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Patient {{$iPatientNo}}

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A retrospective, cross-sectional observational survey study to analyse
the role of Safinamide in patients with Parkinson’s Disease

Inclusion criteria:

Adult patients diagnosed with Parkinson’s disease & prescribed Safinamide as an add-on therapy to a stable dose of Levodopa (L-dopa) alone or in combination with other PD Drugs.

DEMOGRAPHIC DATA

DETAILS OF DIAGNOSIS AND TREATMENT

Comorbidities, if Yes

Conditions YES or NO Years Months

Depression

Dementia

Psychosis

Cognitive impairment

Mention others if any

Use of Safinamide in this patient as:

Reasons for choosing Safinamide*

Concomitant medication, if any

Sr. No Generic Name Route & Dose Duration
1
2
3
4
5