Doctor insights on:
Parkinson Disease Produces Dementia As Well As
Sort Of: At this time there are no medications specifically indicated for parkinson's dementia. I have used the current medications that are used for alzheimer's dementia as these are available. Coping mechanisms are the same for all dementia. Treat the brain as though it is a muscle and keep it exercised regularly. Stimulation like reading, playing cards, puzzles, and games. Also, physical exercise.See 1 more doctor answer
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.See 1 more doctor answer
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.See 2 more doctor answers
Secondary Parkinson': This condition may be caused from heavy metal intoxications, medications such as anti-psychotics or related to a neurodegenerative condition "multi-systems atrophy (msa). Msa may be associated with blood pressure changes, rigity, tremor, deficits in upgaze and cognitive disorders. Pls see a neurologist for further info.
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.
No cure: There is no cure for parkinson disease. There are many good medications, and exercise helps as well. There is nothing "natural" that has been shown to be helpful. Previously it was thought that coq10 was helpful, but more recent evidence suggests that it does not help.See 1 more doctor answer
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.
GRADUAL IMPACT: It is very debiltating if not treated, and gradullay declines the capacity for self care, but early diagnosis and treatment, may help some, especially having knowledge about it.
Parkinson's disease: The reason or cause for parkinson's disease is unknown. The disease arises from a progressive loss of Dopamine producing neurons or nerve cells in the substantia nigra in the midbrain portion of the brain. The initial treatments are oral medications followed by surgical options to treat the symptoms of tremor, rigidity and slowness of movement.
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.See 3 more doctor answers
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 (.
Not one: Believe it or not, the va has excellent centers for veterans. There are a number of great centers around the country, I would not say that one is better than the other. From where you live, I am sure that there are some exceptional movement disorders programs in philadelphia. Johns hopkins?
No-Neurodegenerative: There are patients with parkinson diseaes who get dementia. There are many patients who get bradyphrenia, which means a slowness of processing information. Many, many patients get depression. Overall, however, we do not consider it a mental illness. It is a degenerative neurological movement disorder.
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
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