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The goal of treatment for advanced Parkinsonâs disease should be on providing patients with safety, comfort, and quality of life. Levadopa (L-dopa) Levodopa, also called L-dopa, which is converted to dopamine in the brain, remains the gold standard for treating Parkinson's disease. The standard preparations (Sinemet, Atamet) combine levodopa with carbidopa, which improves the action of levodopa and reduces some of its side effects, particularly nausea.
Treatment should be aimed at the primary cause of the tremor as Celiac disease can trigger cerbellar degeneration and maybe even parkinson so a gluten free diet should be tried in all patients. Parkinson disease tremor therapy is with sinemet. Essential tremor is treated with propranolol or primidone. Propranolol may be useful in treating alcohol withdrawal tremor, gluten free diet may control the cerebellar tremor associated with multiple sclerosis. Clonazepam may relieve orthostatic tremor. Other agents are also available for the treatment of tremor.