Dopaminergic drug levodopa linked to better sleep in Parkinson’s patients

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Dopaminergic drug levodopa linked to better sleep in Parkinson’s patients
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A study involving 22 Parkinson's disease (PD) patients has shown that use of the dopaminergic drug levodopa improves sleep quality.

São Paulo Research Foundation Aug 13 2024 A study involving 22 Parkinson's disease patients has shown that use of the dopaminergic drug levodopa improves sleep quality. When the patients took the drug, the number of times they woke up during the night fell 25% and the amount of time they remained awake fell 30% on average.

This was the first study to evaluate the effects of the drug on sleep quality in PD patients objectively and to compare them with the results reported subjectively. The actigraphic readings pointed to an improvement in sleep quality after the patients took the drug, although they themselves didn't experience any benefit. This is important from the standpoint of clinical care.

Although dopaminergic medication may also improve sleep quality by reducing sleep onset latency and wakefulness in PD patients, there are documented reports of potential sleep disturbance exacerbation resulting from treatment with levodopa. It bears recalling that the drug should be used only when prescribed by a physician. Possible side effects include confusion, drowsiness, insomnia, nightmares, hallucinations, delusion, agitation, anxiety and euphoria.

Sleep and mobility Impairment of sleep quality is also associated with freezing of gait – a sudden inability to initiate or continue movement, often resulting in a fall, and one of the most incapacitating symptoms of PD.

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