Initial drug treatment in Parkinson’s disease

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Parkinson’s disease is a progressive neurodegenerative disorder characterised by tremor, rigidity, bradykinesia, and a wide spectrum of non-motor symptoms including sleep disorders, hyposmia, bladder and bowel dysfunction, fatigue, dementia, and other neuropsychiatric symptoms.

Although the disease has no cure, available treatments effectively control motor symptoms and improve quality of life. Several drug classes are licensed for use as monotherapy in early Parkinson’s disease and adjuvant therapy in later disease

Latest BMJ Learning modules




 What would you do?

You see a 36 year old man who had been slightly unwell for about a week, and then had a sudden episode of vertigo. The episode started for no apparent reason and went on for several days. What is the most likely diagnosis? And what should you do? If you are not sure, then this module will help. Click on the link to complete it today. 

Vertigo: an update on diagnosis and management

Also available are these modules on neurology. They give an important update on a range of common dilemmas.

Dystonia: a guide to assessment and management

Parkinson’s disease: non-motor symptoms

Bell’s palsy: diagnosis and treatment

Parkinson’s disease – initial assessment and referral

Cluster headache: a guide to diagnosis and management