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Lecture 3 Dr.Narmin Hussen
15 Dopamine Lecture 3 Dr.Narmin Hussen
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Dopamine Some of its notable functions are in: movement memory
pleasurable reward behavior and cognition Attention inhibition of prolactin production sleep mood learning
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Dopaminergic Pathways
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Synthesis of Dopamine precursor of norepinephrine and epinephrine.
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Dopamine Receptors DA receptors are divided into five subtypes, D1 to D5
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Dopamine Metabolism
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Parkinson Disease PD is a progressive neurodegenerative, dopamine deficiency disorder
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video mp4
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Symptoms of Parkinson's disease
Slowness of movement and Shuffling walk Tremor (shaking) Muscle rigidity (Stiffness) Muffled speech
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Risk factor Age Genetic factors Head Injury Environmental factors
Gender
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Diagnosis of Parkinson's disease
Clinical features Brain scans(CT or MRI)
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Treatment Levodopa:
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Levodopa/Carbidopa (sinemet):
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MAO-B Inhibitors: 1(R)-aminoindan, 3-hydroxy-N-propargyl-1-aminoindan,
and 3-hydroxy-1-aminoindan a selective irreversible inhibitor of MAO-B
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Dopamine Agonists DA agonists are classified into:
Ergot derivatives (pergolide, cabergoline, and bromocriptine) withdrawn from the market.
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Nonergot derivatives (apomorphine, pramipexole, ropinirole, and rotigotine).
, 4-carboxymethylindolin-2-one N-despropylrotigotine and N-desthienylethyl rotigotine
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COMT Inhibitors: only inhibits peripheral COMT
Tolcapone is a selective and reversible inhibitor of COMT in the CNS and periphery Entacapone does not penetrate the BBB
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