Suggest Alternative Medication For Parkinson's Disease

Posted on Mon, 2 Feb 2015

Question: i HAVE PARKINSONS DR TRIED TO ADD OTHER FRUGS SAGALINE, MIRA PEX WITH DOPAMINE CIPERRO THEN A FORM OF DRUG OF DRUG RITALINE. i HAD BAD REACTION AND STOPPED DRUGS . EXPERIENCED DISKINISHA .LATELY FOUR WEEKS I WAS VERY SLEEPY COULD NOT FUNCTION. dR WON'T CALL ME BACK. SIX WEEKS AGO. REDUCED DOPAAAMINE TO FUNCTION BETTER TOOK PROCERA 3 PILLS A DAYD. gOU;F THINK BETTER. THID IS ACETA CAROTINE AND PROTIEEEN. REDUCED DOOPAMINE FROM ONE TABLET 4 X DAY TO 1/2 TABLET TWICE A DAY. i AM STIFF AND SOME TIMES HAD SHAKES IN BOTH SIDES OF BODY. aM i KILLING MY SELF. i CAN THINK CLEAARLY AFTER 10 AT NIGHT. i HAVE kAISER WHO CAN I TALK WITH. dR WON'T RETURN CALLS.

I REXIED A NEW DEBIT CARD BY MAIL TODAY AND ACTIVATED I T ON LINE THUR XXXXXXX

Answered by Dr. Ajay Panwar (1 hour later)

Brief Answer:
Sinemet(Levodopa-Carbidopa) and Pacitane(Trihexyphenidyl) to be started.

Detailed Answer:
Hi XXXX,
Thanks for being on Healthcaremagic.com.
I am Dr.Ajay Panwar, a neurologist, here to answer your query.

Parkinson's disease at age more than 65 years old with predominant symptoms of tremors(shakiness) and rigidity(stiffness) needs to be treated with Sinemet(Levodopa/Carbidopa) and Pacitane(trihexyphenidyl).

Apparently you have been treated with MAO inhibitors(selegiline) and Dopamine agonists(Mirapex) till now,which have started causing dyskinesias and other complications.
Presently if you have stopped these drugs,then you should be started on Sinemet and Pacitane(as your symptoms of shakiness and stiffness are prominent) ,in doses tailored according to your disease activity.

Please discuss the drug modifications with your treating physician.
If you have any follow-up questions,I shall be glad to answer them,else please close the thread and rate it.

Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Vaishalee Punj