=============================================
People with Parkinson’s disease may be afraid of being “trapped” in difficult situations:
– What if I go to a marriage and start to have a tremor?
– What if I am travelling and develop sudden slowness?
Luckily, there are “On-Demand” therapies for such situations:
Sublingual Apomorphine
=======================
– You place a thin film below your tongue.
– Acts in ~15 min & lasts for ~ 1.5 hours.
–
Most common side-effects are nausea and mouth or throat irritation.
Injectable Apomorphine
=======================
– The “Pen” is filled with medication.
– You can inject yourself.
– Acts in ~10 min & lasts for ~ 1 hour.
– Possible side-effects are nausea, excessive movements, sleepiness or dizziness.
Inhaled Levodopa
=================
– You place a thin film below your tongue.
– Acts in ~10 min & lasts for 1 hour or more.
– Most common side-effect is coughing.
– Should not be used by people with problems in breathing.
Simple: Additional tablet
==========================
– Ask your doctor if you can take 1/2 or 1 tablet extra during such occasions.
– You can use regular levodopa tablets.
– Dissolve 1 tablet in a glass of carbonated water or orange juice. Drink as needed.
– Acid in the soda/juice helps in absorption.
– Starts slowly (>20 min), acts longer (>1hr)
***********************************
Dr. Siddharth D Kharkar
More info: https://drkharkar.com/
Keywords – On-Demand Therapy for OFF Episodes in, on demand therapy for off episodes in parkinson’s disease, on-demand therapy for parkinson’s disease patients: opportunities and choices, On‐Demand Therapy for OFF Episodes in Parkinson’s Disease
Caution: This information is not a substitute for professional care. Do not change your medications/treatment without your doctor's permission. |
Dr. Siddharth KharkarDr. Siddharth Kharkar has been recognized as one of the best neurologists in Mumbai by Outlook India magazine and India today Magazine. He is a board certified (American Board of Psychiatry & Neurology certified) Neurologist. Dr. Siddharth Kharkar is a Epilepsy specialist in Mumbai & Parkinson's specialist in Mumbai, Maharashtra, India. He has trained in the best institutions in India, US and UK including KEM hospital in Mumbai, Johns Hopkins University in Baltimore, University of California at San Francisco (UCSF), USA & Kings College in London. |