GRAB & GO Emergency Documentation
4 of 6
MEDICAL HISTORY
Patient is engaged in an experimental drug trial: YES NO If YES, please provide additional info:
Medication Precautions for PSP, CBD and MSA
Do not abruptly increase or reduce levodopa or amantadine.
To avoid:
• Haloperidol, Pimavanserin, quetiapine and clozapine— Can be used in brief, emergency situations but can cause aggravation of slowness and stiffness
Recent hospitalizations, surgeries or significant medical events:
• Benzodiazepines( clonazepam, temazepam) and benzodiazepine receptor agonists( zolpidem, eszopiclone)— Can increase risk of falls, but can be used if person is chairbound and hypotension is not a risk
To use with caution:
• Olanzapine, aripiprazole and risperidone— Can dangerously aggravate stiffness and slowness and cause severe sedation
• Amitriptyline, benztropine, trihexyphenidyl, oxybutynin, tolterodine, fesoterodine, paroxetine and most tricyclic antidepressants— Can worsen mobility
Additional medical information( e. g., implanted devices, chronic health conditions):
• Diphenhydramine, an antihistamine with anticholinergic effects— Can worsen mobility
• Memantine— Can cause nausea, dizziness and sedation
• Metoclopramide and prochlorperazine; For nausea / vomiting, instead use ondansetron, trimethobenzamide or granisetron For MSA:
• Dopamine agonists— Can cause dystonia
• Alpha-blockers for bladder dysfunction and beta blockers for anything— Can cause sudden hypotension
CurePSP Grab & Go