The severity of parkinsonian motor disability and dyskinesias was eval
uated in seven levodopa-responsive patients with Parkinson's disease a
fter an acute challenge with the mixed dopamine agonist apomorphine, b
efore and after low-dose clozapine (50 mg) for 18 +/- 2 days, There wa
s a significant 59% improvement (p < 0.05) of apomorphine-induced dysk
inesias without aggravation of parkinsonian motor disability following
clozapine treatment. The results suggest that low-dose clozapine, alr
eady shown to improve psychotic symptoms, may help to reduce severe le
vodopa-induced dyskinesias in parkinsonian patients.