Nausea in a Patient with Parkinson's Disease on Co-beneldopa
Write a prescription for parkinson's disease and have every line marked: drug choice, dose, route, frequency and duration, checked against the patient's allergies, current medicines, renal function and the interaction database, with each error explained.
medium8 scoring rules
- Patient
- 74 years, male, 70 kg
- Diagnosis
- Parkinson's disease
- Renal function
- eGFR 72 mL/min/1.73m²
- Allergies
- None known
- Current medicines
- co-beneldopa 125/25 mg three times daily
The scenario
Patient B-217 is a 74-year-old man with a 5-year history of Parkinson's disease. He presents with nausea and occasional vomiting after meals, particularly after taking his usual dose of co-beneldopa 125/25 mg three times daily. His motor symptoms are reasonably controlled, with mild tremor and bradykinesia on examination. There are no other significant findings. He has no known allergies. He is otherwise well, with normal liver function tests. His serum creatinine is 0.9 mg/dL with an eGFR of 72 ml/min/1.73 m². He is on no other regular medications. Your task is to prescribe an appropriate antiemetic to manage his nausea, taking into account his underlying disease and current medication.
What gets marked
- Whether you chose an indicated drug, and whether you avoided the contraindicated ones.
- Dose, route, frequency and duration against the range for this patient.
- Renal and hepatic dose adjustment where this patient's numbers demand it.
- Allergy cross-reactivity and interactions with the medicines already on the chart.
- The instructions and monitoring you write, not only the drug you pick.
8 scoring rules apply to this scenario. A single critical error fails the attempt whatever the score.
Log in to prescribe for "Nausea in a Patient with Parkinson's Disease on Co-beneldopa"
A free account opens the prescription pad: search the formulary, write the chart, and have it marked line by line by the safety engine.
Taught in
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Educational content for students and clinicians in training. It does not replace professional judgement, local protocols or current prescribing information.