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Real members of MyParkinsonsTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
May 14
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MyParkinsonsTeam

Great question! Trivastal (piribedil) and Modopar (levodopa/benserazide) are medications more commonly used in Europe than in the US, but they belong to the same drug families used worldwide to manage Parkinson's symptoms.

Trivastal is a dopamine agonist, similar to pramipexole or ropinirole. Like all dopamine agonists, it Show Full Answer

Great question! Trivastal (piribedil) and Modopar (levodopa/benserazide) are medications more commonly used in Europe than in the US, but they belong to the same drug families used worldwide to manage Parkinson's symptoms.

Trivastal is a dopamine agonist, similar to pramipexole or ropinirole. Like all dopamine agonists, it works by mimicking dopamine in the brain. Common side effects to be aware of include:

- Nausea or dizziness
- Compulsive behaviors (like gambling or shopping)
- Low blood pressure when standing
- Sleep attacks

Modopar works similarly to Sinemet (levodopa/carbidopa), combining levodopa with a decarboxylase inhibitor (benserazide instead of carbidopa) to help more levodopa reach the brain. Side effects can include:

- Dyskinesia (involuntary movements) with long-term use
- Nausea
- "On/off" fluctuations over time

While specific member experiences with these exact brands aren't available here, many MyParkinsonsTeam members have shared experiences with the same drug classes. It's always worth discussing any concerns about these medications with your neurologist, especially regarding the impulse control risks with dopamine agonists.

May 14

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