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. 2023 Aug 8;85(10):4887–4902. doi: 10.1097/MS9.0000000000001142

Table 2.

List of medications with their class and side effects that are used for motor symptoms.

Main indication Drug class Medication’s name Side effects
Severe motor symptoms Levodopa derived: Levodopa-carbidopa Nausea and vomiting, constipation, depression, orthostatic hypotension, dyskinesia, and hallucinations
Levodopa-benserazide
Dopamine agonist: Pramipexole Nausea and vomiting, somnolence, dyskinesia, orthostatic hypotension, hallucinations, ICDs, edema, and increased sleepiness (including sleep attacks)
Ropinirole
Rotigotine
Mild motor symptoms or fluctuations MAOBIs Selegiline Nausea and vomiting, dyskinesia, abdominal pain, dry mouth, the stimulant effect, and exacerbation of levodopa adverse effects
Rasagiline EPS (dyskinesia, dystonia), headache, nausea and vomiting, orthostatic hypotension, arthralgia, dyspepsia, depression, flu-like syndrome, exacerbation of levodopa adverse effects, and constipation
Safinamide Nausea and vomiting, dyskinesia, hypertension, increasing liver enzymes, and insomnia
Motor fluctuations COMTIs Entacapone Nausea and vomiting, dyskinesia, diarrhea, dark-colored urine, and exacerbation of levodopa adverse effects
Tolcapone Nausea and vomiting, dyskinesia, insomnia, dark-colored urine, hallucinations, headache, exacerbation of levodopa adverse effects, and hepatotoxicity
Gait instability and dyskinesia Antiviral Amantadine Hallucinations, confusion, edema at the ankle, livedo reticularis, nausea, dry mouth, blurred vision, and constipation
Antipsychotic Clozapine Hypersalivation, agranulocytosis, myocarditis, constipation, seizures, sedation, fever, dizziness, and orthostatic hypotension
Tremor β-Blocker Propranolol Fatigue, bradycardia, hypotension, hypoglycemia, and depression
Anticholinergic Trihexyphenidyl Hallucinations, rash, CI, nausea, dry mouth, blurred vision, urinary retention, and constipation
Benztropine