1. Medications to Avoid In Parkinson’s
Some drugs can bring on Parkinson’s-like symptoms or react badly with Parkinson’s drugs and should be avoided unless they are recommended by a specialist.
These are some (but not all) of the drugs to avoid in Parkinson’s:
chlorpromazine (Largactil) haloperidol (Serenace/Haldol)
fluphenazine (Modecate) metoclopramide (Maxalon)
fluphenazine with nortriptyline (Motival) prochlorperazine (Stemetil)
perphenazine (Fentazin/Triptafen)
trifluoperazine (Stelazine)
flupenthixol (Fluanxol/Depixol)
Decongestants or cold remedies can affect some Parkinson’s medications. If you need to use these, check with your pharmacist which one is safest to use.
Anti-sickness drugs
Domperidone (Motilium) is the anti-sickness drug of choice to prevent and treat nausea and vomiting caused by levodopa. Domperidone can cause heart rhythm problems (arrhythmia) in some people over the age of 60. If you are prescribed this medication, your specialist Parkinson’s nurse or pharmacist should talk to you how to recognise signs of irregular heart rhythms. You may also have an electrocardiogram (ECG) before starting treatment. An ECG measures heart rhythm and electric activity and can identify problems, which may mean domperidone is not suitable for you to take. Other anti-sickness drugs that are generally considered useful include cyclizine (Valoid) and 5-HT3 receptor antagonists like ondansetron.
Parkinson’s UK Drug Treatments for Parkinson’s {Online}.London.
{Accessed 1st January 2017}
01/19 Review date 01/20