Wednesday, April 18, 2012

Diet

Meditation

Dance


Tango may target deficits associated with Parkinson's disease more than waltz/foxtrot, but both dances may benefit balance and locomotion.


T'ai Chi

Qignong

Acupuncture

Glutamate transmission blockade


They support the hypothesis that blockade of glutamate transmission may have a place in the management of disabling dyskinesias in Parkinson's disease.


Remacemide Hydrochloride


Remacemide Hydrochloride as Monotherapy for Parkinson’s Disease


Melatonin


Melatonin-treated animals perform better in the motor tasks and had no dyskinetic alterations 


Melatonin is a useful treatment to delay the cellular and behavioral alterations observed in Parkinson's disease.



Co Q 10


Neuroprotective


Toxicity is not usually observed with high doses of CoQ10. A daily dosage up to 3600 mg was found to be tolerated by healthy as well as unhealthy persons.[20] However, some adverse effects, largely gastrointestinal, are reported with very high intakes. The observed safe level (OSL) risk assessment method indicated that the evidence of safety is strong at intakes up to 1200 mg/day, and this level is identified as the OSL.



Thus, CoQ10 functions in every cell of the body to synthesize energy.



Antioxidant function of CoQ10



A 2002 study in 80 Parkinson's disease patients found 1200 mg/day reduced the progression by 44%.[74][75] A phase III trial of 1200 mg/d and 2400 mg/d ran until August 2011. This study was terminated and the summary concluded: "The investigational drug is unlikely to demonstrate efficacy over placebo for this indication. However, no safety issues were discovered."[76]


Non-steroidal anti-inflammatory drugs


Not acetaminophen or aspirin
Maybe ibuprofen and naproxen

15% reduction of incidence of development

Almonds

Caffeine

Nicotine

Antioxidants

Fava beans

Velvet Beans


11:52 AM
Mucuna (Mucuna Pruriens), also known as velvet bean and cowitch, is an herb used as a minor food crop and medicinal bean in India, West Africa, and Central America. It is indigenous to India and is a popular medicinal in that region. It is widespread over most of the subcontinent and can be found in bushes, hedges and dry-deciduous.

Mucuna can be a very beneficial supplement for bodybuilders. It is high in the amino acid L-Dopa which helps maintain healthy cholesterol and blood sugar levels.

Another benefit of Mucuna, is that it may increase the production of HGH (Human Growth Hormone). An increase in HGH levels can increase the body's ability to build lean muscle and break down fat.

Mucuna has also been shown to have diuretic effects. It increases tissue resiliency and improves coordination. Mucuna can also increase testosterone levels, which in turn can lead to increased muscle mass and strength. 



 This additional finding of a neurorestorative benefit byMucuna pruriens cotyledon powder on the degenerating dopaminergic neurons in the substantia nigra may be due to increased complex-I activity and the presence of NADH and coenzyme Q-10.


Anticholinergic


Akineton
Artane
Cogentin
Kemadrin
Trihexyphenidyl
Benztropnie
Atropine

Dry mouth
Blurred vision
Confusion
Constipation
Trouble urinating
Hallucinations
Trouble sleeping

Blocks ACh

May relieve shaking and stiffness and improve muscle control

Amantadine


Symmetrel

Maybe anticholinergic
May facilitate dopamine release

Skin rash
Ankle swelling
Leg discoloration
Confusion
Depression
Dizziness
hallucinations

May relieve symptoms by increasing the amount of dopamine in the brain

MAO-B Inhibitors


  1. More adverse effects than levodopa

Dizziness
Headache
Nausea
Confusion
Mood changes
Trouble sleeping

Prevents mao-b from destroying dopamine
May slow neuronal degeneration
May delay disease progress

Eldepryl
Selegiline
Rasagiline
Slower progression of disease

neuroprotective

COMT Inhibitors


Entacapone
Saves L-dopa from metabolism
(no signifcant alteration of liver function)

Tolcapone

Prolong levodopa

(with liver damage)
Makes more levodopa available to enter brain and relieve symptoms
Used along with levodopa

Vivid dreams
Sleep disturbances
Hallucinations
Nausea
Diarrhea
Involuntary movements
Urine discoloration
Changes in liver enzymes




Comtan
Tasmar

Dopamine Agonists


Mirapex
Requip
Parlodel
Permax
Cabergoline
valvulopathy
Pramipexole

Ropinirole
Pergolide
valvulopathy
Bromocriptine
Piribedil
Rotigotine, lisuride
Initial stages,
Skin patches
Rotigotine for restless leg syndrome
Apomorphine
Common hallucinations, common

Act on dopamine receptors

Lower rate of motor fluctuations
In severe tremors

Less effective

For initial years
Minimal dose - delay motor complications

Neuroprotective?

Impulse control disorders

Nausea
Hallucinations
Insomnia

Drowsiness
Constipation

Vomiting
Dizziness
Fainting
Confusion
sleepiness

Carbidopa


Dopa decarboxylase inhibitor
Prevent dopamine side effects

Levodopa


Sinemet
Sinemet CR

Converts to dopamine

Dyskinesis

(constipation
Nausea
Vomiting
Hallucinations
Confusion
Dizziness)

Low protein diet

medopar

Parkinson's Disease


Levodopa
Levodopa with Carbidopa
Co-careldopa
Co-beneldopa
Entacapone

Dopamine agonists, MAO-B inhibitors