Initial Symptomatic Treatment of Parkinson’s Disease
Treatment of the patient with recent-onset Parkinson’ s disease (PD) is often a very gratifying experience. Although we do not have medications with proven efficacy for slowing disease progression, we do have good drugs for symptomatic treatment. The physician’s role is to keep patients within the mainstream of life. Patients whose lives are compromised obviously need to be treated, whereas others with more minor symptoms (e.g., isolated tremor) may not require therapy. The patient should participate in the decision. Some symptoms and signs that the physician may regard as minor may be troublesome to the patient. For example, someone in the public eye might be quite disabled by parkinsonian tremor that might not bother others. Clearly, however, persons curtailing their activities because of parkinsonism should be treated with adequate medications and doses.
KeywordsDopamine Agonist Multiple System Atrophy Levodopa Therapy Motor Complication Large Neutral Amino Acid
Unable to display preview. Download preview PDF.