopa not be used with multivitamins?

<p>Because it reduces its central effect (C)</p> Signup and view all the answers

What can result from sudden discontinuation of Levodopa and other dopaminergic drugs?

<p>Neuroleptic malignant syndrome (B)</p> Signup and view all the answers

What are dopamine receptor agonists often derived from?

<p>Ergot alkaloids (D)</p> Signup and view all the answers

Why are anticholinergics not recommended with Levodopa?

<p>Because they reduce its bioavailability (B)</p> Signup and view all the answers

What can occur when Levodopa is taken concomitantly with MAO inhibitors?

<p>Hypertensive crisis (D)</p> Signup and view all the answers

What type of effect do dopamine receptor agonists have compared to Levodopa and amantadine?

<p>Stronger (D)</p> Signup and view all the answers

What is characterized by confusion, rigidity, and hyperthermia?

<p>Neuroleptic malignant syndrome (B)</p> Signup and view all the answers

What is the primary mechanism of action of Amantadine in the treatment of Parkinson's disease?

<p>Increasing dopamine release from nerve endings (D)</p> Signup and view all the answers

Why is Apomorphine used in special cases and under supervision?

<p>It causes emesis in high doses (D)</p> Signup and view all the answers

What is the primary effect of Rotigotine in the treatment of Parkinson's disease?

<p>Activating dopamine D3 receptors (B)</p> Signup and view all the answers

What is the common characteristic of treatment with all dopaminergic agonist drugs?

<p>Starting with a small dose and increasing gradually (B)</p> Signup and view all the answers

What is the effect of Selegiline on dopamine receptors?

<p>It has high affinity for dopamine D4 receptors (D)</p> Signup and view all the answers

What is the common side effect of Amantadine?

<p>Restlessness (D)</p> Signup and view all the answers

What should be done when discontinuing treatment with dopaminergic agonist drugs?

<p>Reduce the dose gradually over at least 1 week (B)</p> Signup and view all the answers

What is the therapeutic efficacy of Amantadine in the treatment of Parkinson's disease?

<p>Weak (D)</p> Signup and view all the answers

What is a potential side effect of dopamine agonists?

<p>Sudden sleepiness or falling asleep (A)</p> Signup and view all the answers

In what percentage of patients can bromocriptine produce a sufficient therapeutic effect when used alone?

<p>50% (C)</p> Signup and view all the answers

Why is bromocriptine preferred at the beginning of the disease?

<p>Because of its high effectiveness in early stages (B)</p> Signup and view all the answers

What is the elimination half-life of bromocriptine?

<p>3 hours (D)</p> Signup and view all the answers

What happens to the dose of levodopa when bromocriptine is combined with it?

<p>It is decreased (C)</p> Signup and view all the answers

What is the systemic bioavailability of bromocriptine after oral ingestion?

<p>30% (C)</p> Signup and view all the answers

What is a potential long-term side effect of ergot derivatives?

<p>All of the above (D)</p> Signup and view all the answers

How should bromocriptine be taken?

<p>After meals (D)</p> Signup and view all the answers

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