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COMT inhibitors

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Pharmacology for Nurses

Definition

COMT inhibitors (Catechol-O-methyltransferase inhibitors) are medications that block the enzyme COMT, which breaks down dopamine. They are used to prolong the effect of levodopa in treating Parkinson’s disease.

5 Must Know Facts For Your Next Test

  1. COMT inhibitors help increase and sustain the levels of dopamine in the brain.
  2. They are often used in combination with levodopa/carbidopa therapy.
  3. Commonly prescribed COMT inhibitors include entacapone and tolcapone.
  4. Tolcapone is associated with a risk of liver toxicity and requires regular monitoring.
  5. Side effects can include diarrhea, urine discoloration, and orthostatic hypotension.

Review Questions

  • What is the primary function of COMT inhibitors in Parkinson's disease treatment?
  • Name two commonly prescribed COMT inhibitors.
  • Why does tolcapone require regular liver function monitoring?
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