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The Chronical Chill out, spark a jay, and enter the chronical. |
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to anyone who knows anything about pharmacology...
ok, I've been assigned to a resident who's taking levadopa with carbidopa as part of his medication. my clinical instructor, being as difficult as she is, has made me research why he was prescribed such medication.
now, because he doesn't have parkinson's disease, I had originally thought the reason for this was to PREVENT parkinson's disease, but was later informed by my instructor that these drugs won't prevent parkinson's, but there was another reason why he was prescribed these medications together. I'm been racking my brains and the closest thing I can think of is the reinforcement effects that dopamine has on his brain... but that's as far as I can think.. I know this may be a longshot, but anyone else have any ideas why?? --Joanne :P |
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I haven't slept since Monday night (too much shit to do with school), so I won't go into detail.
I Googled, "why prescribe levodopa with carbidopa" and got a lot of hits. <--- did you spell levodopa the way I did here? Because it's spelled wrong in your post, so maybe you spelled it wrong when you were searching for info on it? At lot of stuff came up having to do with restless leg syndrome. And according to my Nursing Drug Guide, there's an unlabled use for relief of herpes zoster (shingles) pain; and (there you have it) restless leg syndrome. I'm going to sleep now. |
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Joanne, weren't you guys supposed to buy a nursing drug guide?
Another good resource for drug info is www.bcpharmacists.com/links |
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the two together make sineset, which is the common treatment for parkinsons. if admininstered seperately as l-dopa and carbi, it could be due to a gradual wearing off effect of the levadopa. after five to ten years the control aspects of l-dopa on a patient begin to degrade, so when combined with carbi, the treatment once again becomes a viable form of symptom control.
at the stage where these would be administered seperately, yet in conjunction, the patient has moved far beyond prevention and into disease management. |
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^^I doubt that's it.. he's been taking the drugs for about 3 years with no diagnosis of parkinson's disease, shingles or restless leg syndrome ever in his life....
and I just figured out today that levodopa and carbidopa can help with cerebral arterioslcerosis, which makes absolute sense considering my resident's chronic health challenge is CVA.. I JUST might have solved the puzzle! esi: I have a pharmacology text, but it only gives some information on the general drug category, and not very specific on generic or trade names. there was another drug guide book that I was supposed to buy buy that had much more info, but I decided to be a cheapass and not to get it. thanks for the website though :) --Joanne :P Last edited by Joanne; Jan 23, 04 at 04:29 AM. |
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huntington's isn't usually responsive to levodopa... nor do they really use dopaminergic agonists to treat alzheimer's or asian bird flu :P
plus, my patient has been diagnosed with neither... thanks for the help guys... but I think I'm on the right track. I have my clinical on tuesday and I'll discuss it with my instructor :) --Joanne :P |