Parkinson Disease Drugs · Pharmacology

Why is levodopa commonly combined with carbidopa in Parkinson disease therapy?

  1. To increase dopamine breakdown
  2. To increase the sensitivity of striatal dopamine receptors
  3. To limit conversion of levodopa outside the brain
  4. To increase acetylcholine release
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Correct answer: To limit conversion of levodopa outside the brain

Carbidopa inhibits peripheral dopa decarboxylase, preventing the conversion of levodopa to dopamine outside the brain. This allows more levodopa to reach the brain and reduces peripheral side effects such as nausea.

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