A 75-year-old man with Parkinson's disease, treated with co-careldopa, develops visual hallucinations. He is distressed by these but has no other feat...

Question

A 75-year-old man with Parkinson's disease, treated with co-careldopa, develops visual hallucinations. He is distressed by these but has no other features of delirium or psychosis. His Parkinson's motor symptoms are reasonably controlled. According to NICE NG71, what is the most appropriate initial management step regarding his medication?

Accepted Answer

Gradually reduce and stop any anticholinergic medication

Answer

Increase the dose of co-careldopa

Answer

Add quetiapine

Answer

Add rivastigmine

Answer

Stop co-careldopa immediately

mrcgp akt MCQ (SBA): Parkinson's Disease / Drug Side Effects