- Refer suspected Parkinson’s disease (PD) patients early, before beginning treatment, to a clinician with relevant expertise, who should be involved in both initiation and ongoing monitoring of drug therapy.
- Therapy for PD should be multi-disciplinary; drug treatment is only one aspect
- 'Is this person at risk of developing delirium, and how will I reduce that risk?"
Drug treatment of PD aims to alleviate the symptoms whilst seeking to reduce the potential to develop dopaminergic complications.
Tremor generally responds poorly to most drugs. Expectations need to be created at the outset.
A clinician with expertise in PD should be involved in drug treatment decisions on the initiation and ongoing monitoring of therapy as the disease progresses. Drugs used in the treatment of PD are detailed in the Highland Formulary (see resources).