14 doctors weighed in:

How is Parkinson's disease treated?

14 doctors weighed in
10 doctors agree

In brief: Good 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). After they've been maximized & stronger meds are 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.

In brief: Good 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). After they've been maximized & stronger meds are 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.
Dr. Robert Hutchman
Dr. Robert Hutchman
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5 doctors agree

In brief: Severity

Initially, Dopamine agonists (ropinorole, pramiperole, or Neupro patch).
Azilect perhaps, in certain cases. Later, the various l-dopa preps, such as sinemet, stalevo, (carbidopa and levodopa and entacapone) etc. If things get too severe, deep brain stimulation may be used. Physical therapy may help. Otc preps such as coq-10 seem not useful. Vitamin d may be of value. This is quite complex, and a good neurologist is critical.

In brief: Severity

Initially, Dopamine agonists (ropinorole, pramiperole, or Neupro patch).
Azilect perhaps, in certain cases. Later, the various l-dopa preps, such as sinemet, stalevo, (carbidopa and levodopa and entacapone) etc. If things get too severe, deep brain stimulation may be used. Physical therapy may help. Otc preps such as coq-10 seem not useful. Vitamin d may be of value. This is quite complex, and a good neurologist is critical.
Dr. Bennett Machanic
Dr. Bennett Machanic
Thank
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