期刊
JOURNAL OF PERSONALIZED MEDICINE
卷 11, 期 6, 页码 -出版社
MDPI
DOI: 10.3390/jpm11060525
关键词
advanced Parkinson's disease; apomorphine; adherence
资金
- Britannia Pharmaceuticals
The study evaluated reasons for discontinuation of subcutaneous apomorphine infusion (SCAI) in Parkinson's disease patients, finding that main factors included adverse events, death, and treatment dissatisfaction. For the first 6 years of treatment, somnolence and hallucinations were the predominant side effects leading to discontinuation.
(1) Background: Subcutaneous apomorphine infusion (SCAI) is one of the three main treatment options for motor fluctuations in advanced Parkinson's disease (PD). The adherence to SCAI is generally considered to be low due to adverse events and because it is perceived as a treatment option to be used for a limited period only. We evaluated the reasons for discontinuation of SCAI in relation to when patients stopped treatment. (2) Methods: We reviewed the medical records of PD patients treated with SCAI at a single center, capturing patient demographics and the reasons for cessation of SCAI. (3) Results: 101 patients were included in the analysis, with a median time on treatment of 6.34 years. The main reasons for stopping SCAI were adverse events, death, and dissatisfaction with treatment. In the first 6 years of treatment, the predominant side effects leading to discontinuation were somnolence and hallucinations. (4) Conclusions: We suggest that SCAI can be an effective long-term treatment option for advanced PD, but it requires careful patient selection, a high level of communication with the patient and carer, and rigorous monitoring of the effects of treatment and for any adverse events so they can be promptly managed.
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