A neoteric annotation on the advances in combination therapy for Parkinson's disease : nanocarrier-based combination approach and future anticipation. Part I: exploring theoretical insights and pharmacological advances

INTRODUCTION: Parkinson's disease (PD) is a neurological condition defined by a substantial reduction in dopamine-containing cells in the substantia nigra. Levodopa (L-Dopa) is considered the gold standard in treatment. Recent research has clearly shown that resistance to existing therapies can develop. Moreover, the involvement of multiple pathways in the nigrostriatal dopaminergic neuronal loss suggests that modifying the treatment strategy could effectively reduce this degeneration.

AREAS COVERED: This review summarizes the key concerns with treating PD patients and the combinations, aimed at effectively managing PD. Part I focuses on the clinical diagnosis at every stage of the disease as well as the pharmacological treatment strategies that are applied throughout its course. It methodically elucidates the potency of multifactorial interventions in attenuating the disease trajectory, substantiating the rationale for co-administration of dual or multiple therapeutic agents. Significant emphasis is laid on evidence-based pharmacological combinations for PD management.

EXPERT OPINION: By utilizing multiple drugs in a combination fashion, this approach can leverage the additive or synergistic effects of these agents, amplify the spectrum of treatment, and curtail the risk of side effects by reducing the dose of each drug, demonstrating significantly greater efficacy.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Expert opinion on drug delivery - (2024) vom: 21. März, Seite 1-13

Sprache:

Englisch

Beteiligte Personen:

Unnithan, Devika [VerfasserIn]
Sartaj, Ali [VerfasserIn]
Iqubal, Mohammad Kashif [VerfasserIn]
Ali, Javed [VerfasserIn]
Baboota, Sanjula [VerfasserIn]

Links:

Volltext

Themen:

Blood-brain barrier
Combinatorial approach
Dopamine
Journal Article
Levodopa
Multifactorial
Neuronal loss
Parkinson’s disease
Review

Anmerkungen:

Date Revised 21.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1080/17425247.2024.2331214

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369708652