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Parkinson's time-critical medicines — GPhC CRA MCQ

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HardCNS TherapeuticsParkinson's time-critical medicinesGPhC CRA

A care home calls because a resident with Parkinson's disease has missed two doses of co-careldopa while waiting for a repeat prescription. She is now rigid, sweaty, and confused. What is the most appropriate action?

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Correct answer: A — Arrange urgent medical advice and prioritise time-critical dopaminergic treatment

Parkinson's medicines are time-critical and missed doses can cause severe deterioration, including parkinsonism-hyperpyrexia syndrome. Rigidity, sweating, and confusion require urgent medical assessment and restoration of dopaminergic therapy under appropriate advice. Haloperidol can worsen Parkinsonism and should generally be avoided.

Reference: BNF; NICE CKS