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.

Tips to Treat Nausea in Parkinson's Disease

Nausea is a common problem that is often encountered as a side effect of Parkinson's disease dopaminergic treatments

-The most important  first step is to determine if the nausea is caused by a the Parkinson medication (does it occur predictably after each dose, and did it begin shortly after beginning a new Parkinson's disease medication in your overall pharmacological regimen)

-If the nausea is thought to be related the Parkinson's medication(s) here are some tips to discuss with your doctor

-If the nausea occurred after adding a dopamine agonist (pramipexole, ropinerole, cabergoline, pergolide, other), many times the medication will need to be stopped and replaced with Sinemet or Madopar

-If the nausea began following sinemet or Madopar replacement therapy then simply adding plain carbidopa or benzseraside can often alleviate the issue; sometimes the extra doses of carbidopa and benzseraside are not required long-term

-If this solution does not work many experts will add a medication called domperidone (no not the wine).  Domperidone is the most common anti-nausea medication worldwide, but is not available in the U.S.  Many U.S. pharmacies will compound (make it in the pharmacy) it for patients

-For trivia buffs the word sin-emet translates to sin- without, and emit-vomiting; the sin is the carbidopa which prevents the emet- levodopa from causing vomiting

-Carbidopa and benzseraside help the dopamine cross the blood brain barrier because if dopamine remains in the bloodstream, it will stimulate an area of the brain called the area postrema (not protected by the blood brain barrier), and this will lead to potential vomiting.