RETRACTED: Parkinson's disease: carbidopa, nausea, and dyskinesia (Publication with Expression of Concern. See vol. 12, pg. 45, 2020) (Retracted article. See vol. 13, pg. 43, 2021)

被引:14
|
作者
Hinz, Marty [1 ]
Stein, Alvin [2 ]
Cole, Ted [3 ]
机构
[1] NeuroRes Clin, Clin Res, 1008 Dolphin Dr, Cape Coral, FL 33904 USA
[2] Stein Orthoped Associates, Plantation, FL USA
[3] Cole Ctr Healing, Cincinnati, OH USA
关键词
vitamin B-6; PLP; irreversible; pyridoxal 5'-phosphate;
D O I
10.2147/CPAA.S72234
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
When L-dopa use began in the early 1960s for the treatment of Parkinson's disease, nausea and reversible dyskinesias were experienced as continuing side effects. Carbidopa or benserazide was added to L-dopa in 1975 solely to control nausea. Subsequent to the increasing use of carbidopa has been the recognition of irreversible dyskinesias, which have automatically been attributed to L-dopa. The research into the etiology of these phenomena has identified the causative agent of the irreversible dyskinesias as carbidopa, not L-dopa. The mechanism of action of the carbidopa and benserazide causes irreversible binding and inactivation of vitamin B-6 throughout the body. The consequences of this action are enormous, interfering with over 300 enzyme and protein functions. This has the ability to induce previously undocumented profound antihistamine dyskinesias, which have been wrongly attributed to L-dopa and may be perceived as irreversible if proper corrective action is not taken.
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页码:189 / 194
页数:6
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