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Suggest Treatment For Parkinson's Disease

Posted on Mon, 28 Mar 2016

Question: What do you recommend for a woman who is 83 who has beginning stages of Parkinson's. Best medication, diet, exercise, etc.

Answered by Dr. Ajay Panwar (23 minutes later)

Brief Answer:
What are her predominant symptoms-tremors or rigidity?

Detailed Answer:
Hi XXXXXXX m.franke,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I would surely like to guide you for the management of parkinson's disease but please tell me beforehand about the symptoms?

Is her Parkinson's tremor predominant or is it rigidity,the chief symptom?Actually,medicines are tailored according to the symptoms.
Is she independent for her daily activities?So,rather than just saying 'early stage parkinson's'-please tell about the clinical details.That will help to formulate a proper management plan.

I shall be glad to have you in follow-up.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Ajay Panwar (14 minutes later)

Thank you Dr. Panwar!

She has the tremor and she sometimes has trouble with her balance when she is walking. Her dr. prescripted Levadopo.

Yes, she is independent for her daily activities.

Thank you, XXXX

Answered by Dr. Ajay Panwar (7 minutes later)

Brief Answer:
Levodopa should be continued.

Detailed Answer:
Hi XXXXXXX m.franke,
Thanks for being in follow-up and providing further details.

Levodopa is the obvious choice as a starting drug while treating Parkinson's disease in elderly,especially at her age.

However,if tremors don't improve much upon Levodopa, Pacitane may have to be added upon.

For now,as she is independent,the approach should be to start Levodopa at a dose of 125 twice a day or thrice a day and observe for the response.This will be the universal approach in this patient.

There are no specific diet restrictions and recommendations.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Ajay Panwar (50 minutes later)

Thank you Dr. appreciate it.

Answered by Dr. Ajay Panwar (27 minutes later)

Brief Answer:
Welcome.

Detailed Answer:
Hi XXXXXXX m.franke,
Thanks for being in follow-up and appreciating.

If you have no further questions,please close the thread,rate it and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Naveen Kumar