Grétarsdóttir Helga María, Widman Erik, Johansson Anders, Nyholm Dag
Department of Neuroscience, Neurology, Uppsala University, 75185 Uppsala, Sweden.
Department of Clinical Neuroscience, Karolinska Institutet, 17177 Stockholm, Sweden.
J Pers Med. 2021 Jul 26;11(8):720. doi: 10.3390/jpm11080720.
The most effective symptomatic treatment in Parkinson's disease (PD) is levodopa in standard doses. However, as the disease progresses, there may be a need for a more personalized approach and fine tuning, in accordance with the patients' needs. This study aims to evaluate the individual experience of levodopa/carbidopa 5/1.25 mg microtablets (LC-5) in clinical practice with respect to efficacy, tolerability, and usability. The method used was as follows: patients answered a questionnaire concerning the effect and usability of LC-5, and their medical records were reviewed. Regarding results, thirty-five survey responses were obtained, and 29 patients' medical records were reviewed. The LC-5 dose dispenser usability was generally rated positively and facilitated medication adherence. The majority (85%) of patients reported symptom improvement while using LC-5, compared with previous standard treatments. These results suggest that LC-5 therapy is generally well-tolerated, with favorable patient-reported efficacy and user friendliness, as well as the possibility for an individualized, fine-tuned PD treatment. Further studies with a prospective design and larger study population are needed to confirm the results.
帕金森病(PD)最有效的对症治疗药物是标准剂量的左旋多巴。然而,随着疾病进展,可能需要根据患者需求采取更个性化的方法并进行微调。本研究旨在评估左旋多巴/卡比多巴5/1.25毫克微片(LC-5)在临床实践中关于疗效、耐受性和易用性的个体体验。所用方法如下:患者回答了一份关于LC-5效果和易用性的问卷,并对其病历进行了审查。关于结果,共获得35份调查回复,并审查了29例患者的病历。LC-5剂量分配器的易用性总体评价良好,有助于药物依从性。与先前的标准治疗相比,大多数(85%)患者在使用LC-5时报告症状有所改善。这些结果表明,LC-5治疗一般耐受性良好,患者报告的疗效良好且用户友好,并且有可能实现个性化、微调的帕金森病治疗。需要进行前瞻性设计和更大研究人群的进一步研究来证实这些结果。