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What is the best medicine or stimulation surgety for parkinson disease?

2 doctors weighed in
1 doctor agrees

In brief: 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 (.

In brief: 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 (.
Dr. Robert Hutchman
Dr. Robert Hutchman
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