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Deficient dopaminergic transmission in the striatum can be compensated by ergot derivatives (bromocriptine [p. 114], lisuride, cabergoline, and pergolide) and nonergot compounds (ropinirole, pramipexole). These agonists stimulate dopamine receptors (D2, D3, and D1 subtypes), have lower clinical efficacy than levodopa, and share its main adverse effects. Inhibitors of monoamine oxidase- B (MAOB).
Simple reflex contractions to sensory stimuli, conveyed via the dorsal roots to the motoneurons, occur without participation of the brain. Neural circuits that propagate afferent impulses into the spinal cord contain inhibitory interneurons. These serve to prevent a possible overexcitation of motoneurons (or excessive muscle contractions) due to the constant barrage of sensory stimuli. |
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