Non-oral continuous drug delivery based therapies and sleep dysfunction in Parkinson's disease

被引:2
|
作者
Tall, P. [1 ,2 ]
Qamar, M. A. [1 ,2 ]
Batzu, L. [1 ,2 ]
Leta, V. [1 ,2 ]
Falup-Pecurariu, C. [3 ,4 ]
Chaudhuri, K. Ray [1 ,2 ]
机构
[1] Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Basic & Clin Neurosci, 16 De Crespigny Pk, London SE5 8AB, England
[2] Kings Coll Hosp London, Parkinsons Fdn Ctr Excellence, London, England
[3] Transilvania Univ, Fac Med, Brasov, Romania
[4] Cty Clin Hosp, Dept Neurol, Brasov, Romania
关键词
Continous drug delivery; Parkinsons; Levodopa; Apomorphine; LCIG; LECIGON; Sleep; Park-sleep; CARBIDOPA INTESTINAL GEL; SUBCUTANEOUS APOMORPHINE INFUSION; NONMOTOR SYMPTOMS; LEVODOPA INFUSION; ROTIGOTINE; MOTOR; FLUCTUATIONS; MANAGEMENT; MULTICENTER; EFFICACY;
D O I
10.1007/s00702-023-02640-7
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Continuous drug delivery (CDD) has emerged as a feasible and pragmatic therapeutic option for dopamine replacement therapy in advanced Parkinson's disease (PD). CDD aims to mimic the physiological tonic dopamine release from striatal dopaminergic neurons and thus reduces the severity and duration of motor and non-motor fluctuations partly related to pulsatile levodopa stimulation. Non-motor symptoms and fluctuations are ubiquitous in PD and include sleep dysfunction, a problem that occurs in over 90% of PD patients across all stages, from prodromal to palliative. In this review, we discuss the currently available and in development non-oral dopaminergic CDD strategies with a focus on their efficacy in the treatment of the burdensome sleep dysfunction in PD.
引用
收藏
页码:1443 / 1449
页数:7
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