Temporal administration of entacapone with slow release L-dopa: pharmacokinetic profile and clinical outcome

Neurol Sci. 2004 Jun;25(2):53-6. doi: 10.1007/s10072-004-0230-7.

Abstract

Entacapone is a specific, peripherally acting catechol- O-methyltransferase (COMT) inhibitor that prevents peripheral degradation of L-dopa, thus improving its bioavailability. Entacapone is known to have pharmacokinetics similar to standard L-dopa but not to that of controlled-release (CR) L-dopa. The aim was to determine whether delayed entacapone administration may prolong CR L-dopa half-life in comparison to the co-administration modality. We compared plasma L-dopa concentrations after co-administration of CR L-dopa and entacapone or after administration of CR and a delayed (30 and 90 minutes) entacapone dose in 10 parkinsonian patients. The area under the concentration-time curve and other pharmacokinetic parameters were not changed by the delayed administration of entacapone. Different temporal modalities of entacapone administration had similar effects on CR L-dopa pharmacokinetics and on L-dopa-induced clinical improvement.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Analysis of Variance
  • Antiparkinson Agents / administration & dosage
  • Antiparkinson Agents / pharmacokinetics
  • Area Under Curve
  • Biological Availability
  • Carbidopa / administration & dosage
  • Catechol O-Methyltransferase Inhibitors
  • Catechols / administration & dosage*
  • Catechols / pharmacokinetics*
  • Delayed-Action Preparations
  • Drug Administration Schedule
  • Drug Interactions
  • Drug Therapy, Combination
  • Enzyme Inhibitors / administration & dosage
  • Enzyme Inhibitors / pharmacokinetics
  • Female
  • Humans
  • Levodopa / administration & dosage*
  • Levodopa / pharmacokinetics*
  • Male
  • Middle Aged
  • Nitriles
  • Parkinson Disease / drug therapy*
  • Single-Blind Method
  • Treatment Outcome

Substances

  • Antiparkinson Agents
  • Catechol O-Methyltransferase Inhibitors
  • Catechols
  • Delayed-Action Preparations
  • Enzyme Inhibitors
  • Nitriles
  • Levodopa
  • entacapone
  • Carbidopa