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Sharanam Rehabilitation Center

Eldercare

Medicine-Induced Parkinsonism

Parkinsonian symptoms caused by a medication rather than by Parkinson's disease, for which Sharanam provides supervised residential care during medication review and recovery.

Medically reviewed by Mr. Pratik Masal, MBA (Healthcare Management)

Medicine-induced parkinsonism is the appearance of parkinsonian symptoms — tremor, muscle stiffness and slowness of movement — caused by a medication rather than by Parkinson's disease. It is most often linked to certain antipsychotics and anti-nausea drugs, and it is frequently reversible once the medicine is reviewed. Sharanam provides supervised residential care while that review and recovery take place.

What the treatment involves

  • Physician-led medication review to identify the drug likely responsible — commonly an antipsychotic or an anti-nausea medicine.
  • Careful adjustment or substitution of that medicine, never an abrupt stop of a needed psychiatric drug without supervision.
  • Monitoring for recovery of movement as the medication change takes effect.
  • Physiotherapy for mobility, balance and falls prevention in the meantime.
  • Supportive personal care while stiffness and slowness limit daily activity.

What to realistically expect

Because the symptoms are caused by a medicine rather than by the disease itself, many people improve substantially once the drug is adjusted — though recovery can take weeks to months and is occasionally incomplete. This is an important distinction from Parkinson's disease, which is progressive; where the diagnosis turns out to be the latter, care continues through our Parkinson's care program.

Questions families ask

The symptoms can look very similar, but medicine-induced parkinsonism is caused by a drug rather than by the progressive brain changes of Parkinson's disease. That difference matters, because reviewing the medicine can reverse it, whereas Parkinson's disease is managed rather than reversed.

Not on your own. Many of the drugs involved are important psychiatric or anti-nausea medicines, and stopping them abruptly can be harmful. The change has to be made by a physician, who can adjust or substitute the medicine safely while watching for recovery.

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