57.沈先生55歲,新診斷有帕金森氏症(Parkinson's disease),下列何者是最佳的治療選擇?
(A)amantadine
(B)benserazide
(C)entacapone
(D)pramipexole
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統計: A(401), B(255), C(156), D(2162), E(0) #2865495
統計: A(401), B(255), C(156), D(2162), E(0) #2865495
詳解 (共 8 筆)
#5543800
抗帕金森藥物小整理
|
↑DA |
DA前驅物 |
Levodopa |
>65y/o首選 |
|
|
Decarboxylase inh. |
Carbidopa, Benserazide |
不能單用 |
||
|
COMT inh.(-capone) |
Tolcapone, Entacapone |
|||
|
DA ag. |
Ergot |
bromocriptine |
心肺纖維化 |
|
|
Non-ergot |
Pramipexole[RF須調整劑量], ropinirole, rotigotine |
<65y/o首選(DA ag.) |
||
|
Morphine衍生物 |
Apomorphine |
僅注射;急性期用 |
||
|
MAOB inh.(-giline) |
Selegiline, Rasagiline |
|
||
|
非競爭阻斷NMDA-R |
Amatadine |
|
||
|
↓ACh |
抗膽鹼 |
Trihexyphenidyl, Benztropine |
>70y/o不適合 |
|
75
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#5575463

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