Prostate and bladder issues with Parkinson's

Posted: Sat Oct 04, 2008 4:15 pm Post subject: prostate and bladder issues with parkinsons

what are the problems caused by parkinsons or the drugs?


Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Wed Oct 08, 2008 10:02 am Post subject:

In general you need to be careful and not be too quick to attribute everything to PD, or to drugs, or to other comorbidities. It may also be a combination that leads to problems. I am happy to address specific question. For example urinary incontinence often may be a result of primary urological difficulties, but can be made worse by PD and the drugs. The drugs to treat incontinence systems may cause confusion in PD patients. That is just one example. Feel free to write more._________________Michael S. Okun, M.D.
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Anonymous
Posted: Sat Oct 18, 2008 9:48 am Post subject: Vesicare and Azilect

My Movement specialist sent me to a urologist for urinary frequency and urgency. He said he was "training" or familiarizing the urologist with PD. During my visit the urologist gave me samples of Vesicare and said I should research any drug interactions...which I would have thought would be his responsibility. After Googling both drugs--I cannot find any interactions but I did find a site where some of the Vesicare users (N=418) reported alraming side effects which included 83 hospitalizations and 8 deaths. Several reported it "caused Parkinsons"--could that mean tremors? Very confusing. I am concerned I missed something. My question---do you know of Vesicare interactions with PD symtoms, Azilect or Neupro? Thank you--I am glad you are available as a resource to PD "patients."
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Dr. OkunJoined: 19 Jan 2007Posts: 251Location: University of Florida
Posted: Sun Oct 19, 2008 5:51 pm Post subject:

The main issue with Vesicare is that it is in a class of drugs that have to be used with caution in PD (anticholinergics can lead to confusion, visual blurring, cognitive issues, etc.). There are few drug-drug interactions but we are careful in PD with this drug._________________Michael S. Okun, M.D.