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New approach may correct Parkinson's drug side effectsCombining levodopa with compounds that bind to the D3 dopamine receptor may alleviate side effects of therapy for Parkinson's disease. Treatment of Parkinson's disease with L-dopa initially reduces motor symptoms but, in most patients, eventually induces dyskinesia, possibly as a result of excess dopamine. Researchers from centres in France and Germany have found that, in a primate model of Parkinson's disease, treatment with L-dopa also specifically increases expression of the D3 dopamine receptor. Using L-dopa in combination with a compound that binds to the receptor (a D3 receptor selective partial agonist), they were able to eliminate dyskinesia without losing the beneficial effects of the drug (Nature Medicine 2003;9:762). |
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