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Haldol is absolutely contraindicated in Dementia with Lewy bodies.
What medication is a safer alternative in these patients? - Answer-Donepezil. May improve behavioral
and cognitive symptoms with dementia.
Parkinson's: medication used is carbidopa-levodopa
What are common levodopa-related complications? - Answer-Motor fluctuations (caused by wearing off
of the beneficial effects before next dose is administered)
Medication-induced dyskinesia (involuntary choreic movements)
Can also have nausea and orthostatic hypotension
What is indicated for pts who have advanced Parkinson's who derive continued benefit from carbidopalevodopa but have med-related side effects? - Answer-Deep brain stimulation
Meds that wouldn't be so great here...
Apomorphine = fast-acting subq dopamine agonist. Indicated for rapid relief of sx caused by sudden
wearing off of Parkinson's meds
Droxidopa = for neurogenic orthostatic hypotension
MKSAP Neurology 100?curate Review Q&A 2026/2027 23pages
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