Today, at a support group function, a friend of mine was stung twice in the mouth by a wasp. He went into something like anaphylatic shock. He went to hospital. He is doing well. He is now back at home.

I wasn't there at the time. But, I wonder what First Aid I would have given. He had never had such a reaction before, so he didn't have ready to use adrenaline shots (Epipens).

He has a apomorphine pump. So, in an emergency situation, an obvious decision that needs making is what to do with this. A similar decision needs to be made regarding levodopa. (This turns into dopamine, which has a secondary role in the treatment of anaphylaxis.)

My question is broader than just allergic reactions and just apomorphine.

Given that you know that someone is a PwP, how should this affect the First Aid that you give them?

John

I've been told that in general we should take NO haldol or haloperidol. Hopefully someone has more detailed information about first aid for PWPs.

Bee Sting: Benadryl (Diphenhydramine) is good.

For those in The USA, please order the aware in care kit. No charge to those with a Dx of Parkinson's. http://www.awareincare.org/

There is also a medicine fact sheet on recommended/not recommended. Drug names are for North America, but still not a bad idea to review else where. It was interesting to note some drugs cause other issues, like blocking levadopa uptake.

You are absolutely right. Haldol, along with most of the older antipsychotics (e.g. Thorazine, Loxitane, Stelaine, etc.) all block dopamine receptors which can increase PD symptoms severely. They should be avoided as much as possible.