30th April 2024

A 58-year-old man is seen in the Parkinson’s clinic. He was diagnosed with Parkinson’s disease 1 year ago

A 58-year-old man is seen in the Parkinson’s clinic. He was diagnosed with Parkinson’s disease 1 year ago. He has been treated with Levodopa/Carbidopa. The dose of this has been gradually up-titrated over the year. He has had some benefit, however he complains that he is still struggling with his activities of daily living. He has started using a stick to mobilise due to recurrent falls. On examination, he has a symmetrical tremor and is unstable on his feet. What is the most appropriate next step in his treatment?

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