How do you do a levodopa trial in the outpatient setting?  

In a patient with Parkinsonism whom I am starting levodopa treatment for, I begin by conducting a detailed motor examination using the MDS-UPDRS III to assess baseline symptoms. Typically, bradykinesia and rigidity respond most consistently and robustly to treatment. While tremor and gait disturbanc...

In my opinion, it is important to consider the phenomenology and the symptomatology of the patient, and how early of the disease we are dealing with. If the patient cognitively is good I do not think we need to be too conservative to start with once a day, one could begin carbidopa or levodopa three...