Be Aware To Beware.....FYI

[beehive23]

Medications To Be Avoided Or Used With Caution In Parkinson’s Disease

The manufacturers of these medications may not list Parkinson’s disease as an absolute

contraindication; however, better choices within a medication class may be suggested. Some

of these medications alter the brain ‘s dopamine system causing an increase in Parkinson’s

symptoms, others may chemically interact with Parkinson’ s medications and cause side effects.

This is not intended to be a complete list and additional brand names may occur for each

medication. If you have any questions about this list, please talk to your physician or pharmacist

Medications To Be Avoided Or Used With Caution In Parkinson’s Disease APDA

Medications That Should Be Avoided....list, see link below

Medications that should not be taken with Selegiline HCL (Eldepryl, Deprenyl, Zelapar) and Rasagiline (Azilect...list, see link below

Medication classes that should be discussed with doctor or pharmacist

Newer Antipsychotics:

The newer antipsychotics have a lower risk of worsening Parkinson’s symptoms. They include:

aripiprazole (Abilify®), olanzapin (Zyprexa®), risperidone (Risperdal®), ziprasidone (Geodon®), Lurasidone (Latuda®), iloperidone (Fanapt®), paliperidone (Invega®), and asenapine, (Saphris®). Clozapine (Clozaril®) and quetiapine (Seroquel®) have the least risk of worsening symptoms.

Antidepressants:

Some agents within this class may worsen PD symptoms, increase confusion, or interact with some of your PD medications.

Antihistamines:

These are found in cough, cold, allergy, and sleep medications. When taking these medications, the elderly are at an increased risk of the following side effects: blurred vision, confusion, constipation, urinary retention, and dry mouth. The newer antihistamines loratadine (Claritin®) and desloratadine (Clarinex®) may have less side effects than older antihistamines. Cetirizine (Zyrtec®) may or may not have less risk. Topical eye or nose sprays/drops have the least risk of these side effects.

Non-prescription medications and supplements:

Some of these agents may interact with PD medications. They may not be contraindicated; however, an adjustment in the timing of the medication may be needed. For example, iron supplements may decrease the absorption of levodopa and these medications should be spaced as far as possible.

Link:

apdaparkinson.org/uploads/f...

The above tables were compiled by Maria Tan, Pharm .D. candidate and Mary Wagner, Pharm.D., MS Ernest Mario School of Pharmacy at Rutgers, the State University of New Jersey. The information contained in this supplement is solely for the information of the reader. It should not be used for treatment purposes, but rather for discussion with the patient’s own physician. For additional free copies of this supplement, please call or visit the website AMERICAN PARKINSON DISEASE ASSOCIATION

[phone] • apdaparkinson.org

hang tough

[rebtar]

My neurologist doesn't have a problem with Rasagiline and Mirtazapine...

[LAJ12345 in reply to rebtar]

Personally I think mirtazapine triggered my husbands PD as it left him so sedated he stopped moving and doing anything and deteriorated fast over the year or so he took it.

[beehive23 in reply to LAJ12345]

LAJ12345....that was my experience so i dc'd them...also the older/more PD-progressive i get i find that the meds become erratic and ineffective. Im down from 16 meds to 4 and actually have had a lot of lessening of what i thought were pd symptoms and turned out to be at the least exacerbated by infinite med interactions etc. imo no Dr can project and manage more than 3 meds and the permutations and combinations of effects that accompany them. i will never take any antidepressant with any pd specific med due to horrible personal track record. ....hang tough

[LAJ12345 in reply to beehive23]

Yes it does make me wonder how many PD symptoms people have are actually medication reactions.

[JohnPepper]

Why would anybody even think of using medication to overcome PD? It did me no good and after two years of getting worse , my late wife begged me too start doing FAST WALKING, because it had helped her with her health problems.

Nobody would ever know that I have PD. I have continued to do the FAST WALkING and that was 28 yaers ago. I have had PD since 1992.

If you want any proof and want to discus it then contact me! Good luck!

[Esperanto in reply to JohnPepper]

It seems wise to me to use your medications and supplements to allow you to improve your sleep regimen, your intestinal flora, your constipation, your mental state, in short, all PD symptoms as much as possible, so that you optimal can do your Fast Walking. If you are right, and I am firmly convinced of that, then you may then be able to adjust your medication step by step. However, limiting your medication is a pleasant side effect, but not an end in itself.