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Saturday, 19 November 2016

A 70-year-old man with Parkinson’s disease and nausea

A 70-year-old man was admitted with weakness, and occasional nausea, for the preceding few days. He had a history of Parkinson’s disease for 12 years. He was treated with levodopa.

Which treatment would you recommend for his nausea?

a- Ondansetron
b- Prochlorperazine
c- Metoclopramide
d- Promethazine
e- Domperidone

Check the answer below

The answer is A

With the exception of ondansetron, all the  medications in the above list are anti-dopaminergic, and would result in worsening in hid Parkinson’s symptoms. 

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