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Related Experiment Video

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Rating L-DOPA-Induced Dyskinesias in the Unilaterally 6-OHDA-Lesioned Rat Model of Parkinson's Disease
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Levosulpiride-induced movement disorders.

Hae-Won Shin1, Mi J Kim, Jong S Kim

  • 1Parkinson/Alzheimer Center, Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.

Movement Disorders : Official Journal of the Movement Disorder Society
|October 2, 2009
PubMed
Summary

Levosulpiride frequently causes movement disorders, primarily parkinsonism, especially in older adults. These symptoms can be severe and may persist even after discontinuing the drug.

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Induction and Assessment of Levodopa-induced Dyskinesias in a Rat Model of Parkinson's Disease

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Area of Science:

  • Neurology
  • Pharmacology

Background:

  • Levosulpiride, a substituted benzamide, is commonly prescribed for dyspepsia and emesis.
  • Levosulpiride-induced movement disorders (LIM) are not well-characterized.

Purpose of the Study:

  • To investigate the clinical features of patients experiencing levosulpiride-induced movement disorders (LIM).

Main Methods:

  • Retrospective review of medical records of 91 patients diagnosed with LIM between January 2002 and March 2008.
  • Analysis of patient demographics, clinical presentation, and outcomes after drug withdrawal.

Main Results:

  • The majority of patients (85.7%) were over 60 years old.
  • Levosulpiride-induced parkinsonism (LIP) was the most common presentation (93.4%), followed by tardive dyskinesia (9.9%).
  • LIM persisted in 48.1% of LIP patients and 66.7% of dyskinesia patients post-withdrawal.

Conclusions:

  • Levosulpiride is a frequent cause of drug-induced movement disorders, predominantly parkinsonism and orolingual dyskinesia.
  • These movement disorders can be severe and irreversible, particularly in elderly patients.
  • Caution is advised when prescribing levosulpiride, especially to the geriatric population.