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From Clinique de Neurologie et Neuropsychologie (Drs. Mear, de Smet, Lhermitte, and Agid), Paris, and Clinique de Neurologie (Drs. Barroche and Weher), Nancy, France.
Pergolide, a long-acting central dopamine agonist, was used as monotherapy in 16 parkinsonian patients. A mean daily dose of 6.3 mg resulted in 73% improvement of parkinsonian disability. Clinical improvement after acute administration of one dose of pergolide was similar to that observed after levodopa plus a peripheral decarboxylase inhibitor but at a dose 100 times lower (2.2 mg and 200 mg, respectively). The effect lasted twice as long (51/2 hours and 21/4 hours, respectively).
Address correspondence and reprint requests to Dr. Agid, Hôpital de la Salpêtriére, 47 boulevard de I'Hôpital, 75634 Paris, France.
Accepted for publication November 18, 1983.
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