Drugs
|
Dose range
|
Specific issues
|
Dopaminergic (usually first choice): |
Levodopa DCI | 100–600 mg | Rebound/augmentation |
Evening or divided dose |
Bromocriptine | 7.5 mg (divided dose) | Poor tolerance |
Pergolide | 0.1–0.75 mg | Single or two evening doses |
Ropinirole | 0.5–4 mg | daily/twice daily |
DHEC | 10–40 mg | |
Pramipexole | 1.5 mg | Single evening dose |
Cabergoline | 1–4 mg | Useful for augmentation |
Apomorphine | 18–50 mg/12 h | Overnight sc infusion |
Amantadine | 100–400 mg | |
Other drugs: |
Oxycodon | 2.5–25 mg | |
Propoxyphene | 100–260 mg | |
Clonazepam | 0.5–2 mg evening dose | Drowsiness |
Triazolam | 0.125/0.25 mg | |
Nitrazepam | 2.5–10 mg | |
Carbamazepine | 100–600 mg | Single/divided doses |
Gabapentin | 300–2400 mg | Quick dose escalation |
Clonidine | 0.15–0.9 mg | |
Baclofen | 20–80 mg | Drowsiness/single dose |
Only in iron deficient patients: |
Iron oxide | 100–200 mg/dose | Intravenous |
Iron sulphate | 200 mg three times daily | Oral |