30th April 2024

A 71-year-old woman with Parkinson’s disease is managed with Levodopa/Carbidopa 250mg/25mg TDS

A 71-year-old woman with Parkinson’s disease is managed with Levodopa/Carbidopa 250mg/25mg TDS. She feels her Parkinson’s symptoms have improved on her dopamine treatment, however is complaining of increasing abnormal involuntary movements which she is finding distressing. On Examination, you note evidence of choreoathetosis. She feels this is worse in her right side, which her Parkinson’s disease affected initially. What is the most appropriate initial management strategy?

Select the SINGLE most appropriate option from the list below. Select ONE option only.