23rd August 2024

A 68-year-old female is being reviewed in the Movement disorders clinic as she is having increasing difficulty with mobilising

A 68-year-old female is being reviewed in the Movement disorders clinic as she is having increasing difficulty with mobilising and cooking due to her Parkinson’s disease and has stopped driving. She commenced on levodopa a few years ago and had been doing well with it up until recently, but now likely needs a second agent to help manage her symptoms. She has a background of depression and has been taking sertraline for many years. Which medication would be the least appropriate to start given this patient’s drug history?

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