SupportFor support and further information, please contact your regional branch of Parkinson's New Zealand  Parkinson's New ZealandFreephone: 0800 473 4636 Email: info@parkinsons.org.nz Parkinson’s New Zealand provides support and information to people with Parkinson’s, their carers, families and health professionals. We provide help in a variety of ways: Divisions and Field Officers - Parkinson’s New Zealand has 20 divisions nationwide, as well as a National Office. Each division provides one or more Field Officers who are trained to help you and your family with your Parkinson’s journey. They can provide support, information and advocacy through home visits or telephone calls. Field Officers and divisions can also provide services to your carers and families, and can meet with your family to answer any questions. Divisions also hold meetings, activities and education seminars for people with Parkinson’s and their carer’s. For more information about your local division and membership see the divisions page. UPBEAT - UPBEAT is the special interest group for people with early-onset Parkinson’s. Many divisions have UPBEAT meetings, and National Office provides a yearly Outward Bound experience available to members of UPBEAT, and an 18 monthly UPBEAT Weekend. Publications - Parkinson’s New Zealand produces publications on a range of Parkinson’s subjects. We have information factsheets, pamphlets and booklets, as well as a quarterly newsletter The Parkinsonian, UPBEAT newsletters and this website. What is Parkinson's Disease?Parkinson's disease (PD) belongs to a group of conditions called motor system disorders, which are the result of the loss of dopamine-producing brain cells. The four primary symptoms of PD are tremor, or trembling in hands, arms, legs, jaw, and face; rigidity, or stiffness of the limbs and trunk; bradykinesia, or slowness of movement; and postural instability, or impaired balance and coordination. As these symptoms become more pronounced, patients may have difficulty walking, talking, or completing other simple tasks. PD usually affects people over the age of 50. Early symptoms of PD are subtle and occur gradually. In some people the disease progresses more quickly than in others. As the disease progresses, the shaking, or tremor, which affects the majority of PD patients may begin to interfere with daily activities. Other symptoms may include depression and other emotional changes; difficulty in swallowing, chewing, and speaking; urinary problems or constipation; skin problems; and sleep disruptions. There are currently no blood or laboratory tests that have been proven to help in diagnosing sporadic PD. Therefore the diagnosis is based on medical history and a neurological examination. The disease can be difficult to diagnose accurately. Doctors may sometimes request brain scans or laboratory tests in order to rule out other diseases. Is there any treatment?At present, there is no cure for PD, but a variety of medications provide dramatic relief from the symptoms. Usually, patients are given levodopa combined with carbidopa. Carbidopa delays the conversion of levodopa into dopamine until it reaches the brain. Nerve cells can use levodopa to make dopamine and replenish the brain's dwindling supply. Although levodopa helps at least three-quarters of parkinsonian cases, not all symptoms respond equally to the drug. Bradykinesia and rigidity respond best, while tremor may be only marginally reduced. Problems with balance and other symptoms may not be alleviated at all. Anticholinergics may help control tremor and rigidity. Other drugs, such as bromocriptine, pramipexole, and ropinirole, mimic the role of dopamine in the brain, causing the neurons to react as they would to dopamine. An antiviral drug, amantadine, also appears to reduce symptoms. In May 2006, the FDA approved rasagiline to be used along with levodopa for patients with advanced PD or as a single-drug treatment for early PD. In some cases, surgery may be appropriate if the disease doesn't respond to drugs. A therapy called deep brain stimulation (DBS) has now been approved by the U.S. Food and Drug Administration. In DBS, electrodes are implanted into the brain and connected to a small electrical device called a pulse generator that can be externally programmed. DBS can reduce the need for levodopa and related drugs, which in turn decreases the involuntary movements called dyskinesias that are a common side effect of levodopa. It also helps to alleviate fluctuations of symptoms and to reduce tremors, slowness of movements, and gait problems. DBS requires careful programming of the stimulator device in order to work correctly.
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