From the patient, carer, GP or Summary Care Record. Include drug names, preparations (eg, controlled release) and usual timing of medication when at home.
Prescribe their usual Parkinson's medication at the times they would normally take them at home, NOT just standard drug round times. Ensure this medication is obtained and administered promptly.
Do not give metoclopramide, cyclizine, prochlorperazine (Stemetil), haloperidol or risperidone.
Domperidone (PO/PR) or ondansetron can be used for nausea and vomiting. Avoid anticholinergics.
Insert an NG tube if appropriate. Use our Calculator with NG to convert the patient's usual Parkinson's tablets to dispersible or liquid preparations, which can be given via the tube. SALT review as soon as possible.
For those who cannot have an NG tube or with GI failure, use our Calculator without NG to convert their usual PD medication to a transdermal patch. Apomorphine injections should only be initiated by a PD specialist.
Remember to prescribe the usual drug name, preparation (eg, controlled release) and timing according to their home regime. Seek help from the Pharmacist or Medicines Information where needed.
Contact your local PD Nurse Specialist, PD Consultant or Pharmacy.