Neuro-family docs. See plenty of patients with this chronic neurological condition.
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.
Neurologists mostly. Physical symptoms can include tremor of limbs at rest>in posture or in action; slow movements & stiff (rigid) muscles causing quiet facial emotions, softer voice, bent forward head & neck posture, decreased arm swing, slow-shuffled walk, small/scratchy penmanship, etc. Non-physical symptoms can include cognitive decline, depression, anxiety, sleepiness, constipation, ed, low bp, acting-out dreams.
Parkinson's disease. Patients with Parkinson's disease may not need medication if the symptoms are mild. Diet and rehabilitation exercises can help. Parkinson's disease is characterized by a progressive loss of Dopamine producing nerve cells in the substantia nigra located in the midbrain. Eventually, as more nerve cells are lost, then medications such as Dopamine agonists will be required to reduce the symptoms.
Doesn't have. To take meds. But as the disease progresses. It helps patient maintain there everyday function better and longer. Talk to your doctor at length about the meds side effects benefits and risks.
Depends on yourself. Many factors to assess before deciding whether it's best for a patient to take medication for their Parkinson's right away or wait. That's something you should discuss with your doctor. Medications for Parkinson's have side effects to be sure but they also can improve the quality of life tremendously in some people. You can also engage in regular EXERCISE (not just physical therapy) which helps.
That depends. On the severity, type of disease, stage of the disease, etc. Get evaluated by a Neurologist who specializes in Parkinson's disease and you will be assured to get the best treatment moving forward. Good luck.
Secondary Parkinson' This condition may be caused from heavy metal intoxications, medications such as anti-psychotics or related to a neurodegenerative condition "multi-systems atrophy (msa). Msa may be associated with blood pressure changes, rigity, tremor, deficits in upgaze and cognitive disorders. Pls see a neurologist for further info.
My doctor gave me dopamine and now I have movement disorders like parkinson disease. However all doctors that I have been to, told me that I dont have parkinson disease. Now the doctor prescribed md mendilex and abilify and I started hallucinating?
Response. Not sure whether you have an underlying neurological problem, or rather you are experiencing iatrogenic issues from your prescribed medications. Propose, if not yet done, you see a neurologist. We also might be able to help with a Concierge visit.
Hi doctor could you tell me Abilify (aripiprazole) medicine with 15mg can use or can't use for the patient of Parkinson's disease?
Need expert. In general, so-called "atypical" medications such as Abilify (aripiprazole) are likely to be safer to use for people with pd than standard versions of these meds. But it is a delicate balancing act because they all counteract, in some degree, and pd meds. This is a situation where an expert in the use of both meds will be helpful: a psychopharma/psychiatrist with a close working relationship to a neurologist.
Parkinsons. I would see a neurologist for this condition.
Neurologist. See a neurologist. There are several other conditions that can mimic parkinson disease. In any case a neurologist will have the most experience and be most up-to-date in treating pd.
Preferable Neurology. There are some drs that may be confortable making the diagnosis of Parkinson's isease. There is no test to verify the diagnosis. Always is a good idea to verify the diagnosis with the neurologist because there are different type of tremors, rigidity may be caused by other disorders, cog wheel may not be obvious in the beginning, shuffling gate exists in advanced disease. Tx is difficult.
Usg report of 68 yr male parkinson patient: echogenic renal cortices-could be parenchymal disorder & lots of residual urine (59 cc).Is it risky?
Need more info. There are many potential causes for that condition, and the modality of the study is not clear (what is usg? Is that supposed to be us?). Soon patients like yourself will be able to easily upload your imaging study to conciergeradiologist. Com for an expert second opinion for more definitive answers.
Ultrasonography of 68 yr male parkinson patient: echogenic renal cortices-could be parenchymal disorder & lots of residual urine (59 cc).Is it risky?
Ultrasound. Echogenic kidneys on ultrasound may represent medical renal disease. This should be correlated with the patient's renal function and BUN and creatinine. A valatta with a large amount of urine may be normal. A pre-and post void bladder sonogram should be performed. This may be related to a enlarged prostate or a neurogenic bladder. Discuss with nephrologist/urologist.