Abstract
Registration of the inhibitor of the catechol-O-methyltransfersase (COMT) tolcapone has been stopped due to the possible relationship of tolcapone treatment to three cases of fatal hepatitis. As a result, strong uncertainty has emerged among neurologists about the principle of COMT inhibition itself. We review data, especially on the remaining COMT inhibitor, entacapone, with regard to pre-clinical and clinical efficacy and safety.
MeSH terms
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Antiparkinson Agents / adverse effects
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Antiparkinson Agents / therapeutic use*
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Benzophenones / adverse effects
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Benzophenones / therapeutic use
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Catechol O-Methyltransferase / physiology
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Catechol O-Methyltransferase Inhibitors*
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Catechols / adverse effects
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Catechols / therapeutic use*
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Clinical Trials as Topic
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Dopamine / physiology*
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Humans
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Nitriles
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Nitrophenols
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Parkinson Disease / drug therapy*
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Parkinson Disease / enzymology
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Tolcapone
Substances
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Antiparkinson Agents
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Benzophenones
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Catechol O-Methyltransferase Inhibitors
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Catechols
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Nitriles
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Nitrophenols
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entacapone
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Tolcapone
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Catechol O-Methyltransferase
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Dopamine