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Continuous subcutaneous waking day apomorphine in the long term treatment of levodopa induced interdose dyskinesias in Parkinson's disease

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Colzi, A, Turner, K, Lees, A J·1998·Journal of Neurology, Neurosurgery & Psychiatry

Abstract

OBJECTIVES: To determine whether continuous waking day dopaminergic stimulation with the dopamine agonist apomorphine can reduce levodopa induced dyskinesias in Parkinson's disease METHODS: 19 patients with severe unpredictable refractory motor fluctuations and functionally disabling levodopa induced dyskinesias were treated with continuous subcutaneous apomorphine monotherapy for a minimum duration of 2.7 years RESULTS: A mean 65% reduction in dyskinetic severity and a mean 85% reduction in frequency and duration occurred. On discontinuing levodopa a concomitant reduction in off period time was also seen (35% of waking day "off" reduced to 10%) CONCLUSION: Continuous waking day dopaminergic stimulation with apomorphine reset the threshold for dyskinesias and led to a pronounced reduction in their frequency. Apomorphine should be considered as a less invasive alternative to pallidotomy or deep cerebral stimulation in controlling levodopa induced interdose dose dyskinesias.

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Metadata

Authors
Colzi, A., Turner, K., & Lees, A. J.
Venue
Journal of Neurology, Neurosurgery & Psychiatry
Publisher
BMJ
Published
1998-05-01
Volume
64
Issue
5
Pages
573-576
ISSN
0022-3050 (ISSN-L)
OpenAlex
W2130696280
Cited by
225
References
0
FWCI
9.61
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Continuous subcutaneous waking day apomorphine in the long term treatment of levodopa induced interdose dyskinesias in Parkinson's disease. https://app.cochat.ai/papers/10.1136/jnnp.64.5.573
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Colzi, A., Turner, K., & Lees, A. J. (1998). Continuous subcutaneous waking day apomorphine in the long term treatment of levodopa induced interdose dyskinesias in Parkinson's disease. Journal of Neurology, Neurosurgery & Psychiatry. https://doi.org/10.1136/jnnp.64.5.573

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