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Cited by 306

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Subcutaneous apomorphine in the treatment of Parkinson's disease.

Open access
Frankel, J P, Lees, A J, Kempster, P A, Stern, G M·1990·Journal of Neurology, Neurosurgery & Psychiatry

Abstract

Apomorphine a dopamine receptor agonist was given subcutaneously to 57 levodopa treated parkinsonian patients with refractory off-period disabilities for a median period of 16 months. In 30 given intermittent suprathreshold injections the mean number of hours spent in a disabling off state fell from 6.9 to 2.9. Similar benefit was observed in 21 patients receiving continuous infusions with additional boluses on demand by mini-pump (mean reduction of hours off from 9.9 to 4.5). Twelve patients have been treated for over two years without tachyphylaxis or loss of response. The incidence of neuropsychiatric side-effects has been low (7%). Six patients failed to show a sustained worthwhile response; severe disabilities during "on" periods being the major problem. Subcutaneous apomorphine is proposed as an effective treatment for patients with incapacitating "off" period disabilities refractory to oral medication and should be considered before experimental implantation procedures.

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Metadata

Authors
Frankel, J. P., Lees, A. J., Kempster, P. A., & Stern, G. M.
Venue
Journal of Neurology, Neurosurgery & Psychiatry
Publisher
BMJ
Published
1990-02-01
Volume
53
Issue
2
Pages
96-101
ISSN
0022-3050 (ISSN-L)
OpenAlex
W2132528735
Cited by
306
References
0
FWCI
14.67
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Subcutaneous apomorphine in the treatment of Parkinson's disease. https://app.cochat.ai/papers/10.1136/jnnp.53.2.96
The paper
Frankel, J. P., Lees, A. J., Kempster, P. A., & Stern, G. M. (1990). Subcutaneous apomorphine in the treatment of Parkinson's disease. Journal of Neurology, Neurosurgery & Psychiatry. https://doi.org/10.1136/jnnp.53.2.96

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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.