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Levodopa

Levodopa

MedicationWikipedia

Search complete. 41 mentions across 30 episodes found for "Levodopa".

Sep 18, 2026

DivineHOST
4:42
Now, what if they give you a question about, um, a person, right? You're, you're told that this person is, um, um, you know, has missed like the last two...
DivineHOST
4:52
You know, this person has a history of Parkinson's disease, and they missed the last two doses of their medication, right? And then you're told that, oh, that this person has been having like just severe bradykinesia and all these problems, right? Whenever you see something like this, what drug should you be thinking about, right? Think of levodopa carbidopa, right? Think of L-dopa carbidopa, right? Levodopa carbidopa, right? Remember, uh, these drugs are used to treat Parkinson's.
DivineHOST
5:16
They're probably the most effective drugs for treating Parkinson's.
DivineHOST
5:19
I mean, typically, you'll start off with a dopamine agonist like, you know, like, uh, bromocriptine, cabergoline, right? Or you can use, um, monoamino, monoamine oxidase B inhibitors like selegiline or rasagiline to boost your dopamine levels.
Josh HellmanGUEST
24:28
So what are the conventional treatments available for Parkinson's today? And this really hasn't changed in many years, decades even.
Josh HellmanGUEST
24:38
Levodopa and carbidopa to increase the amount of dopamine and or using dopamine agonist medications to increase dopamine or using things like COMT inhibitors or MAO-B inhibitors.
Josh HellmanGUEST
24:58
Okay, so what are the limitations of the conventional therapies for Parkinson's? The problem is these therapies have been focused on symptom management, not a cure, not going to the root causes, for example, the toxins that lead to Parkinson's.
Josh HellmanGUEST
25:18
Now, there are treatments, including surgery, where surgeons will implant deep brain stimulators, and that can improve motor symptoms.
Josh HellmanGUEST
29:27
And no, I would today in 2026, I would still, if I have someone with Parkinson's, I'm not opposed to starting levodopa.
Josh HellmanGUEST
29:37
The problem is we know from the studies that long-term years of levodopa, eventually it stops working.
Josh HellmanGUEST
29:44
But hopefully, if you're focused on the root causes, you ultimately will not need to be taking Levodopa.
Josh HellmanGUEST
29:58
And yes, it's also a myth.
Masud HusainGUEST
38:21
So we thought, "Why don't we try a drug that affects the dopamine system?" [lip smack] And we used a drug that acts on dopamine receptors that is already out there, that's used in Parkinson's disease patients to treat them.
Michael GervaisHOST
38:35
L-DOPA.
Masud HusainGUEST
38:36
And we started with L-DOPA, levodopa, which is the drug you see in the film Awakenings, that's what happened, and it did nothing.
Masud HusainGUEST
38:43
So we were really despondent and we thought, "Ah, maybe this was not gonna work." So we thought, before we completely l- lose hope with this, we'll try one other thing.
Masud HusainGUEST
38:52
There's another drug which directly latches on to dopamine, a specific type of dopamine receptor, and that's called ropinirole.
Andrew FletcherGUEST
70:52
And again, the dose was developed, uh, reduced by 50% and the erotic behavior stopped.
Andrew FletcherGUEST
70:59
Now, either, um, The brain was producing its own version of L-DOPA or the uptake of L-DOPA had been increased.
Andrew FletcherGUEST
71:10
And I really don't know what the answer to that question is.
Andrew FletcherGUEST
71:12
I'm fascinated.
Bryce PerryHOST
3:04
That's the whole game.
Bryce PerryHOST
3:05
Levodopa has to get through the stomach, move into the small intestine, get absorbed, and then finally get where it needs to go.
Bryce PerryHOST
3:13
And if something changes how fast that happens, then the whole feel of your morning can change.
Bryce PerryHOST
3:19
Now, this is the weird part.
Bryce PerryHOST
6:33
It just means there is a real reason people started wondering about it.
Bryce PerryHOST
6:37
Think of it like this.
Bryce PerryHOST
6:40
Imagine Levodopa is trying to get through a busy doorway and then some other molecules show up looking like they belong in that same line.
Bryce PerryHOST
6:49
That doesn't automatically mean chaos.
Abby OlsenGUEST
19:21
Yes, that is actually fairly helpful.
Abby OlsenGUEST
19:24
Levodopa is our most commonly used medicine for Parkinson's disease.
Abby OlsenGUEST
19:29
And for reasons that are not fully understood, people with Parkinson's disease usually have a pretty good response to levodopa for the large majority of times.
Abby OlsenGUEST
19:40
Whereas for many of these other diseases, even though they also involve death of the dopamine neurons, for reasons we don't totally understand, the levodopa doesn't tend to be as effective.
Richard NichollsHOST
21:56
How would you gonna make gla- how are you gonna make GABA? I sh- I should know.
Richard NichollsHOST
22:00
It's from dop- L-DOPA, which I don't know what that is.
speaker_0HOST
22:04
Neither do I.
Richard NichollsHOST
22:05
Okay, but there's a biosyn- interesting biosynthetic pathway to make your GABA.
Jake DoleschalHOST
47:56
So what, you think people are going to say, well, how do we boost dopamine? Let's use an
Dave O'BrienHOST
48:01
L-Dopa, L-Taracine.
Dave O'BrienHOST
48:03
Do you think that's going to be the most common?
Jake DoleschalHOST
48:05
Yeah, I mean, that's not where my mind went, but yeah, it probably is, I think, how people would be thinking about this issue all the time.
Bryce PerryHOST
2:46
I want to try to make this, I'm going to try to keep it as simple as I possibly can, because it really matters.
Bryce PerryHOST
2:51
Levodopa, the medicine that many of us take, needs to get to your brain to work.
Bryce PerryHOST
2:57
That's the goal.
Bryce PerryHOST
2:59
But here's the catch.
Luis MojicaGUEST
16:16
So one of the big, big life changers for me was just recently, about three years ago, I was vegan for almost 20 years, and I started eating animal protein again, which I don't think anyone has to do, but I have learned just from my work, amino acids, they are the building blocks of neurotransmitters.
Luis MojicaGUEST
16:35
L-tyrosine is the amino acid that will turn into L-DOPA, which makes l-- dopamine.
Henry HawkHOST
16:41
Mm.
Luis MojicaGUEST
16:41
So if you don't have enough amino acids, you literally don't have the building blocks to make these i- very important neurotransmitters.

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