
Apomorphine can cause nausea and vomiting, as well as a reduction in blood pressure. However, these effects can be minimised by taking a drug called domperidone. Before a patient starts APO-go their doctor will normally prescribe domperidone tablets at a dose of 20mg three times a day. Domperidone will need to be started at least two days before APO-go is first given.
The dose of APO-go
prescribed will be individual to you, depending on your response
to the drug. Most patients respond to apomorphine but a small
percentage will see little response and are unsuitable for
treatment.
Once starting APO-go,
there is a possibility that the oral Parkinson's medication you are taking can
be reduced, which may lessen some of the side-effects associated
with your other medication. Your doctor or Parkinson's Disease
Nurse will determine this.
APO-go, like all
other anti-Parkinsonian drugs, is only a part of the approach to
the treatment of Parkinson's disease and requires the involvement
of a multidisciplinary team, including the Parkinson's Disease
Nurse Specialist.
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