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February 27
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MyParkinsonsTeam

Has your husband been experiencing hallucinations and confusion that came on quickly?

When hallucinations and confusion develop rapidly (over hours to days), this is called delirium and often has an underlying medical cause that needs attention. It's important to contact his doctor right away to rule out treatable causes Show Full Answer

Has your husband been experiencing hallucinations and confusion that came on quickly?

When hallucinations and confusion develop rapidly (over hours to days), this is called delirium and often has an underlying medical cause that needs attention. It's important to contact his doctor right away to rule out treatable causes like:

* Infections (especially urinary tract infections)
* Electrolyte imbalances
* Dehydration
* Medication interactions or side effects

A MyParkinsonsTeam member shared a similar experience: "We drastically reduced amantadine (given for dyskinesia) and his carbidopa, and his hallucinations stopped. Work with your neurologist to make sure your meds are still right for you." Regarding alternative medications:

Rather than alternative meds, the first step is usually adjusting current Parkinson's medications. Many hallucinations can be managed by reducing or changing medications like:

* Amantadine
* Dopamine agonists (like pramipexole)
* Anticholinergics
* Levodopa-carbidopa dosages

One caregiver shared: "My father's previous neurologist never adjusted my father's [[treatment:Levodopa/Carbidopa:55d534f51fcaa397470006dd]] as his disease progressed" - and once adjusted properly, his hallucinations improved significantly.

If medication adjustments don't help, there is a medication called pimavanserin (Nuplazid) specifically designed to treat Parkinson's hallucinations without worsening motor symptoms.

Please work closely with his neurologist to find the right approach. The sudden onset makes it especially important to get medical attention soon.

February 27

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