Parkinson's may progress less quickly when the main symptom is tremor.
> DIAGNOSIS AND PROGNOSIS OF NEW ONSET PARKINSON DISEASE
> INITIATION OF TREATMENT FOR PARKINSON DISEASE (2002)
> NEUROPROTECTIVE AND ALTERNATIVE THERAPIES FOR PARKINSON DISEASE
There is good evidence that treatment with 2,000 units of Vitamin E should not be considered to slow the progression of Parkinson disease.
There is not enough evidence for or against the following to slow the progression of Parkinson disease:
• Riluzole: This is a drug used to slow the progress of amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease).
• Coenzyme Q10: This is a vitamin-like substance found in a variety of foods and produced naturally in the body.
• Pramipexole: This drug is used to treat the signs and symptoms of Parkinson disease, including tremors (shaking), stiffness, and slowness of movement.
• Ropinirole: This is used to treat the symptoms of Parkinson disease, including tremors (shaking), stiffness, and slowness of movement.
• Rasagiline: This drug is used to treat Parkinson disease, either by itself or in addition to levodopa therapy.
• Amantadine: This is used to treat Parkinson disease and conditions similar to Parkinson disease.
• Thalamotomy: This is a surgical procedure that destroys small areas of the thalamus (a structure deep within the brain) to reduce tremors.
Alternative therapies that improve motor function in Parkinson disease
Many people with Parkinson disease and their caregivers use alternative therapies not prescribed by a doctor. These include treatments such as herbs, vitamins, massage, and acupuncture.
There is good evidence that vitamin E should not be considered to treat the symptoms of Parkinson disease.
There is weak evidence that exercise therapy may be considered to improve motor function.
There is weak evidence that speech therapy may be considered to improve speech volume.
There is not enough evidence for or against the following to improve motor function:
• M pruriens, also known as cowhage or velvet bean
• Acupuncture, which involves penetrating the skin with thin, solid needles made of metal that are manipulated by the hands or by electrical stimulation
• Manual therapy, including chiropractic and osteopathic manipulation
• Biofeedback, a way of learning to control body functions such as heartbeat, blood pressure, and muscle
tension with the help of a special machine. This method can help control pain.
• Alexander technique, a type of manual therapy that requires developing awareness of posture in order to improve posture
• Vitamins other than vitamin E
Talk to your neurologist
People experiencing the signs of Parkinson disease should seek the care of a neurologist. Your doctor will
recommend an individualized treatment plan. This may include lifestyle changes. All treatments have some side effects. The choice of which side effects can be tolerated depends on the individual