Rotigotine

Exactly.

Ropinrol, Premipexol, Rotigotine.

And then we've got Amantadine as well, which can help with off periods and dyskinesias.

And a lot of insurance companies are not going to want to pay for those extended release formulations if you haven't already tried and failed these.

Pramipexole goes by the name Mirapex, and ropinirole goes by the brand name Requip.

There's also a medication called rotigotine, which goes by the much easier pronounced brand name of Neupro, that is available as a continuous transdermal patch.

And this one's often used to improve medication adherence in patients who have cognitive impairment or dysphagia Some benefits of dopamine agonists are that patients typically have less incidence of dyskinesia and less of a wearing off phenomenon.

So a wearing off phenomenon is where the patient has a loss of responsiveness to the drug over time.

Very, very good.

If your patient needs to take a dopamine agonist but they have trouble swallowing, what would be a good option for them? Maybe they would benefit from that transdermal patch called rotigotine.

Brand name is Neupro.

Why do we give COMT inhibitors? COMT inhibitors are given to prolong the action of levodopa.