10 doctors weighed in:
What are the treatments for progressive supranuclear palsy?
10 doctors weighed in

5 doctors agree
In brief: Good Rx available!!
Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together).
Tailor rx & watch for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for psp patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or clozaril. Remember, response is variable, but worthwhile.

In brief: Good Rx available!!
Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together).
Tailor rx & watch for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for psp patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or clozaril. Remember, response is variable, but worthwhile.
Dr. Robert Hutchman
Dr. Robert Hutchman
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Dr. Anthony Mosley
Neurology
2 doctors agree
In brief: Largely ineffective
Parkinson's meds (eg levodopa) and therapy (physical/ occupational/ speech/ swallow) might help a bit, but their benefits tend to be very limited in psp.

In brief: Largely ineffective
Parkinson's meds (eg levodopa) and therapy (physical/ occupational/ speech/ swallow) might help a bit, but their benefits tend to be very limited in psp.
Dr. Anthony Mosley
Dr. Anthony Mosley
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Dr. Eric Farbman
Neurology
1 doctor agrees
In brief: The right doctor
I believe it is important to be seen by a movement disorders neurologist for this neurodegenerative disease.
This is a very difficult disease to treat. A patient may need very high doses of levodopa. Oftentimes issues such as feeding tubes are at the fore. A specialist will have more experience dealing with this rare disease and may have other options (i.e. Clinical trials) available.

In brief: The right doctor
I believe it is important to be seen by a movement disorders neurologist for this neurodegenerative disease.
This is a very difficult disease to treat. A patient may need very high doses of levodopa. Oftentimes issues such as feeding tubes are at the fore. A specialist will have more experience dealing with this rare disease and may have other options (i.e. Clinical trials) available.
Dr. Eric Farbman
Dr. Eric Farbman
Thank
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