🎙️ Episode 13: Parkinson’s and Levodopa: Early Start, No Regret

20/04/2025 2 min Temporada 1 Episodio 13
🎙️ Episode 13: Parkinson’s and Levodopa: Early Start, No Regret

Listen "🎙️ Episode 13: Parkinson’s and Levodopa: Early Start, No Regret"

Episode Synopsis

Send us a text🧠 Clinical Myth:“Delay levodopa to delay motor complications.”🧪 LEAP Trial (Levodopa in Early Parkinson’s):Compared early start vs 40-week delayed start.5-year follow-up showed no difference in motor fluctuations or dyskinesia.📈 Key Outcomes:Early levodopa = better function earlier, no long-term harm.Wearing off effect was similar in both groups.🧩 Clinical Takeaway:Don’t hold back levodopa if patient is symptomatic.Starting early improves quality of life without hastening decline.Personalize the approach — don’t delay just for dogma.

More episodes of the podcast Brilliant Board Review & CME