Levodopa counselling

Question 1

action

Answer 1

breaks down into dopamine which replaces reduced dopamine levels in Parkinson’s

Question 2

timing

Answer 2

2-3 tablets a day

take same time everyday

will slowly increase # tablets a day to get same effect

Question 3

how to take

Answer 3

take with food to prevent nausea, swallow 30-60mins before high protein food

Question 4

length

Answer 4

long term, cannot stop

Question 5

effects

Answer 5

becomes easier to move & joints less stiff within 1-2 wks

tremor may take slightly longer

Question 6

tests

Answer 6

none

Question 7

important SEs

Answer 7

nausea (eat w/food)

postural hypotension (feeling dizzy when standing up from lying down position)

EPSEs: uncontrollable twitching, twisting movements

Question 8

contraindications/complications

Answer 8

eye problems - specifically glaucoma

impulsive behaviour - binge eating, excessive gambling, high sex drive

suddenly falling asleep - inform work about

Question 9

stopping

Answer 9

do not do it suddenly, can be weaned off