A patient with Parkinson disease takes levodopa and reports involuntary writhing movements after each dose. Which response is most appropriate?
Correct answer: A. Report the dyskinesia for medication review
- A. Report the dyskinesia for medication review
- B. Tell the patient to stop levodopa immediately
- C. Explain that the movement proves the disease is cured
- D. Give an additional dose to suppress the movement
Explanation
Involuntary writhing movements can be levodopa-related dyskinesias and require assessment and possible dose or timing adjustment by the prescriber. The patient should not stop levodopa abruptly, and an extra dose would likely worsen the abnormal movements.
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About Analgesics and CNS Drugs
This area covers opioid and non-opioid analgesics, local anaesthetics, sedatives, anxiolytics, antidepressants, antipsychotics, antiepileptics and drugs for Parkinsonism. It examines therapeutic actions, dependence, respiratory depression, extrapyramidal effects, serotonin related toxicity and the distinction between pain relief, sedation and loss of consciousness.
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