Doctor insights on:
Anti Parkinsons Drug Medication
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Please be specific: What drug are you asking about? Do you actually have Parkinson's? ...Read more
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 dont like to use it in anyone if we can avoid it. ...Read moreSee 1 more doctor answer
Either: The one that works the best for you. ...Read more
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
Is SNRI drugs better than SSRI drugs for people with Parkinson’s depression? Does one work better than the other for Parkinson's patients?
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
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 moreSee 1 more doctor answer
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
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
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
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 moreSee 1 more doctor answer
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
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
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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