PMID- 24940065 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140618 LR - 20211021 IS - 1176-6328 (Print) IS - 1178-2021 (Electronic) IS - 1176-6328 (Linking) VI - 10 DP - 2014 TI - Rotigotine is safe and efficacious in Atypical Parkinsonism Syndromes induced by both alpha-synucleinopathy and tauopathy. PG - 1003-9 LID - 10.2147/NDT.S64015 [doi] AB - Transdermal rotigotine (RTG) is a non-ergot dopamine agonist (D3>D2>D1), and is indicated for use in early and advanced Parkinson's disease (PD). RTG patch has many potential advantages due to the immediacy of onset of the therapeutic effect. Of note, intestinal absorption is not necessary and drug delivery is constant, thereby avoiding drug peaks and helping patient compliance. In turn, transdermal RTG seems a suitable candidate in the treatment of atypical Parkinsonian disorders (APS). Fifty-one subjects with a diagnosis of APS were treated with transdermal RTG. The diagnoses were: Parkinson's disease with dementia, multiple system atrophy Parkinsonian type, multiple system atrophy cerebellar type, progressive supranuclear palsy, corticobasal degeneration, Lewy body dementia, and frontotemporal dementia with Parkinsonism. Patients were evaluated by the Unified Parkinson's Disease Rating Scale (UPDRS; part III), Neuropsychiatric Inventory (NPI), and mini-mental state examination (MMSE) and all adverse events (AEs) were recorded. Patients treated with RTG showed an overall decrease of UPDRS III scores without increasing behavioral disturbances. Main AEs were hypotension, nausea, vomiting, drowsiness, tachycardia, and dystonia. On the whole, 15 patients were affected by AEs and seven patients suspended RTG treatment due to AEs. The results show that transdermal RTG is effective with a good tolerability profile. RTG patch could be a good therapeutic tool in patients with APS. FAU - Moretti, Davide Vito AU - Moretti DV AD - IRCCS San Giovanni di Dio Fatebenefratelli, Brescia, Italy. FAU - Binetti, Giuliano AU - Binetti G AD - IRCCS San Giovanni di Dio Fatebenefratelli, Brescia, Italy. FAU - Zanetti, Orazio AU - Zanetti O AD - IRCCS San Giovanni di Dio Fatebenefratelli, Brescia, Italy. FAU - Frisoni, Giovanni Battista AU - Frisoni GB AD - IRCCS San Giovanni di Dio Fatebenefratelli, Brescia, Italy. LA - eng PT - Journal Article DEP - 20140605 PL - New Zealand TA - Neuropsychiatr Dis Treat JT - Neuropsychiatric disease and treatment JID - 101240304 PMC - PMC4051815 OTO - NOTNLM OT - Parkinson plus OT - open label study OT - transdermal dopamine agonist EDAT- 2014/06/19 06:00 MHDA- 2014/06/19 06:01 PMCR- 2014/06/05 CRDT- 2014/06/19 06:00 PHST- 2014/06/19 06:00 [entrez] PHST- 2014/06/19 06:00 [pubmed] PHST- 2014/06/19 06:01 [medline] PHST- 2014/06/05 00:00 [pmc-release] AID - ndt-10-1003 [pii] AID - 10.2147/NDT.S64015 [doi] PST - epublish SO - Neuropsychiatr Dis Treat. 2014 Jun 5;10:1003-9. doi: 10.2147/NDT.S64015. eCollection 2014.