Increase dopamine levels |
Levodopa-carbidopa (Sinemet) | Precursor with enzyme inhibitor | Parkinson's disease | Dizziness, nausea, hallucinations and others | 25/100 mg three times daily | $ 70 |
Amantadine (Symmetrel) | Dopamine reuptake inhibitor | Parkinsonism | Confusion, nausea, hallucination | 100 mg twice daily | 54.50 (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 daily | 29 |
Pergolide (Permax) | Same as bromocriptine | Same as bromocriptine | † | 0.05 mg at bedtime | 23.50 |
Pramipexole (Mirapex) | Same as bromocriptine | Same as bromocriptine | † | 0.125 mg three times daily | 65.50 |
Ropinirole (Requip) | Same as bromocriptine | Same as bromocriptine | † | 0.25 mg three times daily | 84 |
Inhibit dopamine metabolism |
Selegiline (Eldepryl) | MAO-B inhibitor | Parkinson's disease, others (?) | Insomnia, headaches, sweating | 5 mg twice daily | 153.50 (122 to 138) |
Contraindicated with concurrent use of MAO-A drugs |
Tolcapone (Tasmar) | COMT inhibitor | Parkinson's disease | Dizziness, orthostasis, diarrhea | 100 mg three times daily | 167 |
Liver function must be monitored |
Other |
Diphenhydramine (Benadryl) | Antihistamine | Acute dystonia, parkinsonism | Drowsiness, dry mouth, blurred vision | 25 mg at bedtime | 3 (1 to 2) |
Trihexyphenidyl (Artane) | Anticholinergic activity | Tremor | Confusion, dry mouth, nausea | 0.5 to 1 mg twice daily | 6‡ |
Benztropine (Cogentin) | Same as trihexyphenidyl | Same as trihexyphenidyl | Same as trihexyphenidyl | 1 to 2 mg twice daily | 13 (6.50 to 7) |