Bulgarian algorithm for the diagnostics and treatment of Parkinson’s disease
Parkinson’s disease affects 0,15% of the general population, with prevalence increasing to 1% in the age group of 55 to 65 years. According to epidemiological data from Bulgaria, the number of people, affected by the disease, should be about 12 000. If treated improperly, patients who are still in active working age rapidly become disabled. If correct treatment is provided, such patients may continue to be capable of working at least over the first 5 years following the onset of the disease and have a mild disability within the first 10 years of onset. Treatment from the very onset with levodopa products leads to faster exhaustion of therapeutic effect and early disability of the patient. After levodopa’s effect wears out, the patient enters the phase of the complicated Parkinson’s disease (PD) when treatment is difficult, disability is serious and patients become a burden to their families and to society.
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