Press Releases
Movement Disorder Society – Educational Session
11 December 2007 10:06
The congresses of the Movement Disorder Society have always been a platform for the discussion of various movement disorders, with stimulating presentations on current studies and types of treatment available. The first congress was held in 1990, and this year the Movement Disorder Society held its 11th International Congress of Parkinson's Disease and Movement Disorders in Istanbul (Turkey).
The programme also offered various Opening Symposia, most of which focussed on Parkinson's disease. One of these symposia, entitled infusion therapies and supported by Solvay Pharmaceuticals, dealt with continuous dopaminergic stimulation in Parkinson’s disease in two different presentations.
The infusion therapies symposium was chaired and opened by Prof Dr Murat Emre (Turkey), who introduced the two speakers for the evening. Prof Dr Fabrizio Stocchi (Italy) spoke about the concept of continuous dopaminergic stimulation, and Proffessor Per Odin discussed the treatment of Parkinson’s disease with Duodopa®.
Proffessor Fabrizio Stocchi pointed out that the continuous administration of levodopa would more closely resemble the original physiological mechanisms in the body and so prevent the fluctuations in motor function and dyskinesias that can result from the therapy. Duodopa have schown to have good results in relation to the ‘off’ time and decrease in dyskinesias.
At the end of his presentation, Proffessor Stocchi discussed the question of 24-hour administration of levopoda. Proffessor Odin also spoke about two other potent therapies for patients with advanced Parkinson's disease: subcutaneous administration of apomorphine and deep brain stimulation. Comparative studies with Duodopa are not available for these treatments.
Duodopa and apomorphine have a comparable mechanism of action, although monotherapy is more frequently possible with Duodopa than apomorphine. Furthermore, the decision (apomorphine or Duodopa) can be based on the possible side effects of apomorphine (nodules) and the practical clinical aspects of a Duodopa treatment (PEG catheter, pump, infusion material).
Duodopa and deep brain stimulation are highly effective in the treatment of motor function symptoms. As Duodopa does not cause serious side effects (which are furthermore reversible in most cases) and given the fact that Duodopa can be an alternative for patients who are ineligible for brain surgery, this option should be considered before choosing deep brain stimulation. Duodopa appears to be a very potent therapy for patients with advanced Parkinson's disease, concluded Proffessor Odin. |