The pharmacological management of Parkinson’s disease is a complex and dynamic task; there is no one ‘right’ strategy indicating which drugs should be used at a particular stage of the disease. There are now many different drugs belonging to several classes that may be effective, and there are still differences of opinion among leading clinicians about the best course of treatment. This review focuses on drug therapy for the motor impairment in Parkinson’s disease. Current and future research directions are summarised by taking inventory of recent and innovative areas of development in the field, representing each category with at least one of its featured treatments. The main research efforts are being directed towards delaying the use of levodopa or finding therapies to be used as adjunct to it, in order to postpone motor complications and, in particular, dyskinesias. One of the recent trends is early employment of dopamine agonists. Additional efforts are being directed towards protecting and restoring dopamine neurons. Novel therapies actingon non-dopaminergic systems are also being researched.
帕
金森病的药理管理是一项复杂且动态的任务;没有一个“正确”的策略表明在疾病的特定阶段应该使用哪些药物。如今有许多属于数个类别的不同药物可能是有效的,而主导临床医生之间对于最佳治疗方案仍存在分歧。本综述聚焦于帕
金森病运动障碍的药物治疗。通过梳理该领域近期及创新发展领域的成果,概述了当前和未来的研究方向,每个类别都至少代表了一种其特色疗法。主要研究努力方向在于延迟使用
左旋多巴或寻找作为其辅助治疗的方法,以推迟运动并发症,尤其是异动症。最近的一个趋势是早期应用
多巴胺激动剂。另有努力方向致力于保护和恢复
多巴胺神经元。针对非
多巴胺系统的创新疗法也在研究中。