Table 1.

Drugs used in treatment of Parkinson’s disease.

Dopamine replacement therapy L-dopa + peripherally acting decarboxylase inhibitor (carbidopa, benserazide)
Direct dopamine agonists Ropinirole, rotigotine, bromocriptine, pergolide, cabergoline, pramipexole, apomorphine
MAO-B inhibitors Rasagiline, selegiline
COMT inhibitors Entacapone*, tolcapone
Antimuscarinic, DAT inhibitor Benztropine, trihexiphenidyl
NMDA receptor antagonists§ Amantadine, memantine

MAO denotes monoamine oxidase, DA dopamine, DAT plasma membrane dopamine transporter.NET plasma membrane noradrenaline transporter, COMT catechol O-methyl transferase, and L-dopa, 3,4-dihydroxyphenylalanine.

* Peripherally acting inhibitor.
Peripherally + centrally acting inhibitor.
Also inhibits DA uptake via plasma membrane DA transporter.
§ Glutamate antagonists, moderate efficacy in Parkinsonism and L-dopa-induced dyskinesias.
RMMJ Rambam Maimonides Medical Journal Rambam Health Care Campus 2010 July; 1(1): e0003. ISSN: 2076-9172
Published online 2010 July 2. doi: 10.5041/RMMJ.10003.