Wednesday, April 24, 2024

What Medications Are Used For Parkinson’s Disease

Naturaltreatment For Parkinsons #6 Magnesium & Iodine:

Medications for the Treatment of Parkinson’s Disease

Magnesium is vital for the health of the entire nervoussystem, especially the protective layer that surrounds the nerves . Magnesiumis also essential for the production of dopamine and helps protect dopaminergicneurons in the substantia nigra from degeneration. In addition to this, new evidence is showing that low levels of magnesium in the brain causes a build-up ofheavy metals a major factor in the development of Parkinsons, Alzheimers,epilepsy and MS. In a recent trial, 30 epileptics were given 450 mg ofmagnesium daily and this successfully controlled their seizures. Ifmagnesium can help epilepsy patients, it can certainly help Parkinsons sufferers. Worldrenowned magnesium expert and author, Dr Carolyn Dean, has both Parkinsons andAlzheimers disease in her top 55 health conditions caused by amagnesium deficiency list and says that magnesium is 100% essential for the preventionand treatment of both of these diseases Dr Carolyn Dean Interview

In regards to iodine, well-known researcher and author,Dr James Howenstein, says

Iodineis found in large quantities in the brain and the ciliary body of the eye. A lackof iodine may be involved in the production of Parkinson’s disease andglaucoma.

Inthe brain, iodine concentrates in the substantia nigra, an area of the brainthat has been associated with Parkinson’s disease.

David Brownstein M.D. 9

Best Sources of Magnesium and Iodine

-What Youll Need

1 cup of Magnesium Chloride Flakes

1 cup of Distilled Water

Side Effects Of Medication

All prescribed medication can have potential side effects, including those used to treat Parkinsons.

Many people find their Parkinsons medication works very well when they start taking it, but this may change over time and side effects can develop.

Some things you think are symptoms of Parkinsons may actually be side effects of medication.

Some peoples side effects will have a big impact on their lives and have to be kept under control along with the symptoms.

Mechanism Of Action Of Available Drugs

The major classes of drugs currently available for the treatment of idiopathic Parkinson’s disease are shown in Table 1. Many aim to increase dopamine in the brain, by increasing its production or altering its metabolism .

Table 1

Drugs with alter metabolism in boxed red italics

Levodopa

Levodopa is absorbed from the small intestine and transported into the brain where it is converted to dopamine. Levodopa has a short plasma half-life of about one hour. Early in Parkinson’s disease, levodopa has a long duration of action which is independent of plasma concentration, but as the disease progresses, the duration of the effect reduces. The short-duration effect is strongly linked to plasma concentration and lasts, at most, hours.

Slow-release preparations are gradually absorbed, resulting in more sustained plasma concentrations. They have reduced bioavailability higher doses are required to match the benefit of an equivalent strength of a standard preparation. Rapid release preparations are taken in liquid form to enhance passage through the stomach and absorption from the small intestine.

Dopamine agonists

Apomorphine is a potent emetic so patients must be pre-treated with domperidone 20 mg three times daily orally for at least 48 hours before the first injection. Domperidone should be continued for at least a few weeks once regular intermittent treatment has commenced. The dose can then be tapered slowly as tolerance to the emetic effects of apomorphine usually develops.

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Dealing With Side Effects Of Parkinsons Drugs

Its important to speak to your specialist or pharmacist if you notice anything unusual.

Changing or adding to your medication might help, and your specialist will be able to look into this.

For many people with advanced Parkinsons, medication may start to be reduced if side effects outweigh the benefits of taking medication.

But if some of the medication is reduced, you may find you get the benefits of the remaining ones, rather than the side effects.

If you experience side effects from your Parkinsons medication, you shouldnt stop taking it without guidance from your specialist.

Some Disadvantages Of Comt Inhibitors

Drugs Used in the Treatment of Parkinsons Disease ...

These drugs can increase the side effects caused by levodopa, notably dyskinesias , nausea and vomiting.

If these side effects increase after starting the drug, people should raise the issue with their healthcare professional, as reducing the levodopa dose can often help.

COMT inhibtors will discolour urine making it a reddish-brown colour. Some people also experience diarrhoea which may occur some months after commencing the medication.

Be aware that other drugs for Parkinsons or other conditions can affect the action of COMT inhibitors. The combination of apomorphine and entacapone needs careful supervision.

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Looking Out For Side Effects If You’re A Carer

If youre a carer of someone with Parkinsons, medication side effects can be difficult and tiring to cope with.

It may be that the person having side effects such as hallucinations and delusions or impulsive and compulsive behaviour does not realise they are experiencing them.

Its important to seek help from your specialist as soon as you can.

Naturalremedy For Parkinsons #10 Foods You Must Avoid

There are certain foods that are known to worsen thesymptoms of Parkinsons and certain foods that are known to help. Healthadvocate, Dr Joseph Mercola, says that Parkinsons disease is primarily relatedto poor lifestyle choices, particularly poor dietary habits. Increasing yourbodys natural dopamine levels is also extremely important in your fight againstPD.

The foods and liquids you should be eating and drinkingmore of to help you along include:

· Clean Filtered Water Clean filtered water helpsto flush toxins from the body and hydrate the cells .Try and aim to drink at least two liters of water every day, and under nocircumstances drink tap water! Tap water is laced with toxic fluoride and otherchemicals and heavy metals so NEVER drink it. Buy yourself a good quality waterfilter. Its worth the investment.

· Whole Foods and Raw Foods Eat plenty oforganic mixed berries, green leafy vegetables, liver , fish,eggs, nuts and seeds such as chia and flaxseeds, along with plenty of herbs andspices. When it comes to buying any of these remember fresh is alwaysbest.

· Consume Lots of Probiotics Good gutbacteria are needed for strong immunity and healthy digestive function, whichin turn produces healthy brain and nerve function. You can learn how to makeyour own probiotic rich foods such as kefir, sauerkraut, kombucha and yogurt hereCultures for Health.

The foods you should be avoiding or not eating at allinclude:

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What Future Medications May Be Available For Parkinsons

There are numerous studies investigating new treatments for Parkinsons disease.

There has been new information about the role of autoimmunity and T-cells in the development of Parkinsons disease, possibly opening the door to a role for biologics.

Stem cells are also being investigated as a treatment option for Parkinsons disease.

Impulsive And Compulsive Behavior

5 Medications for Parkinsons Disease

Some people taking dopamine agonists may experience problems with impulsive or compulsive behaviours. For example an increased desire to gamble or engage in sexual activity. These behaviours often develop slowly so may not seem to be a problem immediately. It is important for both the person living with Parkinsons and their family to be aware of this side effect. If affected by this side effect, a reduction in dose or stopping the medication will stop the behaviour.

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How Anticholinergics Are Used

These medications are older and are not used very often for Parkinsons today. Sometimes they are prescribed for reducing tremor and muscle stiffness. They can be used on their own, especially in the early stages of your Parkinsons when symptoms are mild, before levodopa is prescribed.

Anticholinergics can also be used with levodopa or a glutamate antagonist. They are taken as tablets or as a liquid.

What If The Medications Are No Longer Effective Enough

After five years of treatment with medication, about 20 to 40 out of 100 people with Parkinson’s notice that the drugs are becoming less effective. Their effectiveness begins to fluctuate considerably: Those affected can sometimes no longer move at all for a while, and then they can move normally again. Another possible side effect of the medication is uncontrolled movements. This is a sign that there’s too much dopamine in some areas of the brain.

One aim of treatment is then to keep the effect of the medication as stable as possible. This may involve

  • changing the times of the day when you use the medication and changing how often you use it,
  • taking sustained-release tablets ,
  • changing the doses and taking additional medications such as COMT inhibitors, NMDA antagonists, anticholinergic drugs or MAO-B inhibitors,
  • taking a dopamine agonist in addition to levodopa.

Taking additional medication can increase your ability to move. It also decreases the likelihood of suddenly being unable to move. As mentioned above, though: the more medications you take, the more side effects can occur.

Over the course of the illness, many people develop related problems such as digestive problems and dizziness, sleep problems, or dementia. These often require additional treatment. It then becomes even more important to look out for possible interactions between the various medications.

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Stay Safe With Your Medicines

Read all labels carefully.

  • Tell all your health care providers about all the medicines and supplements you take.
  • Know all the medicines and foods youâre allergic to.
  • Review any side effects your medicines can cause. Most reactions will happen when you start taking something, but thatâs not always the case. Some reactions may be delayed or may happen when you add a drug to your treatment. Call your doctor right away about anything unusual.
  • Use one pharmacy if possible. Try to fill all your prescriptions at the same location, so the pharmacist can watch for drugs that might interact with each other.
  • You can use online tools to see if any of your medicines wonât work well together.

You have the right and responsibility to know what medications your doctor prescribes. The more you know about them and how they work, the easier it will be for you to control your symptoms. You and your doctor can work together to create and change a medication plan. Make sure that you understand and share the same treatment goals. Talk about what you should expect from medications so that you can know if your treatment plan is working.

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Types Of Parkinson’s Medication

Drugs used in the management of Parkinson

There is currently no cure for Parkinsons, but medication can usually provide good symptom control for a long time. Meanwhile researchers continue to search for a cure, and research into new and improved medicines continues.

Dopamine is a chemical messenger made in the brain. The symptoms of Parkinsons are largely associated with a decrease in the levels of this chemical, due to the death of the nerve cells that make it.

Unfortunately, taking dopamine as a drug treatment would not help you, because it cannot cross into your brain where it is needed. There are a number of approaches that can be taken to try to compensate for the dopamine deficit and therefore alleviate the symptoms of the condition. Ultimately these will increase the levels of dopamine and help to overcome some of the symptoms of the condition. However, many of the medications may have side effects which should be taken into account when being prescribed.

A wide range of Parkinsons medications is available. These may be taken in many different forms. Your doctor will try to find the medication that is most suitable for you throughout your Parkinsons treatment. What is available will also depend on the country in which you live.

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What Should I Know About Parkinsons Disease And Medications

There have been rapid and remarkable changes over the past decade in treating Parkinsons disease . The development of new medicines and the understanding of how best to use them and the older drugs have significantly improved the quality of life for people with the disease.

There is currently no treatment that has been proven to affect the disease progression or development of medication that can slow the disease process. There are two general approaches to the treatment of PD improve the symptoms with medications and engage in physical therapy. Most patients with PD can be adequately treated with medicines that alleviate their symptoms. For the approximately 15% of patients for whom medicines are not sufficiently effective, new, highly effective, and safe surgical treatments are available.

Choices about medicines made early in the course of the disease have a strong impact on the long-term course of the illness. Therefore, you should seek the advice of doctors specially trained in treating PD even when the illness is only suspected. Movement disorders specialists are neurologists who have completed their training in neurology and have received special advanced training in treating PD and other related diseases.

Protocol Adjustments For Covid

The Brain Treatment Center Dallas is open for business. In accordance with government regulations and for the safety of our patients, the following procedures have been implemented:

  • We respectfully ask that if you are sick or experiencing any symptoms of illness that you postpone your visit until you have been symptom-free for at least 14-days.
  • Dr. Miller and our staff are fully vaccinated.
  • International patients, please ask us protocols that are specific to your situation.
  • We will disinfect the clinic between patient visits in order to keep your risk to a minimum.
  • All patients are required to wear masks when entering the clinic.
  • Dr. Miller is offering virtual consultations via Spruce or Skype, both of which are HIPAA compliant so that you can have your appointment from the comfort of your own home. These visits are done via telemedicine so Dr. Miller will be visible and right in front of you, just as he would be if you were seeing him in person. If you prefer an in-clinic consultation, we ask that you follow our social distancing protocols.

We value our patients, and want to make sure that you are still able to receive your treatment in a timely manner, however, due to the concerns regarding the Corona Virus, or COVID-19, we ask that you please adhere to the temporary procedures that we have implemented for everyones safety.

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What Are The Most Common Medicines Used To Treat Pd

Sinemet®

Levodopa is the most commonly prescribed and most effective medicine for controlling the symptoms of PD, particularly bradykinesia and rigidity.

Levodopa is a chemical found naturally in our brains. When given as a medicine, it is transported to the nerve cells in the brain that produce dopamine. It is then converted into dopamine for the nerve cells to use as a neurotransmitter.

Sinemet is made up of levodopa and another drug called carbidopa. Levodopa enters the brain and is converted to dopamine while carbidopa prevents or lessens many of the side effects of levodopa, such as nausea, vomiting, and occasional heart rhythm disturbances. It is generally recommended that patients take Sinemet on an empty stomach, at least ½ hour before or one hour after meals.

There are two forms of Sinemet: controlled-release or immediate-release Sinemet. Controlled-release Sinemet and immediate-release Sinemet are equally effective in treating the symptoms of PD, but some people prefer the controlled release version. Ask your doctor which approach is best for you.

Dopamine agonists

Dopamine agonists are medicines that activate the dopamine receptor. They mimic or copy the function of dopamine in the brain.

Parlodel®, Requip®, and Mirapex® are all dopamine agonists. These medicines might be taken alone or in combination with Sinemet. Generally, dopamine agonists are prescribed first and levodopa is added if the patient’s symptoms cannot be controlled sufficiently.

Symmetrel®

Impulsive And Compulsive Behaviours

Drugs used in parkinsons disease

People who experience impulsive and compulsive behaviours cant resist the temptation to carry out an activity often one that gives immediate reward or pleasure.

Behaviours may involve gambling, becoming a shopaholic, binge eating or focusing on sexual feelings and thoughts. This can have a huge impact on peoples lives including family and friends.

Not everyone who takes Parkinsons medication will experience impulsive and compulsive behaviours, so these side effects should not put you off taking your medication to control your symptoms.

If you have a history of behaving impulsively you should mention this to your GP, specialist or Parkinsons nurse.

Asking your specialist to make changes to your medication regime or adjusting the doses that you take is the easiest way to control impulsive and compulsive behaviours. So, if you or the person you care for is experiencing this side effect, tell your healthcare professional as soon as possible before it creates large problems.

If you are not able to get through to your healthcare professional straight away, you can call our Parkinsons UK helpline on 0808 800 0303.

We have advice that can help you manage impulsive and compulsive behaviours as well as information on what behaviour to look out for.

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Starting As A New Patient

When you start as a new patient at the Brain Treatment Center Dallas, you will initially need two appointments, approximately two days apart. Both appointments will be about an hour in length. These appointments will be used to determine if Dr. Miller feels you can truly benefit from the MeRTSM Program and, if so, to develop a tailored treatment plan based on your test results. Once you have done the testing and Consultation, you are not obliged to begin treatment. This is something that you will determine once you have seen your test results and consulted with Dr. Miller.

At the first appointment, we will go over your reasons for seeking help, your medical history, your health goals, and all of your symptoms. You will then begin initial testing, which will involve an EEG and an EKG. These are both completely painless and easy and are done right in our office. Your information and test results are then sent over to our scientific and clinical teams, who will carefully analyze the results and determine the current state and functioning of the brain together with Dr. Miller.

We use a patented, scientific approach with the neurophysiological data gathered through testing to then develop a highly customized treatment plan that is aimed at encouraging healthy brain communication and function.

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