Name:
Address:
Telephone:
Date of Birth:
Soc. Sec. Nr:
Medical Information Card (Updated:
)
Health Insurance Plan:
Medicare Part A/B:
Allergies to Medications:
(Also See Below)
Contacts:
Illnesses/Conditions:
Physicians:
Current Medications
Other:
Medications
Dosage (Pill Size)
How Often Taken
When Taken
Drugs that are contraindicated in Parkinson's:
The term "contraindicated" essentially means the drug in question should not 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 the potential to markedly alter
the symptoms of Parkinson's simply because the drugs are often used for treatment of non-neurological conditions.
Drug Category
Anti-psychotic
(used for agitated
confusion)
Anti-depressant
Anti-vomiting
Miscellaneous
Trade Name
Generic Name
Haldol
Haloperidol
Trilafon
Perphenazine
Thorazine
Chlorpromazine
Stelazine
Trifluoperazine
Prolixin,
Permitil
Flufenazine
Navane
Thiothixene
Mellaril (high dosage)
Thioridazine
Triavil
Combination of Perphenazine &
Compazine
Prochlorperazine
Reglan, Maxeran
Metoclopramide
Phenergan
Promethazine
Torecan
Thiethylperazine
Serpasil
Reserpine
Nitoman
Tetrabenazine
Possible / Potential Contraindicated Meds
Blood Pressure
Aldomet
Alpha-methyldopa
Anti-Seizure
Dilantin
Phenytoin
Mood Stabilizer
Lithium
Lithium
Anti-Anxiety
Buspar
Buspirone
Amitriptyline