*Issues that may be helpful in outpatient treatment of a patient with Parkinson disease symptoms are:
- Modification of certain activities and rearranging the house so that daily activities to be as much simplified and reposition furniture to be made so that the patient always something there to support the move;
- To follow a healthy diet, which includes fruits, vegetables, grains, vegetables, fish, poultry, lean meat, low dairy;
- Exercise and physiotherapy, which are very effective in all phases of the disease;
- Tremor appeared to handle and it can be good for reducing weight in making a trembling hand;
- To work with a speech therapist for speech improvement;
- Reduction in terms of eating problems and excessive salivation by changing the foods they eat and how;
- Face the engine freeze, through various methods such as walking to a target on the floor;
- To cope with sexual dysfunction. Talk to your doctor about this problem. This may suggest some changes in therapy such as drugs or exercise change.

*Drug therapy for patients who suffer manifest Parkinson disease symptoms:

Drug treatment is usually in the treatment of Parkinson's disease. The aim of medication is to compensate for the lack neurotransmitter - dopamine, which causes symptoms of the disease. Treatment is started, usually when symptoms lead to handicap person. Treatment may vary depending on symptoms, patient age, and depending on its response to drugs. Medicines can relieve symptoms, but a number of adverse effects. It takes time for the doctor to establish an effective combination of drugs, which take effect on each person. Today, levodopa is considered the most effective in controlling symptoms of Parkinson's disease for many years was the preferred drug for the treatment of newly diagnosed Parkinson persons. However, due to its use for a long time and higher doses appeared a number of motor complications, which were difficult to treat.



Therefore, some doctors prefer to use dopamine agonists, newer devices (such as pramipexole and ropinirole), especially in the early stages of disease. Using these drugs in early stages of disease leading to delay the introduction of levodopa treatment and thus delay the occurrence of motor complications. But use of these drugs may lead to motor complications.



The question regarding these two drugs, levodopa or dopamine agonists is beneficial in early stages of disease, is not fully clarified. Levodopa controls symptoms better than dopamine agonists. However, considering the studies, doctors concern regarding long-term effects of levodopa administration in the early stages and in high doses, has led them to recommend the initial treatment with dopamine agonists, especially those under 60 years. As the disease progresses, your doctor may prescribe concomitant levodopa and dopamine agonists.