Raise Awareness

Celebrating 12 Milestones that Defined 2025

🧠 What will you learn in this article?

This article highlights the ways the Parkinson’s Foundation helped people living with Parkinson’s and the Parkinson’s community in 2025. It highlights:

  • How we advanced research through funding grants and evolving our genetics study. 
  • Funded local community programs.
  • Launched new policy effort to improve care and research through advocacy.
  • Spread Parkinson’s awareness through programs, campaigns and resources.

2025 was a remarkable year for the Parkinson’s Foundation. Over the course of 365 days, we advanced Parkinson’s disease (PD) research while working hard to represent the one million people in the U.S. living with this neurodegenerative disease. We strengthened our connections among care partners and everyone serving the PD community.  

With your support, we launched new initiatives and vital PD resources, stayed fast in our commitment to improving PD care and research, and empowering the community through education and new resources.  

accomplishments

Thanks to YOU, here are the top 12 ways we made a difference this year:

1. Awarded more than $4.3 million in high-risk, high-reward research.

In a year when federal funding for disease research sharply declined, we significantly increased our investment in Parkinson’s research. We awarded more than $4.3 million across 44 grants. We are proud to fund scientists pursuing innovative studies across diverse areas of PD — driving the development of new therapies, treatments and ultimately a cure for the 10 million people worldwide living with this neurological disease.

Explore our ongoing research

Meet Jeff Kim, PhD

2025 Parkinson’s Foundation Postdoctural Fellow

Dr. Kim is leveraging AI (artificial intelligence) to advance genetics research. His research seeks to understand how overlapping PD mutations may influence the risk of developing PD. 

Jeff Kim at lab

2. Reached 30,000+ participants in our genetics study.

PD gene

In 2025, PD GENEration: Powered by the Parkinson’s Foundation reached unprecedented numbers including: 

  • Providing genetic testing and counseling to 30,000+ people with Parkinson’s, at no cost.

  • Finding that approximately 12-13% of participants carry a genetic link to PD.

  • Expanded study to a total of 77 testing sites worldwide and counting — adding sites in Mexico, Colombia, Chile, Peru and El Salvador.

We also launched an exciting new pilot program, PD Trial Navigator, to help advance PD GENEration’s goal of accelerating genetic-focused clinical trials. This program helps inform PD GENEration participants about Parkinson’s genetic trials they may qualify for based on their genetic results.

Enroll Now in PD GENEration

3. Launched new policy effort to accelerate PD treatments and care.

Andi Lipstein Fristedt

In 2025, we launched new policy initiatives aiming to empower the PD community through advocacy. Highlights include:

Sign up for our emails to keep up to date with advocacy efforts

4. Funded local Parkinson’s programs in 38 states.

parkinsons exercise program

We awarded more than $1 million in community grants for programs that help people living with PD across 38 states. Our 2025 grants fund local programs that provide exercise and educational support for people with PD and their care partners and address mental health needs. Since 2011, the Foundation has devoted more than $12.7 million in community-based programs, reaching a combined 81,000 people with PD and care partners.

 Pictured: Parkinson’s Foundation Community Grantee, Parkinson's Exercise Program For You, in Dana Point, CA, offers PD-tailored exercise programs. 

To find your nearest exercise or wellness class, visit your local chapter’s webpage or call our Helpline at 1-800-4PD-INFO (1-800-473-4636).

5. Appointed our first-ever Chief Medical Officer.

Headshot of Sneha Mantri, MD, MS

This year, we welcomed Sneha Mantri, MD, MS, as Chief Medical Officer of the Parkinson’s Foundation. A nationally recognized movement disorders specialist and educator, Dr. Mantri believes in getting to know her patients and personalizing their treatments. “I'm excited to bring that philosophy of care to this role and address the needs of people with Parkinson’s on a national scale,” she said.

Look out for virtual events featuring Dr. Mantri in 2026.

Learn more about Dr. Mantri here

6. Moved two Parkinson’s Virtual Biotech drugs into trials.

Parkinson’s Virtual Biotech is a research-driven investment fund we support alongside Parkinson’s UK. In 2025 we shared two exciting advances:

  • Project ASPro-PD became the first Parkinson’s Virtual Biotech project to enter a large phase 3 trial, assessing whether ambroxol (a common cough medicine ingredient) can slow the progression of Parkinson’s. This trial is the closest to delivering a new treatment.

  • A new drug from NRG Therapeutics, designed to repair the mitochondria that power brain cells, is advancing to clinical trials for Parkinson’s and ALS (amyotrophic lateral sclerosis). This progress was made possible through early investment from the Parkinson’s Virtual Biotech, proving how our venture philanthropy model fuels innovation — turning bold ideas into real possibilities for people living with Parkinson’s and making investments less risky for future funders.

Learn more about the Parkinson’s Virtual Biotech

7. Launched new resources to help people optimize their PD care.

We know that healthcare appointments for Parkinson’s can feel overwhelming. Which is why we published new content and tips dedicated to help people with PD and care partners advocate for their best care. Use our Steps to Prepare for a Parkinson’s Appointment worksheet for a step-by-step guide to choosing your top three appointment topics. 

Learn how to optimize your Parkinson’s care

8. Raised $263,000 on Parkinson’s Foundation Day of Giving.

day of giving

Our incredible community came together and made our third annual Day of Giving the most successful so far, raising double the amount raised in 2024. Our steadfast supporters made this special day a success, raising awareness and funds to support our mission to make life better for people with Parkinson’s disease.

Give today

9. Facilitated 3,949 community service hours through Parkinson’s Ambassadors.

Etana Soloman and her mother

Volunteers are essential to our mission and help us localize our reach. This year, we trained 239 new Parkinson’s Foundation Ambassadors and brought all our volunteers together at our national Volunteer Leadership Summit.

Etana Soloman joined our People with Parkinson’s Advisory Council to add her voice and help represent young caregivers and people like her mother who are in the later stages of PD. “Being able to care for my mom is truly an honor”  Read her story.

Find a volunteer opportunity near you

10. Reached 8.6 million visits to Parkinson.org and expanded Spanish-language engagement.

Parkinson.org reached a record of 8.6 million visits, including 1.3 million visits to our Spanish content. Every page visit represents an opportunity to connect people with life-changing resources, digital events and actionable ways to help make life better for people with Parkinson’s.

Hispanic and Latino members of the PD community face distinct barriers to living well with Parkinson’s. In 2025, we published new Spanish pages on dementia, caregiving, vertigo, depression, hospital safety and more (explore these pages in English, too: dementia, caregiving, vertigo, depression, hospital safety).

Explore our Spanish pages

Visit Parkinson.org now

11. 20,000 participants raised more than $8.3 million through community fundraising events.

Brooke Ramsey and family

Parkinson’s Foundation community fundraisers raised an impressive $8.3 million to advance PD research, access to care and life-changing resources in 2025. Together, every person who participates in Moving Day, A Walk for Parkinson’s, Parkinson’s Champion and Parkinson’s Revolution bring us closer to a cure.

Two years after his diagnosis, Brooke Ramsey found Moving Day Columbus. For the last 14 years his family has raised more than $117,000 to help make life better for people with Parkinson’s. Read his story.

Find a Moving Day near you

Become a Parkinson’s Champions

Join us for Parkinson’s Revolution

12. Engaged with our audience through two awareness campaigns.

In April, we introduced the world to PAM, your guide to Parkinson’s Awareness Month. To raise PD awareness, PAM shared essential information, tips and resources about PD on our social media channels and website.

Hi! I'm Pam!

In April we: 

  • Posted 5 new videos highlighting PD facts everyone should know.
  • Reached 2+ million visits to Parkinson.org — our most page views in a single month!
  • Earned 914,000 impressions across our social media posts

Follow us on social media to help spread Parkinson’s awareness

In November, for National Family Caregivers Month, we amplified the diverse experiences of caregiving through our Real Care. Anywhere. campaign. We provided tailored resources for three types of caregivers including those caring for someone living with Parkinson’s, those providing care from a distance and those managing PD alone.

Explore our care partner resources

 

We are setting bold goals for 2026 to create an even greater impact on the Parkinson’s community — and your support makes it possible.

Donate today

Fundraising Events

2026 Escape from Alcatraz Triathlon

7:00 am to 8:00 pm EST

 

The Parkinson's Foundation is an official charity partner for the 2026 Escape for Alcatraz Triathlon. By signing up to swim, bike, and run as a Parkinson's Champion you commit to raising funds and awareness for the Parkinson's Foundation, and in return you get access to a free entry (bib) to the race in addition to other fun benefits and perks. Register today at PDChampionsAlcatraz.org.

Fundraising Commitments:

  • Triathlon - $3,000
  • Honorary Champion (you already have a bib) - $500

For more than 45 years, triathletes from around the world have made the pilgrimage to San Francisco to attempt a challenge once thought impossible – the Escape From Alcatraz.  Entering its 46th year in 2026, this iconic Escape From Alcatraz Triathlon attracts thousands of adventurous athletes from all 50 states and over 50 countries, eager to test their endurance against the city’s legendary bay waters, steep hills, and rugged terrain. 

Consistently ranked as a bucket list triathlon, it’s a summer showdown to see who truly has what it takes to ESCAPE. The course features an intense 1.5-mile swim from the waters near Alcatraz Island, an 18-mile bike ride through the Presidio's rolling hills, a demanding 8-mile run that includes the famed Sand Ladder, before an exhilarating finish at Marina Green.  Race weekend also includes a two-day Fitness Festival at Marina Green, free and open to the public, featuring the Official Escape Merchandise Store, a Beer Garden, local food trucks, product giveaways, and interactive sponsor activations- all set against the breathtaking backdrop of the City by the Bay.

Are you looking for a fun way to volunteer for the Parkinson's Foundation & raise your voice while raising awareness? Come out and cheer on our incredible athletes! Learn more and apply at Parkinson.org/ChampionsCheer.

If you have questions, send us an email at Run4PD@Parkinson.org. For more information about the race itself, visit the Escape from Alcatraz Homepage.

Upcoming Events

My PD Story

cindy and scott headshot
General PD Community

Cindy and Scott Heider

In the past 10 years, Cindy and Scott Heider have assisted three family members navigate a Parkinson’s disease (PD) diagnosis. As avid philanthropists, becoming supporters of the Parkinson’s Foundation felt like a natural fit as they set out to learn more about the disease to aid those in their family with PD and help raise awareness. 

“I don’t think people really understand the progression of Parkinson’s disease and how it affects so many aspects of a person’s life, as well as the people around them,” Cindy said.  

One thing Cindy noticed firsthand is how PD symptoms and the progression are unique to each person who has it. While one of her family members battled movement symptoms, another experienced both movement and non-movement symptoms

“As I’ve watched family members deal with Parkinson’s, I’ve seen that everyone responds differently to different therapies,” said Cindy. “Knowing how Parkinson’s is affecting you and communicating that to your doctors is so important so you can find the right treatment for your symptoms.” 

Cindy also believes educating healthcare professionals about Parkinson’s disease, especially people who work in hospital settings, is essential to improving care. When her mother was hospitalized, she was shocked to learn most of the staff were not aware or familiar with the medications specific to Parkinson’s and the importance of the timing they needed to be administered. 

“I think there needs to be a minimum education requirement to ensure safe, supportive care for people with Parkinson’s,” she said. 

Cindy and Scott are proud to support the Parkinson’s Foundation and invest in programs that are addressing these concerns, including our Hospital Care Initiative and PD Library of educational resources. They are also eager to support innovative research that can lead us to treatments that slow or stop progression. 

“We decided to support the Foundation because we think it is important for more people to know about Parkinson’s,” Cindy said. “As the population ages, more and more people are getting diagnosed with this disease, and we know from experience how important it is to learn more about it. We also believe in supporting research initiatives like PD GENEration, which is a great avenue to get more people with Parkinson’s involved in research. The more people you can engage, the more accurate your results are, and the faster research can progress.” 

Through the Heider Family Foundation, Cindy and Scott have made a generous matching gift, which they believe will inspire others to support the Foundation’s important initiatives.  

“I was inspired by my mom to make this matching gift,” Cindy said. “She was so willing to be open about having Parkinson’s disease and she took each day as it came. Her outlook and positivity inspired me, and I want it to inspire others.” 

Join Cindy and Scott and support the Parkinson’s Foundation with their mission to improve the quality of life for people with Parkinson’s disease. Make a year-end gift today.

Educational Events

El Parkinson y los tratamientos: ¿Qué hay de nuevo?

Virtual ( Zoom )
1:00 pm to 2:00 pm EST
Gratis
Una pareja mirando una tableta juntos en su porche

Regístrese Aquí

La enfermedad de Parkinson (EP) sigue siendo una condición con muchas incógnitas, pero la investigación constante nos está ayudando a cerrar estas brechas en el conocimiento. En los últimos años, se han logrado importantes avances en las terapias diseñadas no sólo para el manejo de los síntomas motores y no motores, sino también para frenar el avance de la enfermedad. Este programa explorará los últimos hallazgos en la investigación de la EP y tratamientos innovadores.

10 a.m. hora del Pacífico (California)
11 a.m. hora de la Montaña (Colorado, Arizona y Nuevo México)
12 p.m. hora del Centro (Texas y Ciudad de México)
1 p.m. hora del Este (Nueva York, Peru y Colombia)
2 p.m. hora de Venezuela
3 p.m. hora de Chile y Argentina
7 p.m. hora de España

*Por favor, verifica su zonas horarias.*

Presentadora

Dra. Natalie Diaz
Trastornos del movimiento, Neurología
Pacific Neuroscience Institute

¿En busca de algo más? Podrá encontrar todos nuestros videos de EP Salud en Casa en YouTube.


Más información:

Todos los eventos de “EP Salud en Casa" – Parkinson.org/EPSalud.

Una lista de nuestros recursos en español – Parkinson.org/Recursos

Línea de Ayuda – 1-800-473-4636, opción 3 para español.

Upcoming Events

Educational Events

Live Fitness Friday - Full Power Circuit

Virtual ( Zoom )
1:00 pm to 1:45 pm EST
Free
A man lifting two weights in a T motion

A dynamic, high-energy circuit combining aerobic activity with lower-body strength and power. Participants will move through stations designed to challenge endurance, build strength, and enhance functional mobility. This session focuses on improving cardiovascular fitness, explosive movement, and high amplitude training, all while maintaining accessibility and safety for people of varying abilities.

Instructors

Bethany Althaus, PT, DPT, NCS, PWR! Moves
Director of Clinical Excellence at Maine Strong Balance Centers 

Anna Chornyak, PT, LSVT, PWR! Moves

There is no charge to attend, but registration is required. This program is open to people with Parkinson's, their family, friends, and the community.

This is a virtual program, taking place live, using the online Zoom platform. Instructions on joining the webinar are provided after registering.

Upcoming Events

Educational Events

Mind, Body, Voice: An Expressive Movement Experience

Virtual ( Zoom )
1:00 pm to 2:00 pm EST
Free
Husband and wife lookin at a tablet while on their porch

What do Shakespeare, opera, and pickleball have in common? Join Kurt Brungardt for an engaging, playful session that trains your brain, body, and spirit. Through a mix of movement, vocal exercises, and expressive activities, participants will explore voice, speech, expression, and balance in ways that awaken confidence, presence, and joy.

No acting, singing, or fitness experience is required—just bring your curiosity and a willingness to explore. This session blends creativity and physicality, offering a unique opportunity to connect with your body, strengthen your voice, and have fun along the way.

Speaker

Kurt Brungardt
Writer, Director, Teacher, and Personal trainer
Shakespeare for Parkinson's

There is no charge to attend, but registration is required. This program is open to people with Parkinson's, their family, friends, and the community.

This is a virtual program, taking place live, using the online Zoom platform. Instructions on joining the webinar are provided after registering.

Upcoming Events

Fundraising Events

Moving Day Shreveport

9:00 am to 12:00 pm CST
Free
Moving Day banner - Multigenerational family standing in front of a hand-drawn Moving Day logo at the Parkinson's Foundation walk

Moving Day is an inspiring and empowering annual fundraising walk event that unites people around the country living with Parkinson’s disease (PD), their care partners and loved ones to help beat PD. Moving Day is more than just a walk. It’s a celebration of movement – proven to help manage Parkinson’s symptoms.

Leading up to the event, participants and teams fundraise to help the Parkinson’s Foundation provide everything people with Parkinson’s need to live better — from lifesaving resources to delivering quality care to more than 196,700 people living with Parkinson’s to improving Parkinson’s treatments through research.

Moving Day proceeds help bring quality care to more people with Parkinson’s, further Parkinson’s research, education and outreach initiatives. Moving Day raises awareness of Parkinson’s both nationally and in the local community.

Upcoming Events

Advancing Research

Meet a Researcher Working to Make Adaptive DBS More Effective

🧠 What will you learn in this article?

This article highlights ongoing research aimed at improving the effectiveness of adaptive deep brain stimulation. It discusses: 

  • The definition of adaptive DBS (aDBS). 

  • Adaptive deep brain stimulation and how it can alleviate Parkinson’s symptoms. 

  • Research into whether “entrained-gamma” signals may make adaptive deep brain stimulation more effective than the “beta” signals currently used in the treatment. 

  • How this research could improve the lives of people with Parkinson’s. 

Lauren Hammer headshot

Over time, Parkinson’s disease (PD) medications can begin to lose their effectiveness. When this happens, deep brain stimulation (DBS) can be a promising treatment option for certain candidates. For DBS, electrodes are implanted into the brain that deliver controlled electrical stimulation that counteracts PD symptoms. 

Most DBS systems are designed to deliver consistent stimulation based on settings set and updated by physicians. However, a newer version called adaptive DBS (aDBS), recently approved by the U.S. Food and Drug Administration (FDA) for clinical use, monitors brain signals associated with PD symptoms in real time and adjusts stimulation automatically. This ability to auto-adjust stimulation has the potential to enhance DBS efficiency and minimize side effects, improving quality of life for those that use it.

Adaptive DBS (aDBS) monitors brain signals associated with Parkinson’s symptoms in real time and automatically adjusts DBS stimulation.

Lauren Hammer, MD, PhD, recipient of a Parkinson’s Foundation Stanley Fahn Junior Faculty Award, is working to make aDBS even more effective by determining which types of brain signals offer the best information on how to adjust stimulation in response to symptoms. Current aDBS technology monitors low-frequency brain waves called “beta” signals, but Dr. Hammer believes that higher frequency “entrained-gamma” signals may be better for predicting and controlling PD symptoms. 

Learn more about DBS

 “This research aims to advance deep brain stimulation for Parkinson’s disease by identifying the most effective neural signal to guide adaptive DBS,” said Dr. Hammer. “Results could support expanding the set of neural signals used for clinical aDBS, enabling more effective and personalized treatment.” 

From her lab at the University of Pennsylvania, a Parkinson’s Foundation Center of Excellence, Dr. Hammer will first run an in-laboratory assessment where people with PD perform various movement tasks while their brain signals are monitored. This will provide data as to which type of signal — beta or entrained-gamma — offers a more accurate reflection for when PD symptoms like involuntary movements are occurring. 

Dr. Hammer will then take a small group of people with DBS for PD and upgrade them to aDBS for an at-home study. After participants are programmed for aDBS stimulation using both beta signals and entrained-gamma signals, they will switch weekly between these settings, recording how well their symptoms are controlled at home.   

At the end of the trial, Dr. Hammer and her team will have data to suggest which signal type guided the best aDBS experience for different types of people with PD.  

 “I’m deeply grateful to the Parkinson's Foundation for investing in early-career scientists and accelerating progress toward better care and a cure.” – Dr. Hammer 

“Receiving this Parkinson’s Foundation award is an incredible honor and an important milestone in my journey to improve the lives of people with Parkinson’s disease,” said Dr. Hammer. “As a new faculty member starting my own laboratory, this support comes at a critical time — helping me build the foundation for a research program focused on developing next-generation deep brain stimulation therapies. Funding at this early stage is vital to turning promising ideas into impactful treatments, and this award will help bridge the gap between training and long-term research support.” 

Meet more Parkinson’s researchers! Explore our My PD Stories featuring PD researchers.

Raise Awareness

Básicos de los medicamentos para el Parkinson

Parkinson's Medication

La medicación desempeña un papel fundamental en el tratamiento de la enfermedad de Parkinson (EP), pero es sólo una parte de un plan de cuidados más amplio.  

El siguiente artículo se basa en una Charla con Expertos - Expert Briefing de la Parkinson's Foundation donde el Dr. Danny Bega explora cómo encajan los medicamentos en el cuidado integral y holístico del Parkinson. El Dr. Bega tiene una maestría en Ciencias, es profesor adjunto de Neurología, director médico y director del programa de residencia en Neurología del Centro de la Enfermedad de Parkinson y Trastornos del Movimiento de la Northwestern University Feinberg School of Medicine, un Centro de Excelencia de la Parkinson’s Foundation. También es director de los programas de las enfermedades de Huntington y Wilson en Northwestern. 

Comprender la conexión entre la dopamina y el Parkinson 

El Parkinson es un trastorno progresivo relacionado con la disminución de los niveles de dopamina, una sustancia química cerebral que influye en el movimiento, la memoria y muchos otros procesos vitales del organismo. Otras sustancias químicas del cerebro, como la norepinefrina y la serotonina, también pueden verse afectadas en la enfermedad de Parkinson e influir en los síntomas.  

A medida que avanza el Parkinson, el número de células cerebrales que producen dopamina sigue disminuyendo y las células restantes luchan por almacenar y liberarla. Esto provoca lentitud de movimientos, temblores, rigidez y otros síntomas motores. También puede causar diversos síntomas no motores, como estreñimiento, pérdida del olfato y cambios en el pensamiento

Manejo del Parkinson’s 

El Parkinson es una enfermedad compleja. No existe un tratamiento estándar. Sin embargo, los medicamentos —junto con el ejercicio, la atención integral, una dieta nutritiva y prácticas de atención plena— pueden controlar los síntomas del Parkinson y ayudarle a vivir bien.  

Establecer una rutina de ejercicio poco después del diagnóstico puede ayudar a ralentizar la progresión de la enfermedad y mejorar el movimiento, la fuerza, el equilibrio y el estado de ánimo. También puede ayudarle a dormir mejor. Mantenerse social e interactuar puede reducir la sensación de soledad.  

Su equipo de atención es igualmente importante. Busque profesionales médicos expertos en Parkinson, incluyendo un neurólogo, un terapeuta del habla y el lenguaje, un fisioterapeuta y un terapeuta ocupacional, un trabajador social y otros profesionales de la salud, para que le ayuden a controlar los síntomas de la EP. No deje de acudir a las revisiones periódicas. 

El papel de los medicamentos 

La mayoría de los medicamentos para el Parkinson mejoran los síntomas aumentando la dopamina en el cerebro o actuando como la dopamina. La levodopa es el fármaco más eficaz para tratar los síntomas del Parkinson. En el transcurso del Parkinson, la mayoría de las personas tomarán levodopa en algún momento.  

La ansiedad y la depresión también pueden ser frecuentes en el Parkinson y afectar al bienestar incluso más que los síntomas motores. Tratar estos síntomas mediante una combinación de medicamentos, como un ISRS, un IRSN o la mirtazapina, —un antidepresivo tricíclico—, junto con terapia, control del estrés y mantener la actividad física, puede reducir la discapacidad significativamente.  

Las personas recién diagnosticadas de Parkinson a menudo se preguntan cuándo deben empezar a tomar la medicación. Los estudios demuestran que esperar no tiene beneficios. La mayoría de los médicos concuerdan en que debe empezar a tomar la medicación cuando los síntomas se vuelvan molestos.  

Dado que no cada persona experimenta la EP de forma única, los tratamientos varían de una persona a otra, al igual que el ritmo de progresión. Sin embargo, conocer los estadios típicos del Parkinson puede ayudarle a anticiparse a los cambios: 

  • En los primeros cinco años después del diagnóstico, es posible que los síntomas no afecten su vida diaria significativamente. Su médico podría recomendarle un ensayo clínico. La participación en la investigación del Parkinson podría darle acceso temprano a nuevos tratamientos, mejorar la atención y sentar las bases para una cura.  

  • En un plazo de uno a diez años, conforme los síntomas empiezan a interferir con las actividades, la mayoría de las personas con Parkinson pueden esperar una respuesta duradera y constante a la medicación.  

  • Entre cinco y 20 años después del diagnóstico, al cerebro le resulta cada vez más difícil conservar dopamina. La respuesta de su cuerpo a la levodopa puede volverse más corta y menos eficaz. Esto puede provocar fluctuaciones motoras: periodos en "on", cuando la medicación funciona bien, y periodos en "off", cuando la medicación deja de hacer efecto y los síntomas reaparecen. Es importante trabajar de cerca con su médico para ajustar el tratamiento y encontrar lo que mejor se adapte a usted. 

  • Después de 10 o más años de vivir con Parkinson, las personas pueden experimentar problemas más importantes. Algunas personas pueden desarrollar importantes problemas de memoria y pensamiento. Problemas de equilibrio, caídas y congelamiento (la incapacidad temporal para moverse) también puede volverse un problema. Su médico puede hablarle de ajustes de la medicación o terapias farmacológicas o mandarlo a ver a un profesional médico adecuado para sus necesidades, que puede ser un neuropsicólogo, un psiquiatra, un terapeuta del habla y el lenguaje o un terapeuta ocupacional. 

Tipos de medicamentos utilizados en el Parkinson 

Es frecuente que las personas con Parkinson tomen una variedad de medicamentos, en distintas dosis y momentos del día, para manejar los síntomas. Esto puede incluir: 

Agonistas de la dopamina: al principio, los fármacos que estimulan la dopamina en el cerebro, como el pramipexol, el ropinirol y la rotigotina, a menudo pueden tratar los síntomas motores del Parkinson. Los agonistas de la dopamina presentan menos riesgo de discinesias, movimientos erráticos involuntarios que suelen comenzar tras unos años de tratamiento con levodopa.  

Los efectos secundarios pueden incluir náuseas, mareos, somnolencia, confusión y trastornos del control de los impulsos, como compras compulsivas, juegos de azar, comer en exceso y los impulsos sexuales. Los estudios muestran que un 28% de las personas con Parkinson dejan de tomar agonistas de la dopamina debido a los efectos secundarios, mientras que un 40% necesita añadir otra medicación en un plazo de dos años. 

Levodopa: la levodopa, el fármaco más eficaz para los síntomas motores del Parkinson, sustituye a la dopamina en el cerebro. Suele administrarse en combinación con el fármaco carbidopa para reducir las náuseas, un efecto secundario frecuente. Tomar levodopa con las comidas también puede reducir las náuseas, pero las proteínas pueden interferir en la eficacia del fármaco. Alrededor de un 2% de las personas dejan de tomar levodopa debido a los efectos secundarios, mientras que un 15% necesita añadir otra medicación a los dos años.  

Las discinesias, también relacionadas con la levodopa, pueden controlarse a menudo mediante un ajuste de la dosis o mediante tratamiento directo, utilizando un medicamento llamado amantadina. Funciona bloqueando el NMDA, una sustancia química que provoca movimientos extras. La amantadina de liberación inmediata también se utiliza a veces sola para los síntomas motores del Parkinson. Existe un mayor riesgo de confusión y alucinaciones con el uso de amantadina en personas de más de 75 años. También puede asociarse a hinchazón de piernas, alteraciones de la piel y otros efectos secundarios.  

Anticolinérgicos: Los medicamentos trihexifenidilo y benztropina se utilizan a veces para mejorar el temblor o las distonías (calambres dolorosos y sostenidos). Actúan bloqueando la acetilcolina, una sustancia química del cerebro relacionada con el movimiento. Sin embargo, su uso debe evitarse en personas de 70 años o más debido al riesgo de confusión y alucinaciones. Los anticolinérgicos también pueden asociarse a visión borrosa, sequedad de boca, estreñimiento y retención urinaria. 

Algunos de los medicamentos que su médico podría considerar para mejorar los efectos de la levodopa son: 

Inhibidores de la MAO-B: los inhibidores de la monoaminooxidasa B rasagilina, selegilina y safinamida ponen más dopamina a disposición del cerebro. Estos medicamentos pueden utilizarse solos o en combinación con la levodopa para aumentar su eficacia. Los inhibidores de la MAO-B suelen tolerarse bien, pero un 70% de las personas que los toman solos para el Parkinson necesitarán añadir otra medicación a los dos años. 

Inhibidores de la COMT: medicamentos como la entacapona y la opicapona aumentan la levodopa disponible en el cerebro al bloquear la enzima catecol-O-metil transferasa.  

Antagonista del receptor A2A: la istradefilina, un antagonista de la adenosina A2A, bloquea la adenosina en los receptores A2A del cerebro para reducir el tiempo en "off" de la levodopa. 

La levodopa inhalada se utiliza a menudo con la levodopa, según sea necesario, para el tiempo en "off" repentino. La apomorfina inyectable también puede utilizarse a demanda, para el alivio en tiempos en "off". Ambos medicamentos pueden aumentar el riesgo de discinesias. 

Es importante trabajar con su médico para encontrar el equilibrio adecuado para usted. Su médico puede aumentar o disminuir su dosis de levodopa con base en sus síntomas. Por ejemplo, el temblor, la rigidez o los problemas de movilidad podrían beneficiarse de un aumento de la levodopa. Sin embargo, las alucinaciones, la confusión y la baja presión arterial podrían mejorar con una disminución de la levodopa. 

También existen estrategias y medicamentos para controlar el babeo, el goteo nasal, los problemas de sueño, los problemas intestinales, los cambios en el pensamiento y otros desafíos del Parkinson. 

¿Qué pasa si no funciona la levodopa? 

Si está tomando levodopa pero no obtiene beneficios, hable con su médico. Estas son algunas preguntas que puede hacer: 

  • ¿El síntoma que le molesta no responde bien a la levodopa? ¿Podría estar relacionado con otro problema de salud?  

  • ¿Puede haber algo que esté interfiriendo en la absorción de la medicación? Algunas personas experimentan menos beneficios cuando toman levodopa con una comida alta en proteínas. 

También es importante discutir si es necesario ajustar la dosis. Por ejemplo, los efectos del Sinemet, una forma de levodopa, sólo duran poco tiempo: a los 90 minutos, la mitad ha desaparecido. Su médico puede ajustar el horario y la dosis de levodopa, utilizar una formulación de acción más prolongada o recomendar tomar la medicación 30 minutos antes o 60 minutos después de comer. 

Terapias avanzadas 

Si se vuelve difícil controlar las fluctuaciones motoras ajustando la medicación oral, existen otras opciones para mejorar la absorción de la medicación y reducir el tiempo en "off":  

  • La terapia con Duopa suministra carbidopa-levodopa en gel directamente al intestino a través de un tubo colocado quirúrgicamente.  

  • La terapia con foscarbidopa y foslevodopa (Vyalev) utiliza una bomba para administrar de forma constante una forma de levodopa bajo la piel a través de un pequeño tubo llamado cánula. Se utiliza una aguja para colocar la cánula. 

  • La terapia continua con apomorfina (Onapgo) utiliza una bomba para administrar apomorfina de forma continua a través de una fina aguja colocada bajo la piel.  

Estos medicamentos requieren ajustes en el estilo de vida, instrucción para su uso y un compromiso con el buen cuidado de la piel para reducir el riesgo de irritación e infecciones. 

Otras opciones además de la medicación 

En ocasiones, los síntomas de Parkinson más avanzados pueden beneficiarse de otras estrategias de tratamiento, como la estimulación cerebral profunda (ECP, o DBS, por sus siglas en inglés), que consiste en implantar quirúrgicamente un generador de impulsos eléctricos conectado a electrodos colocados en el cerebro para tratar los síntomas motores del Parkinson y algunos síntomas no motores.  

La ECP podría ser considerada para alguien que:  

  • vive con la enfermedad de Parkinson clásica  

  • tiene síntomas que responden a la levodopa  

  • experimenta frecuentes fluctuaciones motoras y temblores, a pesar de una dosificación constante de la medicación 

  • tiene discinesias molestas 

Tras la ECP, muchas personas pueden reducir su medicación y seguir experimentando una reducción de los síntomas de la EP. La reducción de la dosis de medicamento puede llevar a menos discinesias. 

El ultrasonido focalizado, una terapia no invasiva, no requiere una incisión quirúrgica. Durante el procedimiento, se dirigen ondas sonoras de alta frecuencia a una zona específica del cerebro relacionada con el temblor para aliviar el temblor de la enfermedad de Parkinson. A diferencia de la terapia de ECP, que es ajustable y reversible, los cambios por ultrasonido focalizado son permanentes. 

Si tiene preguntas acerca de las opciones de tratamiento de la EP, comuníquese con nuestra Línea de Ayuda al 1-800-4PD-INFO (473-4636) opción 3 para español o en Helpline@Parkinson.org

Aprenda más 

Explore nuestros recursos acerca de medicamentos para tratar los síntomas del Parkinson:  

Educational Events

Financial and Estate Essentials for Life with Parkinson’s

Virtual ( Zoom )
1:00 pm to 2:00 pm EST
Free
Husband and wife lookin at a tablet while on their porch

Planning for the future can feel daunting—but it’s one of the most meaningful ways to care for yourself and your loved ones. In this session, we’ll break down the basics of financial and estate planning in clear, practical terms. Learn how to protect your assets, make informed choices, and create a plan that reflects your values and priorities.

Whether you’re just getting started or revisiting your plans, you’ll walk away with the tools and confidence to move forward with peace of mind.

Speaker

Colleen Ceh Becvar, Gerontologist
Owner, Certified Care Manager
Trinity Advocacy Group, LLC
Trinity Advocacy Guardians, NFP

There is no charge to attend, but registration is required. This program is open to people with Parkinson's, their family, friends, and the community.

This is a virtual program, taking place live, using the online Zoom platform. Instructions on joining the webinar are provided after registering.

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