In this section : Care of the Elderly
: Safe and Effective Use of Medicines
Prescribing for CAU Patients Still in ED
Prescribing Advice on Admission – Clozapine
Prescribing Advice on Admission – Methadone/Buprenorphine
Prescribing Advice on Admission – Corticosteroids
Prescribing Advice on Admission – Items Not Prescribed by GP
Prescribing Advice on Admission – Patients on Chemotherapy Regimes
Prescribing Advice on Admission – Medication for Parkinson’s Disease
Prescribing Advice on Admission – Insulin
Prescribing Advice on Admission
Gentamicin & Vancomycin
Greener Inhaler Prescribing
Safe and Secure Handling of Medicines
Blood Glucose & Steroids
Prescribing Advice on Admission – Medication for Parkinson’s Disease
Last updated 18th November 2022
Medication for Parkinson’s Disease
- Timings are crucial.
- Speak to patient / carer about the timings of their medication. If timings cannot be obtained from patient / carer, check Clinical Portal for notes / letters from the PD team.
- Prescribe on HEPMA at the specific times they take their medication at home.
- Inform the nurse looking after the patient that they have specific timed medication for Parkinson’s Disease – the nurses should have access to timers they can set to bleep when the medication is due.
- Consider allowing the patient to manage their own PD medications if they have the capacity to do so.
- Formulation is crucial.
- Ensure that slow/modified/controlled release preparations are not accidentally substituted for normal release preparations. The wrong formulation can make a significant clinical difference to the patient.
- Doses must not be missed.
- If patient cannot safely swallow, prescribe rotigotine patch 4mg every 24 hours (stocked in CAU and D9) and withhold all oral PD medication until the PD team can review. There is no need to calculate a rotigotine replacement dose short-term.
Approved by Medicines Safety Group/Formulary Group/Area Drugs and Therapeutic Committee, NHS Dumfries and Galloway