Practice tips

• Levodopa is the gold standard for therapy.

• Longer acting levodopa preparations may reduce the 'end of dose' failure effect but remember the possible need for a 'kick start' with short-acting preparations, e.g. first thing in the morning.

• Ensure that a distinction is made between drug-induced involuntary movements and the tremor of Parkinson's disease.

• Keep the dose of levodopa as low as possible to avoid these drug-induced involuntary movements.

• In the elderly with a fractured hip always consider Parkinson's disease (a manifestation of disequilibrium).

• Remember the balance of psychosis and Parkinson's disease in treatment.

• Keep in mind the 'sundown' effect—patients often go psychotic as the sun goes down.

• Don't fail to attend to the needs of the family, who often suffer in silence.

• Bromocriptine and pergolide should be used very cautiously in the elderly because of possible acute psychotic reactions.

Back Pain Relief

Back Pain Relief

This informational eBook will present you with the most recent research and findings available so that you can learn more about Back Pain relief, covering as many bases as possible from A to Z.

Get My Free Ebook

Post a comment