Monotherapy with infusion therapies - useful or not?

Infusion pump-based therapies are an effective treatment option for patients with advanced Parkinson´s disease. Achieving monotherapy with infusion-based therapies could simplify the treatment regimen, provide better medication adherence, reduce adverse events and drug interactions. This review pres...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Rožanković Petra Bago
Johansson Anders
Klivényi Péter
Milanov Ivan
Odin Per
Dokumentumtípus: Cikk
Megjelent: 2024
Sorozat:JOURNAL OF NEURAL TRANSMISSION
Tárgyszavak:
doi:10.1007/s00702-024-02801-2

mtmt:35138307
Online Access:http://publicatio.bibl.u-szeged.hu/34260
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520 3 |a Infusion pump-based therapies are an effective treatment option for patients with advanced Parkinson´s disease. Achieving monotherapy with infusion-based therapies could simplify the treatment regimen, provide better medication adherence, reduce adverse events and drug interactions. This review presents the literature data on the efficacy, safety, and achievability of monotherapy with all available infusion-based therapies, including apomorphine, levodopa-carbidopa-intestinal gel (LCIG), levodopa-entacapone-carbidopa intestinal gel (LECIG), and foslevodopa-foscarbidopa (LDp/CDp). In summary, monotherapy is achievable and effective in most patients on intestinal levodopa infusion therapy and in some patients on apomorphine infusion. There is a need for further investigation of monotherapy compared to polytherapy, especially in new pump treatment options (LECIG and LDp/CDp). Future research should reveal which patients on infusion-based therapies could benefit from monotherapy, including identification of potential baseline predictors of achieving monotherapy in patients treated with specific infusion-based therapies. 
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