Parkinson disease — dyskinesia
- Reduce levodopa peaks while preserving “on” time
- Smaller/more frequent dosing can help
- Amantadine is the principal antidyskinetic drug
- Extended-release amantadine can reduce troublesome dyskinesia
- DBS may help advanced medication-responsive disease
- Distinguish dyskinesia from tremor or “off” dystonia
Use at a glance
- Reduce levodopa peaks while preserving “on” time
Treatment options
- Smaller/more frequent dosing can help
- Amantadine is the principal antidyskinetic drug
Practical pearls
- Extended-release amantadine can reduce troublesome dyskinesia
Other practical pearls
- DBS may help advanced medication-responsive disease
- Distinguish dyskinesia from tremor or “off” dystonia
Self-check
- What is recommended for Parkinson disease — dyskinesia?
Reduce levodopa peaks while preserving “on” time.
Drugs used for this (1)
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