What is levosulpiride-induced Parkinsonism?

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By Sumit Jha

May 20, 2024

Levosulpiride-induced Parkinsonism is the development of Parkinsonism symptoms as a side-effect of taking levosulpiride, an antipsychotic and prokinetic agent.

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Levosulpiride is primarily used to treat dyspepsia, irritable bowel syndrome, and symptoms of gastroparesis. It is sometimes prescribed for depression and anxiety also.

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Parkinsonism is characterised by tremors, bradykinesia (slowness of movement), rigidity, and postural instability.

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Levosulpiride works by blocking dopamine receptors in the brain, which can alleviate symptoms of conditions like schizophrenia and gastrointestinal disorders.

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As dopamine is a crucial neurotransmitter for motor control, by inhibiting its pathways, it can inadvertently lead to the symptoms of drug-induced Parkinsons.

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Levosulpiride-induced Parkinsonism is a potentially reversible condition, provided that it is identified early and managed appropriately by adjusting or discontinuing the medication.

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Levosulpiride use can result in Parkinsonism and other movement disorders. It should be avoided, especially in the elderly population,” added Dr Sudhir Kumar.

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Elderly patients above 60 years are more at risk, with 85.7 percent of patients in one study being in this age group.

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