Doctor insights on:
Medicine For Parkinson Disease
Parkinson Disease: There are a number of medications available for Parkinson disease but see which might be best for the patient you need to have a consultation with a neurologist who deals with this disorder - this physician can best assess which would be the best medication. ...Read more
I've have Gastroparesis, my Ex Gastrologist put me on Metoclopramide I Herd long term use of this Medicine causes Parkinson's Disease is this true?
Complicated: With the earliest symptoms, best approach is Dopamine agonist (mirapex, requip), later l-dopa, which remains fundamental, and maybe Azilect for potential protection. As the l-dopa becomes less efficacious, comtan, (entacapone) and even later combinations of all of the above, and if inadequate, use of deep brain stimulation. ...Read more
Meds First, then DBS: As a pd specialist I always try to get the most utility from medications first. The typical choics are (in order of preference): azilect, agonists (requip xl, Mirapex er & neupro-available july 16), then sinemet & last comtan (entacapone). If despite all these, symptom relief/qol is poor, dbs of stn or gpi ate favored & are very effective @ reducing inconsistent medication effect (. ...Read more
Side effects.: There are many medications used to treat parkinson's disease, though unfortunately there is no cure at the present time. Most of these medications work by increasing dopamine, and the most common side effects are nausea/ upset stomach and light-headedness/ dizziness. Other less common side effects include hallucinations and compulsive behavior such as gambling. ...Read more
Depends on yourself: Many factors to assess before deciding whether it's best for a patient to take medication for their Parkinson's right away or wait. That's something you should discuss with your doctor. Medications for Parkinson's have side effects to be sure but they also can improve the quality of life tremendously in some people. You can also engage in regular EXERCISE (not just physical therapy) which helps. ...Read more
Treatment options: Many treatment options are available including dopamine agonists, deep brain stimulation, etc. There is a lot of active research in the field and new findings are being made each day. See a neurologist (specifically a neurology movement disorders subspecialist) for discussion. Http://www. Nlm. Nih. Gov/medlineplus/parkinsonsdisease. Html ...Read more
My granmothet suffers with parkinson disease nd severe pains from shoulders to arms. She takes tramadol hydrocloride kindly suggest some medicine.?
Rule out...: Shoulder and arm pain in the elderly has many causes besides parkinson's. The entity to rule in/out first is the very treatable, potentially very serious polymyalgia rheumatica. A physician can make the call easily. Palpate the temporal arteries during the exam. Your grandmother is fortunate to have a family member who cares as you do. Thanks for writing. ...Read more
Numerous ITEMS: We have the anti-cholinergics like artane, but not used much these days, Dopamine agonists such as mirapex, requip, Neupro (rotigotine) patch. L-dopa with or without carbi-dopa, and maybe later entacapone. Azilect may be neuroprotective. The dbs unit could provide surgical support. ...Read more
Causes of PD: Parkinson's disease involves depletion of a neurotransmitter in the part of the brain called the substantia nigra. The precise mechanisms of neurodegeneration in pd are unknown. There is believed to be an interaction between genetic and environmental factors, abnormalities in protein processing, oxidative stress, mitochondrial dysfunction, and others. ...Read more
Many possibilities: Physical symptoms: resting tremor, slow movements, rigidity (stiffness) of muscles & posture. Causing slow walking, masked face, decreased blink rate, softer/mumbled speech, poor hand agility, small handwriting, potential falls & injury. Non-physical symptoms: cognitive decline, hallucinations/delusions, anxiety/depression, insomnia, sleepiness/fatigue, constipation, low bp, erectile dysfunction. ...Read more
Many are available:
There are numerous drugs and treatments available.
Consult with a neurologist to review your medical condition and get started on the correct road to control. ...Read more
Parkinson's: Parkinson's disease is a degenerative disease of the basal ganglia. As a degenerative disease, different areas of the brain die at different times which causes asymmetry of symptoms. ...Read more
Slow progression: These symptoms typically involve resting tremor, slowness of body movements & rigidity of muscles & posture. They always begin on one side, then effect the midline (face, voice & balance, & finally do spread to involve the other side. Early pre-motor symptoms include: rbd (acting out dreams while sleeping), anosmia (loss of smell), constipation & depression. Also, slow mental clarity/st memory. ...Read more
Dx of Parkinson's: Usually onset of sx's in late 50-60's in patients. They develope a resting pin- rolling tremor, masked facies, rigidity and slowing down of movements. They may also have postural instability and gait difficulties. Pls see an neurologist to be sure the condition is not "parkinsonism"related to medication, possible normopressure hydrocephalus or a stroke or brain mass. ...Read more
Slows gait: Parkinson's slows movements and makes steps smaller. There are also balance difficulties and increased falls. Posture is often bent forward though there is a tendency to fall backwards known as retropulsion. These problems can be mild early on in the illness but can be debilitating if you have had the disease for a number of years. ...Read more
Varies: This may vary depending on the severity of the parkinson's disease and also the response to medications. There are some who may have a minor tremor that is well controlled by medications. There are some that may have severe on/off problems that are debilitating and affect daily living. There are new surgical techniques (deep brain stimulation) that have a lot of promise in alleviating symptoms. ...Read more
No remedies (cures): Parkinson's disease is unfortunately a progressive neurological disorder for which there is no remedy or cure at this time. However, there are many options for treatment, and with proper management of medications, exercise and other treatments patients can often do well for many years. ...Read more
Parkinson Disease: Parkinson Disease is a disorder of the brain affecting mostly muscle control and cognition - it does not normally affect homeostatis of the body until the very late stages of the disease. ...Read more
Parkinsons disease (pd) is a degenerative disorder of the central nervous system with motor symptoms due to the death of dopamine-generating cells in the substantia nigra. Later in its course cognitive and behavioral problems may occur in addition.
School medicine teaches that there is no cure for pd, but medications, surgery and multidisciplinary management can provide symptomatic relief. ...Read more
Vastu remedies: There is no known cause for parkinson's disease. There are several excellent western medical options for parkinson's disease. A neurologist can help with a treatment plan. Light a candle in the southeast portion of the house on a daily basis for good health. Please see a vastu guru for further vastu remedies in regard to parkinson's disease. ...Read more
What would be the most common causes and simple remedies for parkinson disease (including vastu remedies)?
Exercise & medicine: Parkinson disease is caused by a loss of dopamine-producing cells in the brain. When one loses enough of these, the symptoms begin. The treatment includes cardiovascular exercise, but mostly by medication that replicates the effect of the dopamine. There is no evidence for any benefit of vastu remedies. ...Read more
I may have some symptoms of parkinson disease; is it possible that some medication cause symptoms like these?
Possibly: There are a number of medications with side-effects that mimc parkinson disease. Reglan and Compazine are very common examples. Similarly, a number of anti-psychotic and mood stabilizing medications can do so, as well...E.G. Haldol, risperdal, abilify (aripiprazole)...There are very many...Even Depakote can, through a different mechanism...And, less commonly, ssri's, such a Paxil and Prozac (and others)... ...Read more
I had parkinson disease for 12 years now. With my daily medication no one will know I have this ailment. Wouldn't my age 62 cause it to be worse?
Not necessarily: Congratulations on having a medication regimen that keeps the disease in check. Parkinson diseae affects different people differently; be happy you have control right now! ...Read more
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