Pump Therapy

Typical treatment of Parkinson's disease (PD) consists of oral levodopa/carbidopa, along with other oral medications. Although there is no one-size fits all treatment, people with PD may experience more "off" periods, or symptom fluctuations, as the disease progresses. In this case, non-oral treatments, such as pump therapy, may be another option to consider.   Examples of currently available pump therapies for Parkinson's include medication, namely apomorphine, delivered under the skin (subcutaneous) from a pump, or a gel containing levodopa/carbidopa delivered by a pump inserted through the skin directly into the upper part of the small intestine (intestinal gel pump).   In June 2023, expert Parkinson's clinicians and researchers led a course in Poland about current pump therapies and what may be coming in the future. In today's episode, Professor Ray Chaudhuri, one of the course leaders and Director of the Parkinson's Foundation Centre of Excellence at King's College Hospital in London, discusses some of the topics in the course, including who would be a good candidate for pump therapy, the benefits and risks, and recent developments in pump treatment options.