Table 7.2Dopamine agonist (DA) compared with levodopa (LD) treatment (1+)

OutcomeDA versus LD
Quality of Life (PDQUALIF and EuroQol scores)NS158
UPDRS totalNS150
UPDRS motor (III)NS151
PPX158, RP152
Hoehn and YahrNS153,154
Columbia ScoreNS151,155
Webster scaleNS154
Risk of developing motor complicationsCB118, BR156, PPX158
Risk of dyskinesiasNS118,151,155, BR42,152,153,156, PPX158, RP152, BR153, BR42
Risk of wearing-offNS151,155
Risk of dystoniaNS151,158
Need for supplemental levodopaPPX158
Adverse events (all)NS118,150–152,154–156
Somnolence, oedema, hallucinationsPPX158
WithdrawalsNS 118,150–152,154,157

PPX = pramipexole; RP = ropinirole; BR = bromocriptine; CB = cabergoline; PPX/RP/BR/CB = in favour (p<0.05) of dopamine agonist treatment; LD = in favour (p<0.05) of levodopa treatment; NS = non-significant difference between treatment groups.

From: 7, Symptomatic pharmacological therapy in Parkinson’s disease

Cover of Parkinson's Disease
Parkinson's Disease: National Clinical Guideline for Diagnosis and Management in Primary and Secondary Care.
NICE Clinical Guidelines, No. 35.
National Collaborating Centre for Chronic Conditions (UK).
Copyright © 2006, Royal College of Physicians of London.

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