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MAO-B and COMT Inhibitors: What They Add to Levodopa

MAO-B and COMT Inhibitors: What They Add to Levodopa

MAO-B inhibitors and COMT inhibitors do not treat Parkinson’s directly. They protect dopamine from being broken down — in the brain, or before it gets there. That is why they are almost always discussed alongside levodopa rather than instead of it, and why their side effects often look like too much levodopa. MAO-B inhibitors: selegiline, … Read more

Constipation in Parkinson’s: What Actually Helps

Constipation in Parkinson's: What Actually Helps

Constipation is not a side issue in Parkinson’s. It is a motor problem wearing a digestive disguise — because levodopa is absorbed in the small intestine, and a gut that is not moving delivers it late, unpredictably, or not at all. People whose “off” periods make no sense are sometimes describing a bowel problem. Why … Read more

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