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 |