What is it about?

Apomorphine is crucial for symptom management in Advanced Parkinson’s disease. The subcutaneous administration route is complex and adds pressure to the district nurse service. The use of a sublingual apomorphine strip has shown to be effective.

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Why is it important?

Apomorphine treatment in Parkinson’s disease has not changed for decades. The reliance of district nurses to administer the time specific drug is not always met due to the increased demand on the service. The adverse reactions to prolonged use of subcutaneous apomorphine can affect the absorption of the drug, meaning it is less effective to manage debilitating off phases in the side effects of Parkinson’s disease. Sublingual apomorphine is a feasible alternative.


I hope this article allows health professional’s to advocate for their service users with advanced Parkinson’s disease and think about the different alternatives to apomorphine administration so that the medication route is in the best interest of an individual with PD.

karis macaulay
Manchester Metropolitan University

Read the Original

This page is a summary of: Sublingual apomorphine therapy as an alternative to complex continuous infusion pumps in advanced Parkinson's disease treatment: a district nurse-led intervention, British Journal of Community Nursing, July 2022, Mark Allen Group, DOI: 10.12968/bjcn.2022.27.7.328.
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