A 72-year-old man with a 3-year history of Parkinson's disease develops excessive daytime sleepiness. He frequently falls asleep during meals and conv...

Question

A 72-year-old man with a 3-year history of Parkinson's disease develops excessive daytime sleepiness. He frequently falls asleep during meals and conversations. He is on Ropinirole 8 mg TDS. He drives a car. What is the MOST important immediate action?

Accepted Answer

Advise him that he must stop driving immediately and report to the DVLA, and consider reducing or switching the dopamine agonist

Answer

Increase Ropinirole as the sleepiness indicates disease progression

Answer

Prescribe Modafinil to manage the sleepiness

Answer

Arrange a sleep study to exclude obstructive sleep apnoea

Answer

No action needed - daytime sleepiness is a normal part of ageing

uk-dgm MCQ (SBA): Dopamine Agonist - Excessive Daytime Sleepiness and Driving

A 72-year-old man with a 3-year history of Parkinson's disease develops excessive daytime sleepiness. He frequently falls asleep during meals and conversations. He is on Ropinirole 8 mg TDS. He drives a car. What is the MOST important immediate action?