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Parkinson's time-critical medicines — GPhC CRA MCQ

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ModerateCNS TherapeuticsParkinson's time-critical medicinesGPhC CRA

A 73-year-old man with Parkinson's disease takes co-careldopa five times daily. His care home reports worsening stiffness before the next dose and asks whether doses can be delayed to fit the medicine round. What would you advise the patient?

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Correct answer: C — Give co-careldopa at the prescribed times because it is time-critical

Levodopa preparations are time-critical medicines in Parkinson's disease. Delayed or omitted doses can worsen rigidity, mobility and swallowing, and can lead to serious complications. Administration times should be protected and formulation issues discussed with the prescriber or specialist team.

Reference: BNF; NICE CKS