This increases dopamine by increasing the production. This happens because L-dopa is the immediate precursor of dopamine and higher amounts in the system will lead to more dopamine production.

This has large systemic side effects, as a relatively small part of it reaches the brain. This is reduces by coprescribing with carbidopa which is a L-DOPA decarboxylase inhibitor which does not pass the blood brain barrier. This will in turn lead to less conversion in the body but not the brain.

The problem with L-DOPA is that

Side effects

  • acute effects may include naesea and vomiting (maybe adjust dose if you see this)
  • Dyskinesia
  • Psychiatric disturbances
    • Vivid dreams
    • hallucinations
    • psychotic states
    • confusion
    • impulse control disorders