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Table 1 The unmet needs of Parkinson's disease therapeutics

From: Norepinephrine: the next therapeutics frontier for Parkinson's disease

• Progressive worsening of all clinical features

• Unpredictable immobility (freezing of gait, prolonged "off" states)

• Inadequate tremor control

• Autonomic dysfunction (postural hypotension, constipation, dysphagia)

• Balance impairment (particularly retropulsive imbalance)

• Sleep disturbance (fragmented sleep, rapid-eye-movement behavioral disorder)

• Postural disturbance (forward flexion)

• Depression, fatigue, and apathy

• Involuntary movements with dopaminergic therapy (dyskinesia, dystonia)

• Progressive cognitive decline (including impaired working memory and executive dysfunction even in the absence of dementia)