How to choose a drug for Parkinson s treatment?

I have to go to a big hospital to see a doctor, and I have to see what stage it is, and the hospital has to prescribe the right medicine according to the symptoms.

Avoid obvious known triggers. Freezing is often caused by an excessively small space (e.g., a crowded area or narrow doorway) or when rotating or approaching a target. To avoid this, wait until the crowd has passed before you start walking.

Try walking in a big circle instead of having to walk a dot.

The development of modern medicine has brought many tools to Parkinson's disease, including drugs, surgery, and training. Using these tools well, the patient's condition can be significantly improved and the life of the patient can be greatly improved. It is recommended that patients go to a large, regular hospital with a complete multidisciplinary setting, and follow the guidance and advice of specialists.

Believe in science and laws, don't be superstitious about hearsay, and don't rely on subjective speculation. However, the prescription also needs to be prescribed by the doctor according to the patient's condition and physical condition. In the first five years of the disease, the doctor will recommend the drug**, and once the drug honeymoon period is over, the Parkinson's disease patient will fall into the fear of worsening symptoms, at this time the doctor will recommend brain pacemaker surgery, this surgery is minimally invasive, reversible, adjustable, very effective in controlling the symptoms of Parkinson's patients, the earliest known brain pacemaker surgery as early as 1987 by the inventor Medtronic entered the clinic.

The principle of preferred drug is:

For patients with early-onset type (without mental retardation), compound levodopa, non-ergot DR agonists, MAO-B inhibitors, amantadine, and entacapone dopa tablets can be used;

In late-onset patients or those with reduced intelligence, compound levodopa is preferred, and DR agonists, MAO-B inhibitors, or catechol-O-methyltransferase (COMT) inhibitors can be added when the efficacy is reduced, and anticholinergics are not used as much as possible.

All the best drugs for Parkinson's disease should be used under the guidance of a doctor, and the dosage must be increased or decreased according to the doctor's instructions, avoid abrupt discontinuation or dosing, and follow the doctor's instructions for regular check-ups.

Anticholinergics.

It is mainly indicated for patients with pronounced tremor and younger age (under 60 years of age), and the main drug is trihexyphenidyl diphenyxyphenidyl.

Note: Patients with angle-closure glaucoma and patients with prostatic hypertrophy are contraindicated.

Main***: dry mouth, blurred vision, constipation, difficulty urinating, affecting cognition, and in severe cases, hallucinations and delusions.

Amantadine. It is mainly suitable for improving symptoms such as oligoactivity, rigidity, and tremor, and may be helpful for patients with dyskinesia.

Note: Patients with renal insufficiency, epilepsy, severe gastric ulcer, and liver disease should use with caution, and lactating women should not use it.

Major***: restlessness, confusion, distal limb reticular greenfall, ankle edema, etc., are rare.

Compound levodopa.

It is still the most basic and effective drug for this disease.

Commonly used drugs mainly include dopaserzine and carb-levodopa.