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Parkinson's Disease

Parkinsons like

03/25/2008

Question:

is there a different approach to treating someone with parkinsons like than you would someone with full parkinsons? My father is 84 and suffering with Parkinsons like, we have him on Sinemet 2xs a day, when we go over 3 pills a day he starts to hallucinate. He is experiencing sever stiffness and we are looking for any information on drugs or treatment that can help specifically for this. Any suggestions?

Answer:

Idiopathic Parkinson's disease and also parkinson's like syndromes fall into the broader classification of diseases termed parkinsonism. The cardinal features of parkinsonism include slowness of movement, rigidity, postural instability, and tremor.

Parkinson like diseases (or atypical parkinsonian syndromes) are often minimally responsive to medication used to treat idiopathic Parkinson's disease. It is common to see patients with atypical parkinsonian syndromes not tolerate parkinsonian medications. Numerous other medications may worsen cognitive issues also. In addition to trials of levodopa, medications specific for muscle relaxation can also be tried but may be difficult to tolerate as well. Unfortunately, there is not many medications are available to treat the atypical parkinsonian syndromes and so overall treatment is more supportive. Physical and speech therapy are important approaches.

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Response by:

Punit  Agrawal, DO Punit Agrawal, DO
Assistant Professor of Neurology
College of Medicine
The Ohio State University