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On‐off phenomenon: Relation to levodopa pharmacokinetics and pharmacodynamics

Nutt, John G.·1987·Annals of Neurology

Abstract

Motor function in the moderately to severely affected parkinsonian patient is critically dependent upon delivery of levodopa to the striatum. This, in turn, is influenced by the fluctuating plasma concentrations of levodopa produced by the drug's short half‐life and erratic absorption, and by modifiable transport at the blood‐brain barrier. Duration of response to a single dose of levodopa is proportional to peak plasma drug levels, and paradoxical responses may occur when plasma concentrations are in the vicinity of minimum effective concentrations. Thus the strategy of administering frequent, small doses of levodopa may contribute additional unpredictability to a fluctuating clinical response imposed by pharmacokinetic factors.

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Metadata

Authors
Nutt, J. G.
Venue
Annals of Neurology
Publisher
Wiley
Published
1987-10
Volume
22
Issue
4
Pages
535-540
ISSN
  • 0364-5134 (ISSN-L)
  • 1531-8249
OpenAlex
W2085965461
Cited by
159
References
0
FWCI
6.77
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: On‐off phenomenon: Relation to levodopa pharmacokinetics and pharmacodynamics. https://app.cochat.ai/papers/10.1002/ana.410220415
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Nutt, J. G. (1987). On‐off phenomenon: Relation to levodopa pharmacokinetics and pharmacodynamics. Annals of Neurology. https://doi.org/10.1002/ana.410220415

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.