A patient who has Parkinson's disease takes levodopa and carbidopa. The patient reports experiencing tremors between doses. The primary care NP should:

a. add entacapone.
b. add amantadine.
c. discontinue the carbidopa.
d. increase the dose of levodopa.


A
Catecholamine O-methyl transferase inhibitors, such as entacapone, are used to prolong the effects of levodopa and help prevent breakthrough tremors that occur before the next dose of levodopa. Amantadine is not indicated. Increasing carbidopa does not have this effect. Increasing the dose of levodopa does not prolong its effects.

Nursing

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Nursing

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Nursing