Parkinsonsecrets.com and Parkinsonbreakthrough.com blogs are the Official Website for the books:  Parkinson's Treatment: 10 Secrets to a Happier Life and 10 Breakthrough Therapies for Parkinson's Disease.

Dr. Okun is the co-founder of the University of Florida Center for Movement Disorders and Neurorestoration, the National Medical Director for the National Parkinson Foundation, as well as the author of several books including Ask the Expert about Parkinson's Disease, Lessons from the Bedside, 10 Breakthrough Therapies for Parkinson's Disease and Parkinson's Treatment: 10 Secrets to a Happier life due out in 2013.  His secrets book was translated into 20 languages so that it can be made available to Parkinson's disease sufferers around the world.  Dr. Okun has been recently been honored at the White House as a Champion of Change for Parkinson's Disease. Dr. Okun has been published in journals such as the New England Journal of Medicine and people travel from around the world to seek his opinion on best treatment approaches for this disease.

If You Have Parkinson and are Dizzy or Passing Out, There is Likely a Treatment

-Many Parkinson’s disease (PD) patients visit the emergency room or clinic because of dizziness and or syncope also known as passing out

-In most cases it is not the heart or the ears causing the problem

-The condition is called orthostatic hypotension

-It is a manifestation of Parkinson’s disease (autonomic nervous system involvement) and is often worsened by Parkinson’s medications

-Sometimes antihypertensive medication must be stopped in a Parkinson's disease patient, but this is tricky and the decision should always involve a consultation between a neurologists and a general doctor

-Dopaminergic medications (particularly the dopamine agonists) have been documented to worsen this condition

-One treatment is increasing fluid intake, increasing dietary salt and caffeine, and using tight, thigh-high support stockings

-Raising the head of a normal bed 10-30 degrees may improve the condition 

-Fludrocortisone 0.1 mg once daily or Midodrine 5-10 mg three times per day may help

-Ephedrine 25-50 mg q4-6 hours and phenylpropanolamine start 25 mg twice per day are rarely used because of risks

-Mestinon and Midodrine are drugs that have been tried

-Droxidopa, L-threo-3,4,-dihydroxyphenylserine is a new drug that is currently in clinical trials for treatment of this condition