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Concern has been raised about the possibility that use of selegiline in
combination with levodopa to treat patients with Parkinson's disease
is associated with an increased risk of death. Thorogood et al examined
data on patients taking drugs for Parkinson's disease who are included
in the General Practice Research Database (p 252). They found a small,
non-significant increase in risk of death in patients taking selegiline
in combination with levodopa and a slightly greater, but still
non-significant, increase in risk of death in patients taking
selegiline alone. They conclude that excess risk associated with use of
selegiline would be small.