Parkinson’s medication precautions can be divided into the principle of medication and the principle of preferred drugs.
1. Principle of drug administration: aiming at improving symptoms, quality of life and working ability, adhering to the principle of “dose titration” and preventing acute side effects of drugs. Strive to achieve satisfactory clinical effects with small doses, which can reduce or even avoid side effects. Emphasize individualized treatment.
2. Principle of preferred drugs
(1) Less than 65 years old: non-ergot dopamine agonists such as Robnierol, B-type monoamine oxidase inhibitors such as Slegiline, amantadine or anticholinergics such as Benzodiazepine, and compounded levodopa can be chosen.
(2) Greater than or equal to 65 years of age: Levodopa is preferred, with the addition of a dopamine agonist such as pramipexole or a catechol-O-methyltransferase inhibitor such as entacapone, if necessary. Benzodiazepines are not used if possible.
Protein foods taken with levodopa can decrease the effectiveness of the drug, so a minimum of 2 hours should be taken between doses with protein foods.
Patients diagnosed with Parkinson’s should receive specialized guidance from the hospital in a timely manner to maximize the improvement of symptoms and quality of life.