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(—)-Deprenyl Combined with L-Dopa in the Treatment of Parkinson’s Disease

  • T. S. Elizan
Chapter
Part of the Milestones in Drug Therapy book series (MDT)

Abstract

The fundamental cause of idiopathic Parkinson’s disease (PD) has remained unknown since its original description in the 19th century. Despite this fact, a rational therapeutic approach (exogenous replacement of the missing neurotransmitter, dopamine) was successfully introduced by Cotzias in 1967 [1], following the conceptual framework of Carlsson in 1959 [2], who suggested that dopamine may be a transmitter in the central nervous system involved in the control of motor function and may be involved in the parkinsonian syndrome; and the impressive neurochemical data of Hornykiewicz in 1963 [3] which definitively demonstrated a significant reduction in nigrostriatal dopamine concentration in both idiopathic and postencephalitic Parkinson’s disease. Since then, the major therapeutic efforts have been primarily focused on modifications of the “delivery” of L-dopa [4–8], the use of dopamine agonists [9–12], and, more recently, the use of monoamine oxidase inhibitors, either alone or as adjuvants to levodopa therapy [13–18]. The latter therapeutic approach (specifically the use of a selective MAO-B inhibitor, selegiline (l-deprenyl) in combination with levodopa) is the focus of this review.

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© Springer Basel AG 1993

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  • T. S. Elizan

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