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Parkinson's medication timing — DGM MCQ

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EasyMovement disordersParkinson's medication timingDGM

An 81-year-old man with Parkinson's disease is admitted with pneumonia. His usual co-careldopa doses are delayed on the ward and he becomes rigid and unable to swallow safely. He normally mobilises with a stick. Current medicines include co-careldopa. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Give Parkinson's medicines on time and seek specialist advice if swallowing is unsafe

Parkinson's medicines should be given on time; missed levodopa can cause severe rigidity and swallowing deterioration. Stopping treatment, haloperidol, non-individualised drug rounds and bed rest alone are unsafe. Timing of Parkinson's medication is a hospital safety issue.

Reference: NICE NG71; BNF