Effect of dopamine agonist (Lergotrile mesylate) therapy on twenty-four hour secretion of prolactin in treated Parkinson's disease

The Journal of Clinical Endocrinology and Metabolism
R D BellR M Boyar

Abstract

Plasma PRL was measured at 20-min intervals in six patients with Parkinson's disease under various treatment protocols. In addition, 24-h mean GH levels were measured. The results of these studies showed that two untreated patients with Parkinson's disease had normal 24-h mean PRL levels with the normal increase during sleep. During chronic treatment with L-dopa-carbidopa (Sinemet), the 24-h PRL level was 12.8 +/- 4.9 ng/ml (mean +/- SD) and there was persistence of augmented PRL secretion during sleep. The 24-h mean GH level ranged from 1.5-4.4 ng/ml, with a mean of 2.5 ng/ml. The addition of a dopamine agonist (Lergotrile mesylate) resulted in a significant (P less than 0.01) suppression of the 24-h mean PRL levels and abolition of the normal sleep augmentation after 2 weeks of therapy. This suppression was maintained in one patient who was restudied 4 months after the addition of dopamine agonist therapy to L-dopa-carbidopa. The 24-h mean GH levels did not change significantly after the addition of the dopamine agonist when compared to L-dopa-carbidopa alone. These results suggest a dichotomy between the PRL and GH responses to combined L-dopa-carbidopa and dopamine agonist therapy. In addition, the preservation of normal PR...Continue Reading

Citations

Jan 1, 1981·Journal of Neural Transmission·I Lancranjan
May 24, 2014·Clinical Medicine Insights. Endocrinology and Diabetes·Jacob S DanielLakdasa D Premawardhana

Related Concepts

IPX066
Carbidopa, (S)-Isomer
Circadian Rhythms
Drug Combinations
Polychemotherapy
Ergoline
Levopa
Parkinson Disease
Prolactin
Sleep, Slow-Wave

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