[Inhibition of catechol-O-methyltransferase. Optimizing dopaminergic therapy in idiopathic Parkinson syndrome with entacapone]

Nervenarzt. 2000 Feb;71(2):78-83. doi: 10.1007/s001150050011.
[Article in German]

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.

Publication types

  • Review

MeSH terms

  • Antiparkinson Agents / adverse effects
  • Antiparkinson Agents / therapeutic use*
  • Benzophenones / adverse effects
  • Benzophenones / therapeutic use
  • Catechol O-Methyltransferase / physiology
  • Catechol O-Methyltransferase Inhibitors*
  • Catechols / adverse effects
  • Catechols / therapeutic use*
  • Clinical Trials as Topic
  • Dopamine / physiology*
  • Humans
  • Nitriles
  • Nitrophenols
  • Parkinson Disease / drug therapy*
  • Parkinson Disease / enzymology
  • Tolcapone

Substances

  • Antiparkinson Agents
  • Benzophenones
  • Catechol O-Methyltransferase Inhibitors
  • Catechols
  • Nitriles
  • Nitrophenols
  • entacapone
  • Tolcapone
  • Catechol O-Methyltransferase
  • Dopamine