A 78-year-old woman with a 3-year history of Parkinson's disease is well controlled on Levodopa/Carbidopa 100/25 mg TDS. She is admitted with a fractu...

Question

A 78-year-old woman with a 3-year history of Parkinson's disease is well controlled on Levodopa/Carbidopa 100/25 mg TDS. She is admitted with a fractured neck of femur. Post-operatively, she is nil by mouth for 24 hours. What is the MOST important consideration regarding her Parkinson's medication?

Accepted Answer

An equivalent dose of Rotigotine transdermal patch should be used to ensure dopaminergic therapy is not interrupted

Answer

Her Levodopa should be omitted as she is nil by mouth

Answer

She should be switched to intravenous Levodopa

Answer

Her Levodopa can be given via nasogastric tube as dispersible tablets

Answer

Domperidone should be started as a substitute for Levodopa

uk-dgm MCQ (SBA): Parkinson's Medication - Nil by Mouth Management

A 78-year-old woman with a 3-year history of Parkinson's disease is well controlled on Levodopa/Carbidopa 100/25 mg TDS. She is admitted with a fractured neck of femur. Post-operatively, she is nil by mouth for 24 hours. What is the MOST important consideration regarding her Parkinson's medication?