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Doctor insights on: Treatment For Parkinson's Tremors

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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?

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, (carbidopa and levodopa and entacapone) 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 more

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Dr. Prem Gupta
1,116 doctors shared insights

Tremor (Definition)

A tremor is an unintentional trembling or shaking movement in a part of the body, and usually occurs in the hands. It can occur in healthy individuals, but tremors are also present in brain diseases ...Read more


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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?

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 (carbidopa and levodopa and entacapone) is both together) are begun. Tailor rx with side effects in mind. ...Read more

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Please help my mum said my dad has Parkinson's,has no tremors, the only test he's had is a memory one, can this confirm it alone! Doesn't sound right!

Please help my mum said my dad has Parkinson's,has no tremors, the only test he's had is a memory one, can this confirm it alone! Doesn't sound right!

Parkinson's: A good diagnosis is going to involve a thorough neurologic exam combined with MRI, and can certainly be supplemented by a good neuropsychological exam, which is likely what your mum is calling a memory test. Also not every person with this disease will show significant tremors. ...Read more

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What are symtons of Parkinson's diease besides tremors?

What are symtons of Parkinson's diease besides tremors?

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 more

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What are the differences between dystonia, tremor, and Parkinson's disease?

What are the differences between dystonia, tremor, and Parkinson's disease?

Trigeminal neuralgia: Yes, nonsurgical with medications, minimally invasive or radiation versus open surgery. All have pluses and minuses. See a neurosurgeon. I am attempting to delete this post as it was meant for another question. Sorry. ...Read more

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Pinky tremor. Particularly when fully abducted or adducted. Is it parkinson's?

Pinky tremor. Particularly when fully abducted or adducted. Is it parkinson's?

No: Most likely you have essential familial tremor, but get thyroid checked. Can readily be treated and controlled. ...Read more

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I have Parkinson's & have just started to cut down on repinerole & have started taking Entacapone. Why has my tremor got worse?

ROpinirole: Dopamine agonists such as and especially rOpinirole are particularly effective for tremor. You realize of course that rOpinirole and entacapone do completely different things. Entacapone isn't a dopamine agonist; it is an adjunct to levodopa to prolong its effect. One drug doesn't replace the other. ...Read more

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If I have tremors,.is it possible I have Parkinson's disease?

Prob not: The symptoms of Parkinsons are 1) resting tremor, a tremor at rest, normally on one side 2) slowness of movement 3) increased muscle tone 4) unexplained falling If you have all of these, there is a good chance of PD. Do you have any of these? Most people with a tremor have essential tremor. It is quite different. The tremor is on both sides and obvious when the hands are held up. ...Read more

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Why is my parkinson tremor worse in the afternoon?

Timing of meds?: If you're taking medicine for parkinson's, the timing of your medicine dosing may have a lot to do with the timing of your tremor intensity. ...Read more

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Why have I not had my Parkinson's tremor for 4 days?

Why have I not had my Parkinson's tremor for 4 days?

Medication working?: may be your medication is working. it is a good news ,is it? check with your neurologist for a peace of mind. ...Read more