Useful tips for managing PD

[Farooqji]

Thanks to Dr Okun for sharing these tips

Tips:

Here are few tips Dr Okun shares w/ people in his practice and a few up to date articles/information:

1- review the medication list

2- consider simplifying medications for Parkinson's (sometimes to levodopa only).

3- consider lower doses of Parkinson's medications administered more frequently.

4- check for a urinary track infection.

5- sleep is really important; consider a sleep tracking wearable device and get the total hours of sleep a night to 6-8 hours (if possible).

6- Quetiapine helps more with sleep than with psychosis.

7- Cholinesterase inhibitors help some folks.

8- The safest medications for psychosis once you have considered 1-7 are pimavanserin and clozapine as they, in general, will not worsen the Parkinson's symptoms like other anti-psychotics.

9- Clozapine in the US requires weekly blood monitoring and registration w/ the REMS registry (the Risk Evaluation and Mitigation Strategy program).

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[mrmoto]

Thnak you for sharing these tips.