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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Parkinson's Disease. Low Appetite, Walking Slowly, Trembling Hand. Should I Continue Same Treatment?

My father (age 77 years old) is having Parkinsons disease . He is very weak( low apetite, walks very slowly, one hand trembls). He is under allopathic treatment of Medical expert but there seems to be no improvement to his health problems. Should I continue the same treatment from the expert or go for other therapies? Would you suggest me addresses of experts for such disease?
Wed, 13 Feb 2013
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Neurologist 's  Response
Hello,
Thank you very much for posting the query in HCM
Please note that there are two types of Parkinson’s disease.
1. Typical Parkinson's disease- this type generally responds to medicine. However, as the disease advances, the response to medicine may come down and patients may develop side effects related to medicines. I am sorry that i don’t know the exact medicine your father is taking as of now. The best medicine will be Levodopa carbidopa combination, in a reasonably good dose depending upon his response and tolerance. There are other options in this parkinson's diases apart from medicine that is known as deep brain stimulation. He has to have regular exercises, physiotherapy etc.
2. Atypical parkinson’s disease: Here the patients symptomatology will be more than the typical one. They may have memory problem, behavioral problem, and frank hallucination to start with. This can be recognized by a neurologist. Generally speaking these subgroups don’t benefit much with treatment. There are so many types of these sub-types. Treatment depends upon the exact sub-type.
So my advice will be to get evaluated by a local neurologist and then approach a medical unioversity nearby who will guide you regarding the various options as i discussed.
Hope this helps
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  User's Response
anantptdr's  Response
Thank you very much for your kind advice. Very much helpful to me and the patient. My family is thinking over it.
With best regards.
Yours sincerely,
Anant Potdar
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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Have Parkinson's Disease. Low Appetite, Walking Slowly, Trembling Hand. Should I Continue Same Treatment?

Hello, Thank you very much for posting the query in HCM Please note that there are two types of Parkinson’s disease. 1. Typical Parkinson s disease- this type generally responds to medicine. However, as the disease advances, the response to medicine may come down and patients may develop side effects related to medicines. I am sorry that i don’t know the exact medicine your father is taking as of now. The best medicine will be Levodopa carbidopa combination, in a reasonably good dose depending upon his response and tolerance. There are other options in this parkinson s diases apart from medicine that is known as deep brain stimulation. He has to have regular exercises, physiotherapy etc. 2. Atypical parkinson’s disease: Here the patients symptomatology will be more than the typical one. They may have memory problem, behavioral problem, and frank hallucination to start with. This can be recognized by a neurologist. Generally speaking these subgroups don’t benefit much with treatment. There are so many types of these sub-types. Treatment depends upon the exact sub-type. So my advice will be to get evaluated by a local neurologist and then approach a medical unioversity nearby who will guide you regarding the various options as i discussed. Hope this helps