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Parkinson's disease - Management
How do I manage sleep disturbance in people with Parkinson's disease?
- Take a full sleep history and advise good sleep hygiene.
- Identify whether any of the following may be present and manage them appropriately, usually by requesting an interim referral or advice from the person's Parkinson's disease specialist team:
- Conditions related to Parkinson's disease:
- Restless legs syndrome.
- Periodic leg movements of sleep.
- Rapid eye movement (REM) sleep behaviour disorder.
- Nocturnal akinesia (inability to turn over in bed).
- Nocturia (see Urinary dysfunction).
- Conditions that may be caused by anti-parkinsonian medication (such as selegiline and dopamine agonists):
- Vivid dreams or nightmares.
- Hallucinations.
- See the CKS topic on Insomnia.
In depth
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