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. 2018 Apr;365(1):20–26. doi: 10.1124/jpet.117.246348

TABLE 1 .

Patient studies examining the efficacy of dopaminergic drugs for the treatment of dystonias

Drug Type of Dystonia Patients Improved/Patients Testeda Type of Study Level of Evidenceb Year Reference
Amphetamine
Cervical, multifocal (cervical and foot) 2/2 Case reports IV 1942 Myerson and Loman (1942)
Cervical 1/1 Case report IV 1943 Patterson and Little (1943)
Apomorphine
Cervical 2/7 Double-blind, placebo crossover and open-label IV 1978 Tolosa (1978)
Cervical 3/3 Double-blind, placebo crossover III 1982 Frattola et al. (1982)
Craniofacialc 5/5 Single-blind, placebo crossover IV 1979 Tolosa and Lai (1979)
Craniofacial 2/2 Case reports IV 1982 Micheli et al. (1982)
Craniofacial 12/23 Single-blind, placebo crossover IV 1986 Micheli and Fernandez Pardal (1986)
Generalized 2/2 Case reports IV 1973 Braham and Sarova-Pinhas (1973)
Generalized 1/1 Case report IV 1996 Zuddas et al. (1996)
Segmental (cervical, spasmodic dysphonia, and craniofacial) 1/1 Case report IV 1993 Vidailhet et al. (1993)
Bromocriptine
Cervical 0/8 Single-blind, placebo crossover IV 1976 Lees et al. (1976)
Cervical 0/14 Randomized, double-blind, placebo crossover III 1979 Juntunen et al. (1979)
Craniofacial 0/2 Case reports IV 1982 Micheli et al. (1982)
Generalized, craniofacial plus cervical 2/3 Double-blind, placebo crossover IV 1981 Stahl and Berger (1981)
Generalized, cervical, craniofacial 5/8 Double-blind, placebo crossover IV 1982 Stahl and Berger (1982)
Generalized, segmental (cervical/limb), truncal, cervical 2/13 Blinded raters, no placebo IV 1982 Girotti et al. (1982)
Generalized, unspecified focal 2/10 Open-label followed by double-blind study in the two responders IV 1984 Obeso and Luquin (1984)
Generalized, hemidystonia, cervical, segmental (oromandibular and laryngeal), multifocal (cervical and foot) blepharospasm 7/13 Randomized, double-blind, placebo crossover III 1985 Newman et al. (1985)
Lisuride
Cervical 3/3 Double-blind, placebo crossover III 1982 Frattola et al. (1982)
Craniofacial 2/2 Case reports IV 1982 Micheli et al. (1982)
Craniofacial 1/7 Open label IV 1983 Marsden et al. (1983)
Craniofacial 13/23 Single-blind, placebo crossover IV 1986 Micheli and Fernandez Pardal (1986)
Craniofacial 1/1 Case report IV 1988 Micheli et al. (1988)
Craniofacial 1/9 Randomized, double-blind, placebo crossover II 1988 Bassi et al. (1982)
Generalized, cervical 6/7 Double-blind, placebo crossover III 1982 Ransmayr et al. (1988)
Generalized, unspecified focal 0/10 Open-label IV 1984 Obeso and Luquin (1984)
Generalized, segmental (unspecified regions), hand, cervical, craniofacial, myoclonic, Parkinsonism with dystonia, tardive, unspecified 8/42 Open-label followed by randomized, double-blind, placebo crossover for the eight patients who improved IV 1985 Quinn et al. (1985)
Generalized, cervical, craniofacial 6/9 Double-blind, placebo crossover IV 1985 Nutt et al. (1985)
a

The definition of “improved” varied across publications and is summarized here exactly as reported.

b

Based on the updated scheme for “Classification of Evidence for Therapeutic Studies” established by the American Academy of Neurology in 2015.

c

Craniofacial is used synonymously with Meige syndrome or orofacial dystonia.