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Other medicines, such as bromocriptine and pergolide, selegiline, and the antiviral drug amantadine, are also sometimes used alone or in combination with other antiparkinson drugs to treat Parkinson's disease.
Beyond these strategies, the following medication strategies have been found to be helpful.
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Surgical techniques have been refined and can be very effective for the motor symptoms of PD.
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Exposure to certain toxins has caused parkinsonian symptoms in rare circumstances (such as exposure to MPTP, an illicit drug, or in miners exposed to the metal manganese).
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Bromocriptine, pramipexole, and ropinirole provide benefit for 6-12 hours so they are usually given 2-4 times daily.
One study indicated that taking antidepressants may even help prevent relapse.
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Amantadine (Symmetrel), which has a longer half-life than levodopa, appears to act synergistically with levodopa and thus has been considered useful in the treatment of early Parkinson's disease.
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Evaluating the effects of medications in individual patients must be tempered by consideration of drug-drug interactions, drug dosage, etiology of blepharospasm (primary versus secondary), the occurrence of spontaneous remissions, and duration of treatment.
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For an individual with the first symptoms of Parkinson's disease (for example, a mild tremor in an arm or stiffness in a leg), no medication may be necessary.
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Cogwheel rigidity” refers to increased tone that is felt by the examiner as a ratchet-like resistance during passive range of motion.
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Your doctor may need to change your treatment plan if you use any of the following drugs: cyclobenzaprine (a muscle relaxer), dextromethorphan (a cough medicine), meperidine (Demerol), methadone, St.
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The tremors in Parkinson's disease are often greatly increased with excitation and this can be an interference.
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Antidyskinetics and anticholinergics, such as benztropine and trihexyphenidyl, block the effects of other brain chemicals, thereby reducing some of the involuntary tremors.
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