Parkinson

Question 1

Levodopa

Wtd

Answer 1

Replace dopamine most effective
Beneficial in 1st few years

Adverse reaction: confusion, hallucinogenic, depression sleep pattern

Question 2

Sinemet (levels-carbi)

3

Answer 2

Dyskinesia-response to med w/in 5-10 yrs by involuntary movement
Take with good
Change position slowly

Question 3

Anticholinergic

Indications
Contraindication
Meds

Answer 3

Can’t see can’t pee can’t spot
Old people no
Interact with acetylcholine- controls tremors and rigidity

Side effects- blurred vision flushing rash constipation, urinary Retention, dry mouth, confusion
Contraindicated indicated-elderly glaucoma Benin hypertrophy (prostate)

Scopolamine and trigexphenily- give
Preop

Question 4

Antiviral

Answer 4

Amandine hydrochloride
Release dopamine from stage sites sites
Low side effect

Question 5

Dopamine agonist

Answer 5

Monitor orthostatic hypotension and hallucination
Dopamine receptors agonist and usually are useful in postponing initiation. If other 2

Ropinirole hcl
Pramipexole

Question 6

MOA- contraindicated

Answer 6

Can be used with agonists to delay use of sinemet or l-dopa