DrugMechanismIndicationsCommon side effectsUsual starting dosageCost (generic)*
Increase dopamine levels
Levodopa-carbidopa (Sinemet)Precursor with enzyme inhibitorParkinson's diseaseDizziness, nausea, hallucinations and others25/100 mg three times daily$ 70
Amantadine (Symmetrel)Dopamine reuptake inhibitorParkinsonismConfusion, nausea, hallucination100 mg twice daily54.50 (20 to 26)
May lead to neuroleptic malignant syndrome
Stimulate dopamine receptors
Bromocriptine (Parlodel)Dopamine agonist (receptor stimulation)Parkinson's disease, others (?)1.25 mg twice daily29
Pergolide (Permax)Same as bromocriptineSame as bromocriptine0.05 mg at bedtime23.50
Pramipexole (Mirapex)Same as bromocriptineSame as bromocriptine0.125 mg three times daily65.50
Ropinirole (Requip)Same as bromocriptineSame as bromocriptine0.25 mg three times daily84
Inhibit dopamine metabolism
Selegiline (Eldepryl)MAO-B inhibitorParkinson's disease, others (?)Insomnia, headaches, sweating5 mg twice daily153.50 (122 to 138)
Contraindicated with concurrent use of MAO-A drugs
Tolcapone (Tasmar)COMT inhibitorParkinson's diseaseDizziness, orthostasis, diarrhea100 mg three times daily167
Liver function must be monitored
Other
Diphenhydramine (Benadryl)AntihistamineAcute dystonia, parkinsonismDrowsiness, dry mouth, blurred vision25 mg at bedtime3 (1 to 2)
Trihexyphenidyl (Artane)Anticholinergic activityTremorConfusion, dry mouth, nausea0.5 to 1 mg twice daily6
Benztropine (Cogentin)Same as trihexyphenidylSame as trihexyphenidylSame as trihexyphenidyl1 to 2 mg twice daily13 (6.50 to 7)