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Levodopa
MOA: Taken up by dopamine neurons and converted to dopamine
primary indication: Treatment for Parkinson’s disease
side effects/notes: Movement disorders from excess dopamine
Carbidopa
MOA: Structural analog to levodopa; reduces conversion of levodopa to dopamine in peripheral tissues, thereby increases the amount of levodopa that enters the brain
primary indications:Adjunct to Levodopa in treatment of Parkinson’s disease
side effects/notes: Reduces the GI and cardiovascular effects of Levodopa
Bromocriptine
MOA: D2 receptor agonist and D1 receptor antagonist
primary indications: Used as adjunct to Levodopa in patients with advanced Parkinson’s disease
Ropinirole
MOA: D2 receptor agonist
primary indications: Early stages of Parkinson’s disease; restless leg syndrome
Benztropine
MOA: Anticholinergic
primary indications: Adjunctive treatment
side effects/notes: Anticholinergic side effects
Donepezil
MOA: Reversible cholinesterase inhibitor, which increases acetylcholine in the CNS
primary indications: Alzheimer’s disease