This blog is to share the latest research and development of acupuncture and raise the awareness of alternative treatments for your conditions, and is for information only.

Thursday, 22 May 2014

Acupuncture and levodopa in combination enhanced the benefits of levodopa and reduced levodopa-induced dyskinesia

Combined acupuncture and levodopa greatly enhanced motor functions of levodopa treatment and reduced levodopa-induced side effects such as dyskinesia in a Parkinson’s model, according to a study recently published in journal Brain Research.

Levodopa is the most effective drug for alleviating motor symptoms of Parkinson’s. However, more than 50% of PD patients treated with levodopa develop adverse effects such as dyskinesia, hallucination, insomnia. Among these, levodopa-induced dyskinesia is the most debilitating and severe side effect and in many cases worsen than PD symptoms. This has a great impact on the quality of life of patients with PD.

Researchers in Korea investigated whether combination of acupuncture and levodopa improves motor function in PD mice model and simultaneously alleviates dyskinesia. In combined group PD mice were treated with acupuncture at acupoint GB34 and levodopa (7.5mg/kg). In levodopa alone group PD mice was treated with standard dose of levodopa (15mg/kg). PD mice in control group were given non-acupoint treatment. Acupuncture was given once a day for 7 days. Behavioural results showed that PD mice in combined group displayed motor function improvement that was comparable to that of levodopa (15mg/kg) alone group, and the combined group significantly reduced levodopa-induced dyskinesia. Biochemical study found that the combination treatment significantly reduced abnormally elevated brain chemicals that are closely linked with motor function and occurrence of dyskinesia.

This study suggests that acupuncture can be used as an adjunct with levodopa to enhance the efficacy of levodopa and reduce the adverse effects in treatment of Parkinson’s.

Reference:
Kim SN et al., Combined treatment with acupuncture reduces effective dose and alleviates adverse effect of L-dopa by normalizing Parkinson's disease-induced neurochemical imbalance. Brain Res. 2014 Jan 28;1544:33-44.   http://www.ncbi.nlm.nih.gov/pubmed/24321617  

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