A 78-year-old male presents with a history of tremor
and difficulty in getting out of chairs and getting up from bed. He has also
noticed that his handwriting has been becoming smaller.
On examination he has a tremor at rest mainly
affecting his hands. When examining tone in his arms cogwheel rigidity is
detected and when he walks you notice that he walks with a stoop and there is
no arm swing.
In this patient which class of drug should not be used
in combination with laevodopa?
Dopamine receptor agonist
Aromatic amino acid decarboxylase inhibitor
Catechol-O-methyl transferase inhibitor
Monoamine oxidase inhibitor Type A
Monoamine oxidase inhibitor Type B