Parkinsonism most-prevalent disorder in old patients
Clinical presentation of disorder
Following are some mark-able symptoms for identification of parkinson’s disorder
- resting tremor
- muscular rigidity
- difficulty in starting and carrying out voluntary movements
The patient has a mask like face, monotonous voice not easy to understand and works with slow shuffling gait
Prevalence of the disorder
The elderly are more susceptible than younger patients!
Is this safe to use anti-Parkinson medicines?
Yes it is! But some of the adverse effect of the anti parkinsonism drugs are totally age-related for eample, decline in orthostatic circulatory responses, means the postural-hypotensioncan be found in those oldies who are on levodopa therapy!
The old-patients with severe cardiac disease with levodopa preparation are on regular monitoring, because of the risk of serious ventricular arrythmia, hallucination and other similar brain related disorders!
Many anti-Parkinson medicines should not considered safe in elderly patients with serious peripheral arterial disease such as, peripheral ischemia
Treatment strategy in such cases should be
Discontinuation of drug in serious life-threatening situations or reduce frequency of medicine in less risky situations for example taking levodopa for two days per week may reduce the chance of untoward effects.