![]() This can help to reduce dystonia that happens when your levodopa is at peak-dose ![]() ![]() taking medication that releases a continuous, lower level of dopamine stimulation.adding other medications to your drug regime, which make your levodopa work for longer.Other options for your Parkinson’s medication include: a combination of a standard levodopa tablet and a dissolvable levodopa tablet.This takes effect more quickly but is does not last as long long-acting dopamine agonist medication, that will lessen the effects of dystonia when you wake upįirst thing in the morning you could try:.This allows the levodopa to enter your body slowly instead of all at once a controlled-release dose of levodopa if you experience dystonia as your medication wears off in the morning.Last thing at night you could try taking: You should discuss these with your GP, specialist or Parkinson’s nurse before making any changes to your medication. Taking Parkinson's medication in different ways and at different times may help your dystonia. The timing of medication for different types of dystonia This will help to explain the problem to your specialist or Parkinson’s nurse.įind out more: see our information on monitoring your Parkinson’s. You may find it helpful if you or your carer keep a diary of when your dystonia happens, so you can work out if it is linked to your medication. If your dystonia is connected to levodopa, your medication regime may need adapting. The first step is to try to work out what is causing your dystonia. Speak to your healthcare professional about getting a referral. If you experience problems with your voice you may find it helpful to see a speech and language therapist. This can affect your speech including the pitch, volume and quality of your voice. Vocal cordsĭystonia can cause spasms in your vocal cords. Your healthcare professional may refer to dystonia in your eyelids as ‘blepharospasm’. It usually starts in one eye and often spreads to both. Stress, looking up or down, reading or bright lights might make these things worse.ĭystonia in your eyelids can be brief or last for a longer period of time. You may also experience irritation or a burning feeling, and your eyes may become sensitive to light. Eyelidsĭystonia can cause your eyelid muscles to contract, making you blink a lot. This is known as ‘writer’s cramp’ and can be associated with hand tremor. Hand spasms may happen when you are performing fine movements, such as writing. It might also bend forward, sideways or backward. If you experience these postures, you may find that your head pulls to one side. Head and neckĭystonia can cause unusual postures of your head, neck and shoulders. Your foot may also turn in at your ankle. It can make your toes curl under your foot, or make your big toe extend out or up. Legs and feetĭystonia can cause spasms in your calf muscles. It can affect a single muscle or a group of muscles. The spasms and movements may happen at any time of the day but usually last for a shorter time than dystonia linked to levodopa.ĭystonia usually happens on the side of your body that Parkinson’s affects the most. More rarely and often in people diagnosed at a younger age, Parkinson’s itself can cause dystonia. It can also happen at peak-dose, when your levodopa is most effective. It can happen as a ‘switching on’ effect as your levodopa starts to work. Sometimes your levodopa creates too much dopamine stimulation and this can cause ‘on’ dystonia. You may experience painful spasms and might not be able to get out of bed until your first dose of medication starts to work. This is most likely to affect your legs and feet. If you take your last dose of medication last thing at night, you may experience 'off' dystonia when you wake up in the morning. This is when the drug becomes less effective before you take your next dose. ‘Off’ dystoniaĭystonia mostly happens as the levodopa treatment is wearing off. In Parkinson’s, dystonia is most often linked to levodopa. However, people with Parkinson’s usually get dystonia as a symptom of their condition or as a side effect of levodopa. One type of dystonia is a genetic or hereditary condition called ‘primary’ dystonia. This is the area of the brain that controls movement. Dystonia appears to relate to problems with the basal ganglia.
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