Cheaper, Simpler, and Better: Tips for Treating Seniors With Parkinson Disease
Identifieur interne : 000321 ( Pmc/Corpus ); précédent : 000320; suivant : 000322Cheaper, Simpler, and Better: Tips for Treating Seniors With Parkinson Disease
Auteurs : J. Eric AhlskogSource :
- Mayo Clinic Proceedings [ 0025-6196 ] ; 2011.
Abstract
Treatment of seniors with Parkinson disease is within the domain of primary care physicians and internists. A good working knowledge of carbidopa/levodopa principles should allow excellent care of most patients, at least during the early years of the disease. Even later, when levodopa responses become more complicated (eg, dyskinesias, motor fluctuations, insomnia, anxiety), levodopa adjustments may be all that is necessary. A dozen tips for optimizing treatment of Parkinson disease are discussed herein.
Url:
DOI: 10.4065/mcp.2011.0443
PubMed: 22134940
PubMed Central: 3228622
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PMC:3228622Le document en format XML
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<front><div type="abstract" xml:lang="en"><p id="P1">Treatment of seniors with Parkinson disease is within the domain of primary care physicians and internists. A good working knowledge of carbidopa/levodopa principles should allow excellent care of most patients, at least during the early years of the disease. Even later, when levodopa responses become more complicated (eg, dyskinesias, motor fluctuations, insomnia, anxiety), levodopa adjustments may be all that is necessary. A dozen tips for optimizing treatment of Parkinson disease are discussed herein.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Mayo Clin Proc</journal-id>
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<title-group><article-title>Cheaper, Simpler, and Better: Tips for Treating Seniors With Parkinson Disease</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Ahlskog</surname>
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<degrees>PhD, MD</degrees>
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<aff>From the Department of Neurology, Mayo Clinic, Rochester, MN.</aff>
<author-notes><corresp>Individual reprints of this article are not available. Address correspondence to J. Eric Ahlskog, PhD, MD, Department of Neurology, Mayo Clinic, 200 First St SW, Rochester, MN 55905 (<email>eahlskog@mayo.edu</email>
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<pub-date pub-type="ppub"><month>12</month>
<year>2011</year>
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<volume>86</volume>
<issue>12</issue>
<fpage>1211</fpage>
<lpage>1216</lpage>
<permissions><copyright-statement>© 2011 Mayo Foundation for Medical Education and Research</copyright-statement>
<copyright-year>2011</copyright-year>
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<abstract><p id="P1">Treatment of seniors with Parkinson disease is within the domain of primary care physicians and internists. A good working knowledge of carbidopa/levodopa principles should allow excellent care of most patients, at least during the early years of the disease. Even later, when levodopa responses become more complicated (eg, dyskinesias, motor fluctuations, insomnia, anxiety), levodopa adjustments may be all that is necessary. A dozen tips for optimizing treatment of Parkinson disease are discussed herein.</p>
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<notes><boxed-text position="float"><p>On completion of this article, you should be able to (1) formulate an initial medication plan for patients with Parkinson disease, (2) understand the rationale for treating levodopa-associated motor fluctuations and dyskinesias, and (3) generate a reasonable treatment strategy for patients with Parkinson disease who have anxiety or insomnia.</p>
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