Complicated. With the earliest symptoms, best approach is Dopamine agonist (mirapex, requip), later l-dopa, which remains fundamental, and maybe Azilect for potential protection. As the l-dopa becomes less efficacious, comtan, (entacapone) and even later combinations of all of the above, and if inadequate, use of deep brain stimulation.
Parkinson's Meds. For primary motor symptoms; sinemet or parcopa (carbidopa/levodopa), Requip (ropinirole), Mirapex (pramiprexole), Eldepryl (selegiline), Azilect (rasagiline), Artane (trihexyphenidyl), amantadine, Lodosyn (carbidopa), tasmar, stalevo, (carbidopa and levodopa and entacapone) Comtan (entacapone), apokyn. For other associated symptoms: Exelon (rivastigmine) memory, ssri/tcad anxiety and drooling, MiraLAX / colace for constipation, etc.
Parkinsons Meds. Carbidopa/levodopa, comtan, sinemet, azilect. Tasmar, stalevo (carbidopa and levodopa and entacapone), etc.