To improve the movement difficulties caused by Parkinson’s, drug treatments aim to increase the level of dopamine that reaches the brain and/or to stimulate the parts of the brain where dopamine works. Different drug regimes may be used for different people depending on the particular symptoms at the time. Please note that the following information is only a very brief guide and is by no means exhaustive. Treatment options will be discussed with you individually by your Consultant or Parkinson's Nurse Specialist.
All the treatments mentioned below for Parkinson’s can be provided by the Coventry & Warwickshire Service, including Apomorphine and Duodopa, with the exception of Neurosurgery for Parkinson’s, for which we refer patients to our colleagues in Birmingham or Oxford.
Dopaminergic drug treatments in PD
There are four main classes of dopaminergic drug that can be used: levodopa, dopamine agonists, COMT inhibitors and MAO-B inhibitors. The table below lists some of the drugs you may be given.
Drug treatments in PD
It is very important to try and take these medicines at the times suggested by your doctor and not to miss any doses. If you are admitted to hospital for any reason make sure you tell the staff treating you exactly what brand and dose of levodopa you are taking and the times you take it.
Dopamine agonists (and occasionally levodopa) are sometimes associated with Impulse Control Disorders. Impulsive behaviour is when a person cannot resist the temptation to carry out certain activities that could lead them to harm themselves or others. In many cases, this behaviour is out of character. This behaviour can be expressed in a number of different ways, including: addictive gambling, impulsive shopping, binge eating or hypersexuality (a preoccupation with sexual feelings and thoughts).
If you are started on dopaminergic medications you will be monitored closely for any sign of an impulse control disorder. If you think you may be developing an impulse control disorder please contact your Parkinson’s nurse specialist, consultant or GP. Do not stop taking your medication without advice. Impulse control disorders are treatable but you may need to decrease the amount of medication you are on or change to a different drug.
Treatments for non-motor symptoms
There are many symptoms that might occur if you have Parkinson’s and the symptoms not related directly to movement are called the ‘non-motor’ symptoms. These can include constipation, urinary symptoms, sleep disturbance, memory problems, depression, anxiety, pain, drooling and blood pressure dropping on standing (known as postural hypotension). It is important to let your Parkinson’s specialists know if you have any troublesome symptoms (you will be asked about them in Parkinson’s clinics) as they are very often treatable.
Treatments for more complex Parkinson’s symptoms
Several other treatments may be considered at some point, depending on your symptoms. Your Parkinson's consultant or nurse will discuss these in more detail if relevant. Other treatments can include Amantadine tablets, Apomorphine injections, Apomorphine pump therapy, Duodopa® pump therapy (levodopa given via a feeding tube into the small bowel) and Neurosurgery (Deep Brain Stimulation).
If you come across any treatment that you think might be relevant to your Parkinson’s, please feel free to discuss it with your Parkinson’s nurse or consultant.
Updated 30 January 2018
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IMPORTANT INFORMATION ON BLOOD TESTING DUE TO COVID-19
Shielding Patients in very high risk for COVID Group
All people who have been identified as very high risk (requiring shielding) for COVID are in the process of being contacted by their clinician regarding their ongoing care. If you require a blood test whilst shielding as part of your care, appointment details including when and where your blood test will be carried out will be sent to you via a text message from SwiftQueue who manage our blood test bookings.
If you have regular blood tests and have been asked to have these, please ensure you have blood forms at home available; if you haven’t please contact your specialty to have some sent to you in advance of your blood tests.
Older People and Vulnerable Adults
People who are in the groups identified by the government as higher risk e.g are over 70 or receive a yearly flu jab, but are not in the very high risk (requiring shielding) group, can attend our normal blood test clinics. The blood test clinics and waiting areas have been adapted so that social distancing can be maintained.
Please check the locations on the map below.
Click on the map for information about phlebotomy clinics in Coventry. You can book an appointment online at the locations in red.
Please book an appointment before attending for a blood test. Click on the ‘Book Online’ button above. Booking an appointment helps patients, their carers and family members to plan their hospital visit better, helping to reduce clinic waiting times and enabling patients to be seen much more quickly.
Location: Outpatients Department, on the ground floor. Opening hours: 8am-4.45pm, Monday to Friday (excluding bank holidays).
Children under 16 years old will need to book online here.
Please book an appointment before attending for a blood test, click on the ‘Book Online’ button above. Patients from Rugby and the surrounding areas are able to access the Friends Blood Taking Unit at the Hospital of St Cross.
Referrals for blood tests can be from GP's, practice nurses or from hospital consultants. Patients are also able to leave other samples, such as urine, which have been collected at home, at the hospital's Pathology Reception.
Location: Near Brookfield House, just off North Road - map here. Opening hours: The blood taking clinic sessions for adults and children are listed below:
Monday -Friday 7am-4:45pm Appointment only
Wednesday Evening 5pm-7pm Suspended due to COVID
Saturday Morning 7am-10pm Suspended due to COVID
April 2020 NEW - This Clinic is now by appointment. Please book an appointment before attending for a blood test. Click on the ‘Book Online’ button above.
Address: Stoney Stanton Road, Coventry CV1 4FS Location: Access is via the main doors, the Phlebotomy team are in Area A. Opening hours: Monday to Friday (excluding bank holidays). 8am–4.45pm
Glucose Tolerance Test (GTT)
Specialist Tests - There are a small number of specialist tests where blood needs to be taken on a hospital site as the sample must be transferred to the laboratory rapidly for the test to be undertaken. Click here for a list of these specialist tests and to find out more.