How to improve parkinson's disease treatment
After diagnosing de Parkinson's disease, understanding the disease and treatment is the first step.
For a better treatment of Parkinson's disease, there are several medications that are effective and that should be used in the best way.
Thus, we list some activities and guidelines for the best treatment of Parkinson's disease:
Using Parkinson's Disease Remedies Correctly!
It may seem simple, but it's not! Many medications must be used several times a day, at specific times. Some may have side effects initially. But remember: medicine is not the villain!
Remedies should be seen as a tool, which can be useful if used properly.
Now, here are some tips and guidelines regarding medications:
How to Properly Use Medicines in the Treatment of Parkinson's Disease
Levodopa (prolopa®, parkidopa®, ekson®) in Parkinson's disease
Levodopa must be taken on an empty stomach for the first dose. Subsequent doses during the day should be taken away from meals. If it is lunch or dinner, it is recommended that it be taken 1 hour before or 2 hours after these meals.
Parkinson's Disease Treatment
Safinamide (Xadago®) in Parkinson's disease
Safinamide is an MAO-B inhibitor drug. MAO-B is a natural enzyme present in animals and is responsible for degrading monoamines such as dopamine. This degradation is a natural process of the body, where "we use a neurotransmitter, then we reallocate through the degradation of the neurotransmitter".
Safinamide should be used once a day.
Possible side effects are: feeling sick, nauseous, drowsiness. In rarer cases it can lead to hypersexuality (increase libido abnormally).
Rasagiline (Azilect®) in Parkinson's disease
Rasagiline is an MAO-B inhibitor drug. MAO-B is a natural enzyme present in animals and is responsible for degrading monoamines such as dopamine. This degradation is a natural process of the body, where "we use a neurotransmitter, then we reallocate through the degradation of the neurotransmitter".
Rasagiline should be used once a day.
Possible side effects are: feeling sick, nauseous, drowsiness. In rarer cases it can lead to hypersexuality (increase libido abnormally). It can sometimes worsen dyskinesia (in the patient who already has it).
Entacapone (contam®, entarkin®) in Parkinson's disease
Entacapone should be used 3 times a day. Sometimes, to reduce side effects or to protect from some off times (to avoid periods of worsening symptoms), it can be used 4 or even 5 times a day.
Possible side effects are: feeling sick, nauseous, drowsiness.
A common side effect of entacapone is that the urine turns green!
Mbut, in general, it is not very problematic (you do not need to stop the medicine because of this).
Pramipexole (sifrol®, stabil®, quera®) in Parkinson's disease
Pramipexole should be taken 3 times a day. There is no impediment to taking it near food, like Levodopa, but many times, to make it easier, we recommend using it together with Levodopa or other medications.
There are once daily formulations (Quera LP®, Sifrol ER®, Pisa®). These formulations can be taken once a day (in the evening or in the morning). As this medicine can often make you sleepy, it is commonly recommended to use it at night, but there are people who do not have this associated effect and can take it during the day without problems.
The main side effects of Pramipexole are: nausea, dizziness, drowsiness, edema in the lower limbs (swelling), among others.
In larger doses, in some people, there may be uncontrolled impulses. There may be a propensity for shopping, gambling or sexual compulsions, or hallucinations. These effects are not common and depend on several factors, such as the dose of the medicine. But the medicine should not be stopped taking because of the fear of these side effects! Remembering: these are possible effects, but not probable. Happens in less than 1% of patients!)
Stalevo® in Parkinson's disease
Probiotics and supplements in Parkinson's disease
Supplements and probiotics may be used for Parkinson's disease, but generally not routinely indicated.
The use of supplements in Parkinson's disease should be evaluated according to age, diet, physical activity, among other factors.
Thus, a nutritional follow-up, withnutritionist, can be very useful in Parkinson's disease.
There are some medications for Parkinson's Disease that should be avoided as much as possible.
Must not be used:
Seasickness Medications: Bromopride (DIgesan®), Metoclopramide (Plasil®)
Behavior Medications: Risperidone, Olanzapine, Haloperidol, Neozine ®
Medications for dizziness: Cinnarizine, FLunarizine (Vertix®, Vertizine®)
Among others!
Parkinson's Disease Treatment
There are several medications for Parkinson's Disease. The central drug of the treatment is thelevodopa, which is available under trade names such as Prolopa, Carbidopa, Ekson, among others. This medicine has the function of replacing the dopamine that is failing to be produced in neurons.
As Levodopa does not last long in the body, it always has to be taken several times a day (on average 3 to 5 times a day), in doses to be adjusted by the doctor and adequate according to the stage of the disease. The absorption of Levodopa can also be altered by food, so medicines for Parkinson's Disease have to be taken on an empty stomach and away from meals.
There are several other drugs, which are usually used associated with,jointly with Levodopa, all with the aim of raising thedopaminecurrent on body. Each medicine can also have adverse effects, so follow-up with the specialist doctor is essential to be able to differentiate whether a given symptom is the disease itself or if it is the medicine that is interfering with something else!
Therefore, a good relationship with the specialist doctor is extremely important, so that the treatment can be adjusted as the disease progresses, in order to ensure a treatment specific_cc781905- 5cde-3194-bb3b-136bad5cf58d_e effective for each patient.