Conclusion: Finally, several cases of homocystinuria associated with dystonia, and some recent reports of elevated Hcy in patients with primary adult onset dystonia have been published. Increased Hcy plasma levels may have important implications in patients affected by these basal ganglia disturbances, by exerting neurotoxic effects, contributing to neurotransmitter imbalance in motor circuits, and increasing the risk for vascular insults and cognitive dysfunctions.
L-Dopa side effects
Across 90 first-hand reports, people mentioned a side effect 8 times (about 9 per 100 reports). The most common: toxicity, anxiety, psychosis. User reports show what people notice — they can't tell you whether L-Dopa is safe for you.
Reported side effects
toxicity1
anxiety1
psychosis1
intensity described1
anhedonia1
dopamine downregulation1
dyskinesia1
peripheral dopamine1
In their own words
“L-Dopa is making me a bit anxious but sure helps me with depression and focus.”
“I've taken both L-Dopa and 5-HTP before and they didn't do shit.”
“I have previously tried combining it with l-dopa, but the nightmare that is trying to take a reasonable dose of l-dopa without peripheral-dopamine related side effects is another, very long story.”
“I would discourage the use of L-DOPA, it's long term effects can be quite deleterious to your goals; chronic administration tends to result in irreversible and substantial side-effects”
“Within 60 minutes, I wanted to rip my wifes panties off... My ADHD is completely gone... I was afraid to take it again this morning.”
“I wouldn't mess around with L-Dopa unless you know what you are doing. Just asking for trouble with that one, IMO.”
Is L-Dopa safe? What the research covers
AResearch: Strong47 meta-analyses · 286 randomized trials on PubMed
Curr Vasc Pharmacol · 2006
Hyperhomocysteinemia in movement disorders: Current evidence and hypothesesJ Neurol · 2018
Efficacy and safety of perampanel in Parkinson's disease. A systematic review with meta-analysisConclusion: In PD patients experiencing motor fluctuations, adjunctive PER did not improve the motor state and was well-tolerated at the lower doses.
Cochrane Database Syst Rev · 2016
Opioids for restless legs syndromeConclusion: Opioids seem to be effective for treating RLS symptoms, but there are no definitive data regarding the important problem of safety. This conclusion is based on only one study with a high dropout rate (moderate quality evidence).