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Contents loading... Editors loading... Categories loading... When refering to evidence in academic writing, you should always try to reference the primary (original) source. That is usually the journal article where the information was first stated. In most cases Physiopedia articles are a secondary source and so should not be used as references. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. Introduction[edit | edit source]Exercise (increasingly considered to be a complementary strategy to Parkinson’s (PD) medications) is a major component of physiotherapy for Parkinson’s management.[1] This less than 5 minute video outlines the importance of exercise in PD> [2] Pre Exercise Assessment[edit | edit source]A pre-exercise subjective assessment should be undertaken to find if common side effects from the drugs may impact on treatment. The therapist needs to be be aware of possible side effects and monitor accordingly or/or adjust treatment. Adverse effects of each of these drug classes will require monitoring. A clear understanding of the general yellow flags to improper dosing is vital. These adverse effects result from the poly-pharmaceutical approach to PD management. Being aware of them allows us to alter our plan of care and not compromise the patient’s safety. If left unaddressed, these adverse effects could substantially decrease our overall quality of care that we administer. Timing[edit | edit source]Exercise is a critical part of treatment for Parkinson's and should be in done in the time slot that suits the clients "on" times. It may be appropriate for the client to keep a diary of symptoms. This may be helpful to track when symptoms occur so that your exercise sessions occur at the most effective timing. Taking Parkinson’s medication can cause side effects, including:
Levodopa - On Off Times[edit | edit source]Overtime as Parkinson’s progresses the levodopa dose will need to be adjusted. Many people will become more aware that symptoms sometimes return between doses of medication. This is called ‘wearing off’ and is a sign your dose needs to be adjusted. Wearing Off: Physical therapy treatment should be administered during the peak effective time of each individual medication; or ideal treatment effects may be compromised due to a negative event known as End of Dose Dyskinesia. ie check the timing of physiotherapy sessions with the client so they will benefit maximally from there exercises. The 2 minute video below outlines this phenomena [3] Conclusion[edit | edit source] Exercise is essential in the management of Parkinsons. However, clients with Parkinsons are most likely taking medications that can possibly have an effect on their physical response and tolerance to exercise. Therefore physiotherapists need to be aware of potential side effects and then time, dose and monitor exercise accordingly. The above gives you guidance on the best way to monitor and administer your exercise sessions Reference[edit | edit source]
What should you avoid when taking levodopa?Protein and levodopa use the same transporter to cross the small intestine wall. Therefore it's possible that dietary protein can interfere with absorption of levodopa including beef, chicken, pork, fish and eggs.
Which condition is a contraindication for administration of carbidopa levodopa?Carbidopa; levodopa is generally contraindicated for use in patients with closed-angle glaucoma. Levodopa therapy can cause mydriasis which can increase intraocular pressure. Patients with other types of glaucoma may be treated cautiously with carbidopa; levodopa if intraocular pressure is controlled and monitored.
What is contraindicated with levodopa?The use of levodopa is contraindicated with the concurrent use of monoamine oxidase inhibitors (MAOIs) because it can lead to a hypertensive crisis. There should be a 14-day washout period when switching from levodopa to an MAOI or vice versa.
Which is contraindicated for a patient with Parkinson's disease who is on levodopa?In patients on levodopa therapy, mono amino oxide (MAO) inhibitors are contraindicated and sympathomimetics should be used with caution as these can cause an acute rise in blood pressure.
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Which is contraindicated for a patient with Parkinsons disease who is on levodopa?
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