Rao S K, Vakil S D, Calne D B, Hilson A
Postgrad Med J. 1972 Nov;48(565):653-6. doi: 10.1136/pgmj.48.565.653.
Various pharmacological approaches to potentiate the therapeutic actions of levodopa and reduce side-effects are reviewed. Of currently available drugs, anticholinergic agents and amantadine have been studied extensively. Inhibition of extracerebral decarboxylase appears to be the most promising new area of investigation, though experience is at present limited. Other methods discussed include inhibition of enzymes catechol-O-methyl transferase, monoamine oxidase and dopamine beta hydroxylase. Conflicting evidence on 3-O-methyldopa is discussed.
本文综述了增强左旋多巴治疗作用并减少其副作用的各种药理学方法。在目前可用的药物中,抗胆碱能药物和金刚烷胺已得到广泛研究。抑制脑外脱羧酶似乎是最有前景的新研究领域,不过目前经验有限。讨论的其他方法包括抑制儿茶酚-O-甲基转移酶、单胺氧化酶和多巴胺β羟化酶。文中还讨论了关于3-O-甲基多巴的相互矛盾的证据。