Several. The mainstays of parkinsons treatment are Dopamine agonists such as Requip and the drug l-dopa (sinemet). Others include comtan, (entacapone) amantadine, selegeline, cogentin. Even ECT can be used in severe cases and there is also experimental surgery. Talk to your neurologist to see what is right for you or your loved one.
Four Main Classes. 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). After they've been maximized & stronger meds ate needed to adequately manage symptoms, then sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together) are begun. Tailor rx with side effects in mind for each person.
Parkinson. Despite a good deal of investigation so far there is no known causes of Parkinson's except for those drug induced. So until the source is found the concept of prevention remains remote.
Surgical? Essentially there are medications and surgery. Surgical treatment would likely consist of deep brain stimulation or dbs but, you should confirm this with a neurologist and a neurosurgeon.
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.
No, others are used. Dopamine agonists such as pramipexole, ropinorole, and Neupro (rotigotine) patch. Azilect, entacapone, and maybe tolcapone. Dbs surgery and use of unit. So, lots of choices.
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.