Severe motor symptoms |
Levodopa derived: |
Levodopa-carbidopa |
Nausea and vomiting, constipation, depression, orthostatic hypotension, dyskinesia, and hallucinations |
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Levodopa-benserazide |
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Dopamine agonist: |
Pramipexole |
Nausea and vomiting, somnolence, dyskinesia, orthostatic hypotension, hallucinations, ICDs, edema, and increased sleepiness (including sleep attacks) |
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Ropinirole |
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Rotigotine |
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Mild motor symptoms or fluctuations |
MAOBIs |
Selegiline |
Nausea and vomiting, dyskinesia, abdominal pain, dry mouth, the stimulant effect, and exacerbation of levodopa adverse effects |
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Rasagiline |
EPS (dyskinesia, dystonia), headache, nausea and vomiting, orthostatic hypotension, arthralgia, dyspepsia, depression, flu-like syndrome, exacerbation of levodopa adverse effects, and constipation |
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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 |
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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 |
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Antipsychotic |
Clozapine |
Hypersalivation, agranulocytosis, myocarditis, constipation, seizures, sedation, fever, dizziness, and orthostatic hypotension |
Tremor |
β-Blocker |
Propranolol |
Fatigue, bradycardia, hypotension, hypoglycemia, and depression |
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Anticholinergic |
Trihexyphenidyl |
Hallucinations, rash, CI, nausea, dry mouth, blurred vision, urinary retention, and constipation |
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Benztropine |
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