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Question Date: 07/12/2023


Question: Which of the following medications slows the metabolism of dopamine in the central nervous system?


Options:

  • Rivastigmine
  • Trihexyphenidyl
  • Carbidopa
  • Entacapone


Correct Answer: Entacapone


Explaination: Entacapone is a catechol-O-methyl transferase inhibitor, which is one of the main enzymes responsible for the breakdown of dopamine in the central nervous system. The other main enzymes are monoamine oxidase B and dopamine beta hydroxylase (which converts dopamine to norepinephrine).<br><br>Rivastigmine is an acetylcholinesterase inhibitor used in the treatment of Alzheimer disease and dementia with Parkinson disease.<br><br>Trihexyphenidyl is an anticholinergic medication used in the treatment of dystonia.<br><br>Carbidopa reduces the peripheral destruction of L-dopa (a precursor to dopamine), but does not affect central nervous system dopamine metabolism


Reference: Bradleys NiCP, 7th edn, Ch. 96