Parkinson's disease (PD) afflicts millions of people worldwide. There are numerous drugs available for PD; however, levodopa remains the gold standard of pharmacotherapy to which all other therapies are compared. Levodopa is quite effective for many motor symptoms (bradykinesia, tremor, rigidity) of PD; however, non-levodopa-responsive motor symptoms (postural instability) and nonmotor symptoms are frequently the most troublesome in middle and later stages of disease. Although motor symptoms remain an important focus for emerging drugs, current research is largely geared to identify and develop disease-slowing therapies. Another important area of focus has become treatment of the nonmotor symptoms of PD (especially depression and dementia). This review discusses emerging drugs in the management of the motor and nonmotor symptoms of PD and drugs under study as disease-slowing/neuroprotective agents.

译文

:帕金森氏病(PD)困扰着全球数百万人。 PD有多种药物可供使用;然而,左旋多巴仍然是药物疗法的黄金标准,可与所有其他疗法进行比较。左旋多巴对PD的许多运动症状(运动迟缓,震颤,僵硬)非常有效。然而,在疾病的中晚期,非左旋多巴反应性运动症状(姿势不稳)和非运动症状通常是最麻烦的。尽管运动症状仍然是新兴药物的重要关注点,但当前的研究在很大程度上旨在识别和发展减慢疾病的疗法。另一个重要的重点领域已成为治疗PD的非运动性症状(尤其是抑郁症和痴呆症)的方法。这篇综述讨论了PD的运动和非运动症状管理中的新兴药物,以及正在研究的疾病缓解/神经保护剂药物。

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