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Gastric emptying changes are minimal

Pharmacological management includes: Levodopa/carbidopa : The gold standard treatment that replenishes brain dopamine Dopamine agonists : Medications like pramipexole and ropinirole that directly stimulate dopamine receptors MAO-B inhibitors : Rasagiline, selegiline, and safinamide, which prevent dopamine breakdown COMT inhibitors : Entacapone and opicapone, which prolong levodopa action Amantadine : Used for dyskinesia management and mild symptom control Anticholinergics : Occasionally used for tremor in younger patients Non-pharmacological interventions are equally important and include physical therapy, occupational therapy, speech therapy, and regular exercise

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