Clinical pharmacology of levodopa: Part 2
digital file Black & White Sound 1971 25:50
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Summary: The second of two lectures on levodopa, a drug used primarily in the treatment of Parkinson's disease, in which Dr Donald Calne presents a comprehensive view of the history and clinical properties of the drug. In this second talk he deals with the pharmacokinetics of levodopa, its absorption, distribution, metabolism and excretion. He then goes on to discuss some of the newer forms of treatment, which are currently undergoing investigation, which are based on levodopa. 5 segments.
Title number: 18325
LSA ID: LSA/21482
Description: Segment 1 Calne introduces the talk with a brief reference to Part One. He then interviews a patient, Mrs Steiner, who has been taking levodopa successfully. She describes how the drug has helped her symptoms and how she has dealt with the side effects. Time start: 00:00:00:00 Time end: 00:04:38:20 Length: 00:04:38:20 Segment 2 Calne begins to discuss the pharmacokinetics of the drug. He starts by looking at the levels of levodopa in the blood after taking variously sized doses he illustrates this with a series of graphs and tables. Calne then shows a graph charting the excretion levels of levodopa depending on dose. He refers to various dopamine metabolites and looks at how they metabolise Levodopa. Time start: 00:04:38:20 Time end: 00:12:08:00 Length: 00:07:29:05 Segment 3 Calne refers to an experiment on a foetal mouse which was injected with radioactive Levodopa, so that the excretion of the drug can be measured. He discusses the peripheral metabolism of levodopa and compares its sympathetic pathways with those of dope, dopamine, adrenaline and noradrenaline. Using diagrams, he shows how the blockage of other metabolite pathways affects the uptake of levodopa in the brain. Time start: 00:12:08:00 Time end: 00:17:58:00 Length: 00:05:50:00 Segment 4 Calne discusses the crossover of levodopa and Methyldopa hydrazine, a drug which can combat some of the side effects of levodopa. He uses a table to chart how well tolerated it is with patients according to dose he compares blood levels of the combination in a graph. Time start: 00:17:58:00 Time end: 00:20:55:10 Length: 00:02:57:10
Credits: Presented by Dr Donald Be Calne. Introduced by Dr Ian Gilliland. Produced by Peter Bowen. Made for British Postgraduate Medical Federation.
Further information: This video is one of more than 120 titles, originally broadcast on Channel 7 of the ILEA closed-circuit television network, given to Wellcome Trust from the University of London Audio-Visual Centre shortly after it closed in the late 1980s. Although some of these programmes might now seem rather out-dated, they probably represent the largest and most diversified body of medical video produced in any British university at this time, and give a comprehensive and fascinating view of the state of medical and surgical research and practice in the 1970s and 1980s, thus constituting a contemporary medical-historical archive of great interest. The lectures mostly take place in a small and intimate studio setting and are often face-to-face. The lecturers use a wide variety of resources to illustrate their points, including film clips, slides, graphs, animated diagrams, charts and tables as well as 3-dimensional models and display boards with movable pieces. Some of the lecturers are telegenic while some are clearly less comfortable about being recorded all are experts in their field and show great enthusiasm to share both the latest research and the historical context of their specialist areas.
Keywords: Levodopa; Parkinson Disease; Neuropharmacology; Pharmacokinetics
Locations: United Kingdom; England; London; University of London
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