Because I am scheduled for minor surgery next week, I asked John
Cottingham for a copy of the Alert-ID Card which he had posted to the
list a while ago. I thought it might be useful to forward it to the
list. Please feel free to make any appropriate additions. Thanks again,
John.
>From [log in to unmask] Thu Apr 6 09:26:47 1995
Subject: Parkinson Alert ID Card
The following is the text of a Parkinson Alert ID Card
which was produced by Hillcrest Hospital in Tulsa,OK
USA in association with the Oklahoma Parkinson Disease
Association. Perhaps you have seen it but do not have
one in your purse or wallet. It includes an explanation
of your symptoms and special attention to drugs that
may be given to you in emergency situations that could
be harmful to you.
Unfortunately, specialized healthcare today tends to
have a "Myopic View" of the patient, treating only what
is broken, overlooking the oath of "Do no Harm" by not
asking the questions. This Alert ID Card may answer
the unasked question in an emergency.
Save this message to a ascii or text file. Load it in
your word processor and adjust the font size so that
each line will be slightly less than the width of a
business card. Courier is a non-proportional type face
so using it will not ruin the line formating.
Internationally, the trade names of the contraindicated
drugs may not translate into local tradenames.
-------------------------------------------------------
Parkinson Alert ID Card
My name is _________________and I have Parkinson's
Disease. Parkinson's disease is a neurological disease
which is neither fatal,painful,nor contagious. Its
symptoms are tremors, rigidity,slowed gait and
low,slurred speaking voice. It can cause gait and
balance impairment, which may resemble intoxication,
but it is not. Judgement and vision remain unimpaired.
These symptoms worsen and lessen several times a day in
an "On-Off" cycle. I usually do not need any special
help, except with tasks requiring physical coordina-
tion or strength. Thank you in advance for your help,
understanding and patience!
CONTRAINDICATED DRUGS IN PARKINSONIAN PATIENTS
The term "contraindicated" essentially means that the
drug in question cannot be given to a patient. In the
parkinsonian, the basic problem is the chemical nature
of the disease itself. Many drugs alter the brain's
dopamine system and may not be recognized as having
a potential to markedly alter the symptoms of Parkinson
disease simply because the drugs are employed for the
treatment of non-neurologic conditions. Every patient
with Parkinson disease should have a list of these
agents available for their physician's reference.
Your Name: | Physician's Name:
________________|_______________________________
M________________|_______________________________
E________________|_______________________________
D________________|_______________________________
I _______________|_______________________________
C________________|_______________________________
A _______________|_______________________________
T _______________|_______________________________
I________________|_______________________________
O _______________|_______________________________
N________________|_______________________________
S________________|_______________________________
DRUGS THAT MAY INTERFERE SERIOUSLY IN THE
MANAGEMENT OF PARKINSON'S DISEASE
NAMES OF DRUGS
-------------------------------------------------------
Trade Generic
Antidepressant Nardil Phenelzine
Parnate Tranycypromine
Triavil
Neuroleptics Hadol Haloperidol
Loxitane Loxapine
Mellaril Thioridazine
Orap Pimozide
Prolixin Fluphenazine
Permitil Fluphenazine
Serentil Mesoridazine
Stalzine Trifluoperazine
Taractan Chlorprothixene
Thorazine Chlorpromazine
Tindal Acetaphenazine
Trilafon Perphenazine
Vesprin Triflupromazine
Antivomiting/ Compazine Prochlorperazine
Gastrointestinal Reglan Metoclopramide
Torecan Thiethylperazine
Blood Pressure Raudixin Rauwolfia
Serpentina
Post-Op Harmonyl Deserpine
Medication Moderil Rescinamine
Rauverid Niacin
Rauwiloid Nicotinomide
Wolfina B-Complex vitamins
Possible Aldomet Alpha-Methyldopa
Potential BuSpar Subpirone
Side Effects Lithobid Lithium
Miscellaneous Serpasil Reserpin
WARNING TO USERS OF ELDEPRYL
ELDEPRYL WITH USE OF DEMEROL
CAN BE DEADLY.
DO NOT ACCEPT DEMEROL
(MEPERIDINE) AS A POST-SURGICAL
MEDICATION. FURTHER INFORMATION
CAN BE OBTAINED FROM SANDOZ
PHARMACEUTICALS AT: 1-800-631-8184
------------------------Cut Here-----------------------
John Cottingham [log in to unmask]
===========================================================================
Barbara Patterson [log in to unmask]
HSC 2J22 905-525-9140, ext. 22403
School of Nursing
===========================================================================
