A 73-year-old man with Parkinson disease presents with tremor, bradykinesia, and rigidity. Vital signs: BP 138/82, HR 88, RR 16, Temp 37.1°C, SpO2 98%. He was started on carbidopa-levodopa three months ago. Current examination shows significant improvement in slowness and rigidity; however, mild resting tremor persists. Levodopa level is therapeutic at 1.2 mcg/mL. Which of the following best explains carbidopa's role in optimizing this medication regimen?
- A)It directly stimulates dopamine receptors in the striatum
- B)It inhibits peripheral dopa decarboxylaseGABARITO
- C)It blocks catechol-O-methyltransferase in the CNS
- D)It prevents levodopa from crossing the blood-brain barrier
- E)It inhibits MAO-B in the substantia nigra
Explicação
Carbidopa inhibits peripheral dopa decarboxylase decreasing conversion of levodopa to dopamine outside the brain. Ver explicação completa e trilha adaptativa →