The mechanisms underlying actions of dihydroxyphenylalanine (L-DOPA) in Parkinson's disease remain to be fully elucidated. Noradrenaline formed from L-DOPA may stimulate ␣ 1 -adrenoceptors. We assessed the involvement of ␣ 1 -adrenoceptors in actions of L-DOPA in 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-lesioned macaques. In each animal, the minimal dose of L-DOPA required to alleviate parkinsonian symptoms was defined (12.5-25 mg/kg p.o.). The effects of coadministration of the ␣ 1 -adrenoceptor antagonist prazosin ([4-(4-amino-6,7-dimethoxy-quinazolin-2-yl) piperazin-1-yl]-(2-furyl)methanone) on motor activity, parkinsonism, and dyskinesia were assessed. Antiparkinsonian benefit was accompanied by mild dyskinesia. L-DOPA also elicited hyperactivity, i.e., activity greater than that seen in normal animals. Coadministration of prazosin (0.16 -0.63 mg/kg p.o.) with L-DOPA did not significantly affect either its antiparkinsonian actions or dyskinesia. However, prazosin significantly and dose-dependently attenuated L-DOPA-induced activity, reducing it to a level equivalent to that of normal animals. More specifically, during periods of pronounced L-DOPA-induced activity, prazosin attenuated the total and duration of activity by 80 and 76%, respectively. These actions of prazosin were expressed in the absence of sedation. Although activation of ␣ 1 -adrenoceptors plays no major role in the antiparkinsonian and dyskinetic effects of L-DOPA per se, it does contribute to the induction of hyperactivity. ␣ 1 -Adrenoceptors may be involved in pathological responses to L-DOPA treatment, including the dopamine dysregulation syndrome.Since its first use in the early 1960s, dopamine replacement by treatment with the dopamine precursor dihydroxyphenylalanine (L-DOPA) has remained the mainstay of therapy for the motor symptoms of Parkinson's disease (PD) (Lang and Lozano, 1998). Although the antiparkinsonian actions of L-DOPA resulting from dopamine replacement are undisputed, it has long been suggested that L-DOPA therapy may also involve alternate neurotransmitter systems, including noradrenergic pathways (Mercuri and Bernardi, 2005). In this way, L-DOPA may combine both dopaminergic and nondopaminergic mechanisms. Such mechanisms may underlie the superior clinical profile of L-DOPA compared with selective dopamine receptor agonists (Holloway et al., 2004;Oertel et al., 2006). In addition, the nonmotor effects of L-DOPA may reflect involvement of noradrenergic mechanisms. Thus, L-DOPA treatment can result in excessively heightened mood and psychomotor activity, even to the extent of psychosis (Racette et al., 2002;Witjas et al., 2002). In addition, some patients experience hyperactivity with compulsive, repetitive, nongoal-directed motor activity (e.g., "punding," stereotypies, "hobbyism," and "walkabouts") (part of the dopamine dysregulation syndrome), which are related to but probably distinct from impulse control disorders, such as pathological gambling, excessive eating, shopping, and hypersexuality Potenza et...