Longterm problems

After 3-5 years of levodopa treatment side effects may appear in about one half of patients: 5

• involuntary movements—dyskinesia (use lower dose + pergolide)

• end of dose failure (reduced duration of effect to 2-3 hours only)

• 'on-off phenomenon (sudden inability to move with recovery in 30-90 minutes)

• early morning dystonia, e.g. clawing of toes (due to disease—not a side effect); management of motor problems summarised in Table 29.6 .

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Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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