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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Parkinson S Disease Drugs Be Continued At Present?

Dear Sir, My father used to take blood pressure tablets for more than 20 years. All of a sudden he had little hand tremor and showed sign of slowness in putting on the shirt buttons.Thereafter we consulted the doctor and he advised for MRI of brain and Lacunar infarct was detected. The doctor changed the BP medicine and altered it with Sartel M, Lipicure 6.5 and Copilet. The symtoms changed a little . We aiso consulted a neuorologist and he advised for Rasalaect.5 and Levodopa suggesting for Parkinson. Whether it is advisable to continue with the PD drugs or to stop it.
Thu, 19 Mar 2015
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Neurologist,  's  Response
Hello !
Thank you for the question !
I would like to know if PD drugs improved your father's situation. Parkinsonism caused by stroke can be partially responsive to Levodopa treatment. I think it has improved his symptoms.
The natural history of parkinsonism from stroke depends on individual patterns. The symptoms may improve gradually ( like other symptoms of stroke , paralysis etc), even completely resolve. But they may also persist.
I would recommend to continue taking these drugs for 2 months . And then try to gradually decrease doses and see the result. If the symptoms come back , he may need treatment for longer periods.
Hope to have been helpful!
Thank you for using HCM!
Best wishes Dr. Abaz Quka
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Should Parkinson S Disease Drugs Be Continued At Present?

Hello ! Thank you for the question ! I would like to know if PD drugs improved your father s situation. Parkinsonism caused by stroke can be partially responsive to Levodopa treatment. I think it has improved his symptoms. The natural history of parkinsonism from stroke depends on individual patterns. The symptoms may improve gradually ( like other symptoms of stroke , paralysis etc), even completely resolve. But they may also persist. I would recommend to continue taking these drugs for 2 months . And then try to gradually decrease doses and see the result. If the symptoms come back , he may need treatment for longer periods. Hope to have been helpful! Thank you for using HCM! Best wishes Dr. Abaz Quka