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- Title
Frequent administration of levodopa/carbidopa microtablets vs levodopa/carbidopa/entacapone in healthy volunteers.
- Authors
Nyholm, D.; Ehrnebo, M.; Lewander, T.; Trolin, C. G.; Bäckström, T.; Panagiotidis, G.; Spira, J.; Nyström, C.; Aquilonius, S.‐M.
- Abstract
Objectives An oral dispersible microtablet formulation of levodopa/carbidopa 5/1.25 mg ( LC-5) was developed for individualized repeated dosing. The aim was to compare pharmacokinetic profiles of LC-5 and levodopa/carbidopa/entacapone ( LCE). Materials and methods A randomized, crossover study was carried out in 11 healthy subjects. Plasma concentrations of levodopa, carbidopa and 3-O-methyldopa were determined after intake of 300 mg levodopa during the day, either as three intakes of 100/25/200 mg LCE or as a morning dose of 75/18.25 mg followed by five repeated doses of 45/11.25 mg LC-5. Results Repeated dosing (2.4-hourly) with LC-5 microtablets compared to LCE (6-hourly) avoided long periods with low plasma levodopa levels. Time to maximum plasma concentrations was significantly shorter for LC-5. LC-5 showed lower fluctuation index ( FI) in plasma compared to LCE ( ANOVA P = 0.0028). FI for dose 2-5 was on average 1.26 for levodopa in LC-5, and 2.23 for dose 1-2 of LCE. The ratio between the two mean FI:s is 0.565; that is, LC-5 gave nearly half the FI as compared to LCE. Conclusions Fractionation of levodopa with LC-5 into small, frequent administrations as compared to standard administrations of LCE decreased the FI in plasma for both levodopa and carbidopa by nearly half.
- Subjects
DOPA; DRUG tablets; ENTACAPONE; DRUG dosage; PHARMACOKINETICS; PARKINSON'S disease
- Publication
Acta Neurologica Scandinavica, 2013, Vol 127, Issue 2, p124
- ISSN
0001-6314
- Publication type
Article
- DOI
10.1111/j.1600-0404.2012.01700.x