Parkinson's disease (PD): treatment of autonomic features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Parkinson's disease (PD): treatment of autonomic features. Avoid daytime supine position. Fully referenced neurology checklist.

Non-drug treatments of supine hypertension

  • Avoid daytime supine position
  • Sleep with 15-23cm head elevation
  • Avoid diuretics and alpha blockers

Drug treatments of supine hypertension

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Treatment of erectile dysfucntion

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Treatment of hypersexuality

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Treatment of sialorrhea

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References

  1. Espay AJ, LeWitt PA, Hauser RA, Merola A, Masellis M, Lang AE. Neurogenic orthostatic hypotension and supine hypertension in Parkinson's disease and related synucleinopathies: prioritisation of treatment targets. Lancet Neurol 2016; 15:954-966.
  2. Bronner G, Vodusek DB. Management of sexual dysfunction in Parkinson's disease. Ther Adv Neurol Disord 2011; 4:375-483.
  3. Bernard BA, Metman LV, Levine L, et al. Sildenafil in the treatment of erectile dysfunction in Parkinson's disease. Mov Disord Clin Pract 2016; 4:412-415.

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