What is the perioperative management of Parkinson disease medications?

Updated: Jan 09, 2018
  • Author: Nafisa K Kuwajerwala, MD; Chief Editor: William A Schwer, MD  more...
  • Print


Patients with Parkinson disease who take dopamine (combination of L-dopa and carbidopa) must stay on their usual medication schedule as much as possible perioperatively because no parenteral form of Sinemet is available and withholding the drug can cause a parkinsonian crisis. Anticholinergics, such as benztropine mesylate in a dose of 0.5-1 mg twice daily, may be given intramuscularly during the perioperative period without serious cardiovascular risk. L-dopa should be resumed postoperatively as soon as possible, and the patient should be carefully monitored for hypotension. [13]

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!