USE OF THREE-COMPONENT LEVODOPA (LEVODOPA/CARBIDOPA/ENTACAPONE) TO CORRECT NOCTURNAL SYMPTOMS OF PARKINSON,S DISEASE
Objective: to describe a clinical case of late-stage Parkinson’s disease (PD) with nocturnal symptoms and fluctuations and to present successful experience in using the three-component drug Stalevo (levodopa/carbidopa/entacapone) as a single dose prior to sleep. Patient V. aged 72 years took medical...
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ABV-press
2015-08-01
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| Online Access: | https://klinitsist.abvpress.ru/Klin/article/view/196 |
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| author | T. K. Kulua N. V. Fedorova |
| author_facet | T. K. Kulua N. V. Fedorova |
| author_sort | T. K. Kulua |
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| description | Objective: to describe a clinical case of late-stage Parkinson’s disease (PD) with nocturnal symptoms and fluctuations and to present successful experience in using the three-component drug Stalevo (levodopa/carbidopa/entacapone) as a single dose prior to sleep. Patient V. aged 72 years took medical advice at the Department of Neurology, Russian Medical Academy of Postgraduate Education, for complaints of constrained movements, inability to turn in bed independently, painful muscle cramps, light sleep with nocturnal awakenings, and frequent (5–6 times) urinations at night. The first symptoms of the disease appeared 12 years ago when the patient began to notice sluggishness, altered handwriting, and clumsiness during small movements of the right hand. By taking into account symptoms (obvious nocturnal akinesia, overactive bladder, sleep disorders, and cramps) and the results of his examination, the patient was diagnosed with the akinetic-rigid form of PD (4 Hoehn-Yarh scores). Therapy was corrected as follows: the dose of amantadine remained the same (300 mg); its last administration is recommended to be at 16:00; the daily dose of levodopa was 700 mg; that of levodopa/benserazide was 550 mg/day (1 tablet × 3/4 tablet × 1 tablet). The evening intake of levodopa was changed for that of the three-component drug Stalevo (levodopa 150 mg/ carbidopa 37.5 mg/entacapone 200 mg). Results. After 3 months, the patient was observed to have significant health improvement: reduced nocturnal and morning akinesia, better gait, a considerably smaller number of nocturnal urinations (less than once per night), regression of painful calf muscle cramps, and improved sleep. Conclusion. The three-component drug Stalevo (levodopa/carbidopa/entacapone) is effective in treating late-stage PD. Its use as a single dose before going to bed has led to regressive nocturnal symptoms, better sleep, and lower motor fluctuations. |
| format | Article |
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| institution | Kabale University |
| issn | 1818-8338 |
| language | Russian |
| publishDate | 2015-08-01 |
| publisher | ABV-press |
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| series | Klinicist |
| spelling | doaj-art-2b7e51a608b84e65a5464e3ef95f45702025-08-20T03:45:04ZrusABV-pressKlinicist1818-83382015-08-0192535810.17650/1818-8338-2015-9-2-53-58197USE OF THREE-COMPONENT LEVODOPA (LEVODOPA/CARBIDOPA/ENTACAPONE) TO CORRECT NOCTURNAL SYMPTOMS OF PARKINSON,S DISEASET. K. Kulua0N. V. Fedorova1Department of Neurology, Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia; 2/1 Barrikadnaya St., Moscow, 125993, Russia; Center of Extrapyramidal Diseases, Ministry of Health of Russia; 5 2nd Botkinsky Proezd, Moscow, 125101, RussiaDepartment of Neurology, Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia; 2/1 Barrikadnaya St., Moscow, 125993, Russia; Center of Extrapyramidal Diseases, Ministry of Health of Russia; 5 2nd Botkinsky Proezd, Moscow, 125101, RussiaObjective: to describe a clinical case of late-stage Parkinson’s disease (PD) with nocturnal symptoms and fluctuations and to present successful experience in using the three-component drug Stalevo (levodopa/carbidopa/entacapone) as a single dose prior to sleep. Patient V. aged 72 years took medical advice at the Department of Neurology, Russian Medical Academy of Postgraduate Education, for complaints of constrained movements, inability to turn in bed independently, painful muscle cramps, light sleep with nocturnal awakenings, and frequent (5–6 times) urinations at night. The first symptoms of the disease appeared 12 years ago when the patient began to notice sluggishness, altered handwriting, and clumsiness during small movements of the right hand. By taking into account symptoms (obvious nocturnal akinesia, overactive bladder, sleep disorders, and cramps) and the results of his examination, the patient was diagnosed with the akinetic-rigid form of PD (4 Hoehn-Yarh scores). Therapy was corrected as follows: the dose of amantadine remained the same (300 mg); its last administration is recommended to be at 16:00; the daily dose of levodopa was 700 mg; that of levodopa/benserazide was 550 mg/day (1 tablet × 3/4 tablet × 1 tablet). The evening intake of levodopa was changed for that of the three-component drug Stalevo (levodopa 150 mg/ carbidopa 37.5 mg/entacapone 200 mg). Results. After 3 months, the patient was observed to have significant health improvement: reduced nocturnal and morning akinesia, better gait, a considerably smaller number of nocturnal urinations (less than once per night), regression of painful calf muscle cramps, and improved sleep. Conclusion. The three-component drug Stalevo (levodopa/carbidopa/entacapone) is effective in treating late-stage PD. Its use as a single dose before going to bed has led to regressive nocturnal symptoms, better sleep, and lower motor fluctuations.https://klinitsist.abvpress.ru/Klin/article/view/196parkinsons diseasenocturnal symptomssleep disordersmotor fluctuationsdrug-induced nocturnal dyskinesiasnocturnal akinesiarestless legs syndromecrampslevodopa/carbidopa/entacaponestalevo |
| spellingShingle | T. K. Kulua N. V. Fedorova USE OF THREE-COMPONENT LEVODOPA (LEVODOPA/CARBIDOPA/ENTACAPONE) TO CORRECT NOCTURNAL SYMPTOMS OF PARKINSON,S DISEASE Klinicist parkinson s disease nocturnal symptoms sleep disorders motor fluctuations drug-induced nocturnal dyskinesias nocturnal akinesia restless legs syndrome cramps levodopa/carbidopa/entacapone stalevo |
| title | USE OF THREE-COMPONENT LEVODOPA (LEVODOPA/CARBIDOPA/ENTACAPONE) TO CORRECT NOCTURNAL SYMPTOMS OF PARKINSON,S DISEASE |
| title_full | USE OF THREE-COMPONENT LEVODOPA (LEVODOPA/CARBIDOPA/ENTACAPONE) TO CORRECT NOCTURNAL SYMPTOMS OF PARKINSON,S DISEASE |
| title_fullStr | USE OF THREE-COMPONENT LEVODOPA (LEVODOPA/CARBIDOPA/ENTACAPONE) TO CORRECT NOCTURNAL SYMPTOMS OF PARKINSON,S DISEASE |
| title_full_unstemmed | USE OF THREE-COMPONENT LEVODOPA (LEVODOPA/CARBIDOPA/ENTACAPONE) TO CORRECT NOCTURNAL SYMPTOMS OF PARKINSON,S DISEASE |
| title_short | USE OF THREE-COMPONENT LEVODOPA (LEVODOPA/CARBIDOPA/ENTACAPONE) TO CORRECT NOCTURNAL SYMPTOMS OF PARKINSON,S DISEASE |
| title_sort | use of three component levodopa levodopa carbidopa entacapone to correct nocturnal symptoms of parkinson s disease |
| topic | parkinson s disease nocturnal symptoms sleep disorders motor fluctuations drug-induced nocturnal dyskinesias nocturnal akinesia restless legs syndrome cramps levodopa/carbidopa/entacapone stalevo |
| url | https://klinitsist.abvpress.ru/Klin/article/view/196 |
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