Doctor insights on:
Treatment For Parkinson's Tremors
I have encephalitic parkinson since 2009, after initial 18 months there has been no improvement in my rigid limbs and tremors. Is there any treatment?
Yes: Some cases of Parkinsonism do not respond well to L-DOPA, so a different therapeutic approach is advised. Would suggest trial of Stalevo, which contains entacapone, which may enhance the Sinemet effect, and you may be better off with a longer duration agonist such as Neupro patch. Would do active physical therapy, and maybe BOTOX, for the rigidity. Find movement disorder center at medical school ...Read moreSee 1 more doctor answer
What are the causes, symptoms and treatment options for Parkinson's disease in elderly women. Is mild tremor of the hands indicative of the illness?
Gods Rx Available!!: Dopamine meds are mainstay of treatment. Modern therapy recommends longer lasting, milder potency meds first: Azilect (mao-b selective inhibitor) & Dopamine agonists (requip xl/mirapex er/neupro--cautiously in the elderly). If these are inadequate & stronger meds are needed to manage symptoms, then sinemet +/- Comtan (stalevo is both together) are begun. Tailor rx with side effects in mind. ...Read moreSee 1 more doctor answer
Dopamine: The best medical treatment for Parkinsons tremor is dopamine, normally in the form of sinemet, or levodopa-carbidopa. This may be given up to 1000-1500 mg of dopamine per day. Sometimes tremor is not effectively managed with medicine. There is a pacemaker type treatment called a brain stimulator that is sometimes helpful for people with a very bad tremor that cannot be controlled more easily. ...Read moreSee 2 more doctor answers
PD Meds &Tremors: Sinemet (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 is usually delayed, especially in patients400mg in 4-6 years. ...Read moreSee 1 more doctor answer
Yes: I have seen cases where the tremor in Parkinsons diminishes as the disease advances. Unfortunately dementia tends to go along with it and you may not be able to appreciate the reduction in your tremor. This of course is just one doctor's experience. Talk to your doctor about your case and your treatment options. I wish you well! ...Read more
I'm being treated for essential tremor but i'm worried it may be parkinson's. I'm on propranolol but they are no longer working and shakes are worse?
Parkinsonism?: There is a significant difference between essential tremor and that of parkinsons disease. It is not uncommon for a need to alter treatment for essential tremor over time. Consult you doctor and/or a neurologist to discuss how the diagnosis of parkinsons disease is made and if you have any indication of pd. ...Read moreSee 1 more doctor answer
By history & exam: Check out http://www.mayoclinic.org/diseases-conditions/essential-tremor/basics/symptoms/con-20034509. Essential tremors typically occur when attempting to do something, especially w/hands while Parkinson's disease tremors are at rest. PD also affects gait, handwriting & facial expression whereas essential tremor doesn't. ...Read moreSee 1 more doctor answer
Parkinson's Disease: The most common symptoms besides tremor include: stiff muscles (rigidity) and aching muscles. Slow, limited movement (bradykinesia), especially when the person tries to move from a resting position. Weakness of face and throat muscles cause talking and swallowing difficulties. Walking and balance problems are likely to make a patient take small steps and shuffle, bend forward slightly. ...Read moreSee 2 more doctor answers
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