A comparison of bromocriptine (Parlodel) and levodopa-carbidopa (Sinemet) for treatment of "de novo" Parkinson's disease patients

Can J Neurol Sci. 1987 Nov;14(4):576-80.

Abstract

Fifty-one patients were enrolled in a double-blind, parallel group, multicentre study conducted to assess short-term efficacy and tolerance of bromocriptine (Parlodel) or L-DOPA/carbidopa (Sinemet) in patients never treated with amantadine, ergot alkaloids or L-DOPA-based drugs. An attempt to use the lowest effective dose was made. The responder rate for each group was approximately 78%; the mean daily dose for responders was 22.5 mg of bromocriptine or 250 mg of L-DOPA/carbidopa. The overall clinical improvement in each group was 62% (bromocriptine) and 55% (L-DOPA/carbidopa) for neurological assessment and 36% (bromocriptine) and 31% (L-DOPA/carbidopa) for functional disability. Comparison between groups did not show any significant difference for both neurological and disability assessments. The most frequent side effect was nausea (L-DOPA, N = 3; bromocriptine, N = 6).

Publication types

  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial

MeSH terms

  • Antiparkinson Agents / adverse effects
  • Antiparkinson Agents / therapeutic use*
  • Bromocriptine / adverse effects
  • Bromocriptine / therapeutic use*
  • Carbidopa / adverse effects
  • Carbidopa / therapeutic use*
  • Clinical Trials as Topic
  • Double-Blind Method
  • Drug Combinations / adverse effects
  • Drug Combinations / therapeutic use
  • Follow-Up Studies
  • Humans
  • Levodopa / adverse effects
  • Levodopa / therapeutic use*
  • Neurologic Examination
  • Parkinson Disease / drug therapy*

Substances

  • Antiparkinson Agents
  • Drug Combinations
  • carbidopa, levodopa drug combination
  • Bromocriptine
  • Levodopa
  • Carbidopa