142 test 4

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Author:
golfdiva
ID:
174277
Filename:
142 test 4
Updated:
2012-09-29 13:32:57
Tags:
parkinsons medications meds
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Description:
Med list for Parkinson's
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  1. Levadopa
    • dopamine
    • nausea, loss of appetite, vomiting, and lowered blood pressure.
  2. Carbidopa
    reduces the side effects of levadopa
  3. Simemet
    • carbidopa + Levadopa
    • 25/100
    • Gold Standard
    • 3 – 4 x/day
    • much less side effects
  4. ComT inhibitor
    • inhibits 3-0 methyldopa - which breaks down dopamine
    • liver toxicity issues
  5. Stalevo
    • Simemet + ComT inhibitor
    • (levadopa carbidopa entacapone)
    • liver toxicity issues
  6. Tasmar (tolcapone)
    • ComT inhibitor
    • **liver damage and failure
    • dizziness, dyskinesias, GI upset, ↓b/p, sleep disorders
    • don't do these right away, try sinamet first
  7. Comtan (entacopone)
    • ComT inhibitor
    • used to manage fluctuations combined w/ sinamet
    • dizziness, dyskinesias, GI upset, ↓b/p, sleep disorders
    • don't do these right away, try sinamet first
  8. Cogentin (benztropine)
    • anticholinergic
    • blocks acetylcholine so more dopamine can be absorbed
    • not as affective, more side effects
    • use if tremor and drooling are not otherwise controlled
    • Dry mouth, nausea, blurred vision, nervousness, dizziness
  9. Benadryl
    effective in elderly to control drooling
  10. dopamine agonists
    not dopamine, but the body “thinks” it is
  11. Mirapex (pramipexole)
    • dopamine agonists
    • excessive daytime sleepiness, low blood pressure and behavioral problems
  12. Requip (ropinirole)
    • dopamine agonists
    • excessive daytime sleepiness, low blood pressure and behavioral problems
  13. Amantadine
    • anti viral
    • effects a class of chemicals called catecholamines, of which dopamine is one
    • beneficial for motor problems of Parkinsons
    • nausea, insomnia

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