11 doctors weighed in:

How can you treat progressive supranuclear palsy?

11 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.
Thank
Dr. Felix Brizuela
Neurology
3 doctors agree

In brief: Not good

Not very much except for supportive care.
Doesn't respond well to drugs used for other types of parkinson's.

In brief: Not good

Not very much except for supportive care.
Doesn't respond well to drugs used for other types of parkinson's.
Thank
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.
Thank
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