On-call scenario 2: Sources

Last updated: Tuesday, November 26, 2019

Here are some places that you might have looked for information about converting a patient on oral medicines for Parkinson's disease to a rotigotine patch:

Is this list similar to the one that you constructed?

However, when you work through the BNF, SmPC, Martindale and AHFS, you are surprised to find no guidance on how to switch between oral Parkinson’s medicines and a rotigotine patch. You have no local guidelines and you struggle to find a term in Embase for dose conversion.

Finally, you attempt to search Google and bring up more hits than you can possibly handle. A quick scan of the first few pages reveal some guidelines from other acute NHS Trusts, advice from expert groups such as Parkinson’s UK, opinions given in various online forums, and some protocols from hospitals outside the UK. You are now faced with too much information.

What will you do now? 
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