Parkinson disease

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  1. Bladder incontinence
    Oxybutynin, tolterodine, etc.
  2. Constipation
    • Increased water and dietary fiber
    • Polyethylene glycol
  3. Dysphagia
    • Swallow training, Banxia Houpo Tang (BHT)
    • (Chinese medicine)
  4. Sialorrhea
    Glycopyrrolate, clonidine
  5. Sexual dysfunction
    Sildenafil for ED (or other phosphodiesterase inhibitor), testosterone
  6. Orthostatis
    Midodrine, fludrocortisone
  7. Diaphoresis and seborrhea
    Aluminum chloride hexahydrate
  8. Olfactory dysfunction
    No evidence for specific treatments
  9. Pain
    Can vary based on type of pain
  10. Sleep disturbances:
    -Daytime Sleepiness

    -REM sleep behavior disorder
    -Daytime sleepiness: amantadine, methylphenidate, modafinil

    -REM sleep behavior disorder: clonazepam QHS, melatonin and dopaminergic medications
  11. Depression/Anxiety
    Tricyclic antidepressants (TCAs), selective serotonin reuptake inhibitors (SSRIs)
  12. Psychosis/Hallucinations
    Clozapine, quetiapine
  13. Cognitive dysfunction and dementia
    clozapine, quetiapine
Card Set
Parkinson disease
IP 7
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