Thank you for writing about your mother's Parkinson's disease (PD).
PD is a degenerative disease of the brain, and main symptoms include tremors of hands and feet, slowness of all movements, rigidity of limbs
and postural imbalance. Unfortunately, it continues to progress and medicines become less effective over time.
Regarding neupro patch, it can be effective in this stage of PD. Neupro patch (rotigotine) should be used in addition to levodopa-carbidopa combination.
It is fairly safe except that it may cause BP to fall in some cases. Please start neupro patch under the supervision of a neurologist
Dr Sudhir Kumar MD DM
Senior Consultant Neurologist
Apollo Health City, Hyderabad.