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Doctor insights on: Anti Parkinsons Drug Medication

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What are examples of parkinsonism drugs?

What are examples of parkinsonism drugs?

Many types: There are many types of drugs that are used to treat the symptoms of parksinson's disease. The mainstay of treatment are the dopaminergic medications include Levodopa (in various combinations) and the Dopamine agonists (e.g., rasagiline, ropinirole, etc). Other medications such as anticholinergics are to treat other manifestations of the disease. See: www. Parkinsons. Org & www. Michaeljfox. Org. ...Read more

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Can you tell me about drugs that cause parkinsonism?

Can you tell me about drugs that cause parkinsonism?

Very complex: In a nutshell, initially might use dopamine agonists, and Azilect, (rasagiline) and later L-DOPA, with carbidopa and entacapone, and even later have combinations of some of these. A non-drug approach via DBS unit could be rather valuable, if necessitated. ...Read more

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What drugs should I avoid if I have wolfe-parkinson-white?

What drugs should I avoid if I have wolfe-parkinson-white?

ABCD: There is a simple mnemonic to help remember the 4 drug (classes) to avoid in wolf parkinson white (WPW) syndrome:

the mneumonic is "abcd"

adenosine
beta blockers
calcium channel blockers
digoxin. ...Read more

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What drugs help with Parkinson's disease?

What drugs help with Parkinson's disease?

Several: The mainstays of parkinsons treatment are Dopamine agonists such as Requip and the drug l-dopa (sinemet). Others include comtan, (entacapone) amantadine, selegeline, cogentin. Even ECT can be used in severe cases and there is also experimental surgery. Talk to your neurologist to see what is right for you or your loved one. ...Read more

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How can drug effect me if this is not Parkinson's disease?

Please be specific: What drug are you asking about? Do you actually have Parkinson's? ...Read more

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Levodopa is ineffective in drug induced parkinsonism, why?

A few reasons: First there are two different drug induced parkinsons. Acutely (in which case just stop the drug), and chronically (tardive dyskinesia...TD). TD is generally in those with psychosis. Levodopa can make that worse. Bad. AND, Levodopa has been associated with more rapid progression in regular Parkinsons, so we don't like to use it in anyone if we can avoid it. ...Read more

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Is there a high danger of developing Parkinson's disease while on Prozac type drugs Thanks?

Is there a high danger of developing Parkinson's disease while on Prozac type drugs Thanks?

No: Parkinson's disease is not caused by medications like Prozac. Prozac increases serotonin in the brain to help with depression and anxiety. Parkinson's disease is caused by a decrease of dopamine in the brain. You can get Parkinson's like symptoms from taking anti-psychotic medications, but not from taking anti-depressants. ...Read more

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Why levodopa not used in drug induced parkinsonism?

Levodopa: Because it elevates Dopamine in the brain, & that can exacerbate the original symptoms to begin with, ex. Psychosis. ...Read more

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What's the drug of choice in treatment of Parkinson's disease with a pregnant women?

What's the drug of choice in treatment of Parkinson's disease with a pregnant women?

Avoid amantadine: Please see your neurologist before starting therapy while pregnant. Amantadine has been linked to birth defects in pregnant women. ...Read more

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What should my mom take other then prescription drugs to help with starting of parkinson's?

What should my mom take other then prescription drugs to help with starting of parkinson's?

No supplements: There isn't a lot of evidence for agents other than prescription medicine. We used to recommend coenzyme q10, but more evidence has not shown benefit. Exercise is definitely beneficial, particularly vigorous exercise, so she should do that, but ultimately nothing works as well as the parkinson medications. ...Read more

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A patient with 5-year history of Parkinson's disease, takes no drug treatment. Is there any advanced treatment protocol to this condition in the US?

A patient with 5-year history of Parkinson's disease, takes no drug treatment. Is there any advanced treatment protocol to this condition in the US?

Sort of: We have some newer forms of L-DOPA, like Duodopa, and Rytary, and Deep Brain Stimulation seems to be used earlier and in more patients, but otherwise, not any profound advances, so far. However, loads of research programs under supervision of some outstanding Movement Disorder Specialists. If you are available, there may be some areas of benefit to consider. ...Read more

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What is the difference between Parkinson's drug sinemet and stalevo (carbidopa and levodopa and entacapone)?

What is the difference between Parkinson's drug sinemet and stalevo (carbidopa and levodopa and entacapone)?

COMT inhibitor: Entacaptone is a selective catecholamine-o methyl transferase (comt) inhibitor that increases the bioavailabilty of dopamine. Like Carbidopa in sinemet it does not cross the blood brain barrier. Stalevo (carbidopa and levodopa and entacapone) is a combination of l dopa, Carbidopa and entacaptone. Sinemet is a combination of Carbidopa and l-dopa. ...Read more

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My mom, Safia, 60 years old, resident of Pakistan has drug induced parkinsonism, which is bothering a lot & worsening. Sinemet (carbidopa and levodopa) 25/250 every 4.5 hours?

Tachyphylaxis.: Dosing of Sinemet (carbidopa and levodopa) is a little strange, requiring front loading in the day and a long gap at night without dosing. If taken like most other medications, on a more regular dosing interval, tachyphylaxis develops, which essentially means the efficacy of the medication reduces. ...Read more

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Is it safe for a Parkinson's patient that takes ropinirole to take robotussin? It says do not take with maoi drugs. Currently taking ropinirole.

Is it safe for a Parkinson's patient that takes ropinirole to take robotussin? It says do not take with maoi drugs. Currently taking ropinirole.

Most likely OK: Please check with your treating neurologist. In my experience, taking ropinirole does not present a problem with robitussin (guaifenesin). Maoi drugs are antidepressants that can cause very high blood pressure spikes if taking with tyramine inducing medications. Ropinerole is a Dopamine agonist, not an maoi. ...Read more

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Kleb pneumoniae found - urine of parkinson patient. Neuro dr. Referred to uro & id. But senstive drugs are renal & neuro toxic. Will nephrologist solve it

Kleb pneumoniae found - urine of parkinson patient. Neuro dr. Referred to uro & id. But senstive drugs are renal & neuro toxic. Will nephrologist solve it

UTI: Klebsiella UTI can be serious. Klebsiella is often sensitive to cephalosporin antibiotics, which are safe for kidneys and brains. Advanced penicillin derivatives also are generally safe for both organs. ID expert is best advisor. Avoid gentamicin or tobramycin. ...Read more

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Hi my cardio doctor said I have wolf parkinson white syndrome, now im suffering from migraine and lighthead my familydoctor said I do have migraine since she recmnd flunarizine sibelium 5mg I saw on the internet people with parkinson do not take drug?

Hi my cardio doctor said I have wolf parkinson white syndrome, now im suffering from migraine and lighthead my familydoctor said I do have migraine since she recmnd flunarizine sibelium 5mg I saw on the internet people with parkinson do not take drug?

WPW: Wolf Parkinson White is a cardiac issue resulting in arrhythmias. Parkinson's is a neurological issue. The two have nothing to do with each other. Follow your doctor's recommendations. She knows what she is doing. ...Read more

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21days in icu forsepsis, parkinson, prostate & kidney disease. E-coli in urine. Now urine shows same result-2 high sensitive drugs become resistant. Help.

21days in icu forsepsis, parkinson, prostate & kidney disease. E-coli in urine. Now urine shows same result-2 high sensitive drugs become resistant. Help.

Advanced question: If resistance is seen with 2 classes of antibiotic drugs, an alternate antibiotic which e coli is sensitive to, will be chosen and the source of the infection- likely a chronic Foley catheter- will be removed. You ICU team of doctors is the most appropriate group to ask this question, specifically the id specialist (if there is one in your institution). ...Read more

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Is it safe to take clonazepam for sleep with sinemet (carbidopa and levodopa) for Parkinsons patient? Are there any drug interactions?

Is it safe to take clonazepam for sleep with sinemet (carbidopa and levodopa) for Parkinsons patient? Are there any drug interactions?

Probably safe...: ...but not especially the best choice! Although medications in that class (benzodiazepines) allay anxiety and can relax muscle spasm, they also interfere with normal sleep architecture and increase the risk of falling. I would certainly advise that you discuss this with your neurologist or a psychiatrist trained in sleep disorders or with additional training in geropsychiatry. ...Read more

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69-y Parkinson male. Took (Piribedil Sustained-release Tablets;Levodopa and Benserazide)for 9 yrs. Recently drug-resistant (cant lift legs), suggestions?

69-y Parkinson male. Took (Piribedil Sustained-release Tablets;Levodopa and Benserazide)for 9 yrs. Recently drug-resistant (cant lift legs), suggestions?

Please repost: Your dad maybe? Piribedil & bensazeride are not available in the US. Where does 69 live? In US or abroad? If he lives here, will he continue to make his US neurologist's life more diffcult by insisting on using foreign drugs? If he lives abroad, getting advice from a US neurologist is pointless if the US & foreign drugs aren't the same. You need to clarify. ...Read more

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I have been diagnosed with restless leg syndrome. My physician has tried several Parkinson's drugs, but they had no effect. I recently had some dental work done and wasprescribed lortab for three days. I noticed that I got relieffrom restless leg syndrome

I have been diagnosed with restless leg syndrome. My physician has tried several Parkinson's drugs, but they had no effect. I recently had some dental work done and wasprescribed lortab for three days. I noticed that I got relieffrom restless leg syndrome

RLS: Rls may be from an underlying issue. I would suggest you make sure you've been screened for iron deficiency and neuropathy as secondary causes of rls. Also gabapentin, Lyrica (pregabalin) and Klonopin are what I use prior to narcotics for rls. ...Read more

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Why does medication for parkinson’s produce an on/off effect?

Why does medication for parkinson’s produce an on/off effect?

Dose?: Depends on the medication but some parkinson medication required "drug holiday" to allow the drug to clear and be restarted, some medications work differently causing brekthrough symptoms. It could be that dosing needs adjusted as well. ...Read more

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Can Parkinson's occur from medication?  

Not the Disease: A variety of medications can cause side effects that are similar to the movement difficulties seen in parkinson's, but the problems go away when the meds are stopped. These side effects are not true Parkinson's disease. ...Read more

Dr. Alan Ali Dr. Ali
1 doctor agreed:
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What are medications for Parkinson's disease?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
What are medications for Parkinson's disease?

Parkinson: Sinemet (carbidopa and levodopa) is what our neurologists use. Consult your pcp for other options. ...Read more

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Do you think my ulcerated colitis effects my parkinson medication being effective?

Do you think my ulcerated colitis effects my parkinson medication being effective?

Most medications: Are absorbed in small intestine, so it should not affect your parkinson medication dosage, unless you have profuse diarrhea or involvement of small intestine with inflammatory bowel disease. ...Read more

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What Parkinson's medications work best for tremors?

What Parkinson's medications work best for tremors?

PD Meds &Tremors: Sinemet (carbidopa and levodopa) (carbidopa/levodopa) is the medication that has the most symptomatic effect on tremor, however, dopamine agonists can cause a significant reduction in tremor as well. Introduction of Sinemet (carbidopa and levodopa) is usually delayed, especially in patients400mg in 4-6 years. ...Read more

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What Parkinson's medications work best for tremors?

What Parkinson's medications work best for tremors?

Treatment of tremor: The normal treatment of PD tremor is dopamine, often provided as the medicine sinemet, (carbidopa and levodopa) or carbidopa-levadopa. The usual starting dose is a 25/100 mg tablet two or three times per day. ...Read more

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Is albuterol normally prescribed with Parkinson's medications?

Is albuterol normally prescribed with Parkinson's medications?

If indicated, yes: An inhaler such as albuterol is likely being prescribed for someone at age 64 either due to COPD (lung disease from either smoking or heavy exposure to respiratory contaminants) or bad allergies with respiratory distress. You should check either with your doctor or pharmacist if combination of these drugs is of concern to you. However, it is not uncommon to see this type of prescription. ...Read more