Daniel E. Kremens, MD, JD
Articles by Daniel E. Kremens, MD, JD

An expert discusses the importance of collaborating with patients, emphasizing the value of leading with data when educating them on the efficacy of treatments, and highlights the role of providers in supporting patients as they discover the medications and supplements that work best for them, while advocating for and protecting patients to ensure they can seek the best quality of life.

An expert discusses the various forms of therapy offering nutritional support, including exercise and supplements, emphasizing that supplemental therapy, along with medication, is most effective, and highlights the potential benefits of the Mediterranean diet for Parkinson disease.

An expert discusses how patients with dyskinesia are well suited to use pumps and how subcutaneous dopamine agonists avoid the issues previously associated with oral dopamine agonists.

An expert discusses upcoming advancements in Parkinson disease treatments, including the potential release of the ND0612 pump later this year, demonstrating efficacy comparable to oral carbidopa/levodopa, the dopamine agonist tavapadon, CVN424 as a novel therapy not targeting the dopamine pathway, and ongoing stem cell and gene therapy developments, with stem cells capable of creating dopamine-producing cells entering phase 3 studies.

An expert discusses the extended form of carbidopa/levodopa (Crexont) for managing OFF episodes, highlighting trial results that show decreased OFF time and increased ON time, as well as the use of subcutaneous loading of medications in Parkinson disease, which was well tolerated with skin issues as the main adverse effects and resulted in increased ON time without worsening dyskinesia.

An expert discusses how providers can accurately track episodes of OFF and dyskinesia, highlighting their impact on patients physically, socially, and psychologically, including the challenges dyskinesia poses for sleep and fine motor tasks.

Kremens gave closing thoughts on the promise of the Parkinson disease research field, the outlook of drug development, and what clinicians should be excited for next.

Daniel Kremens, MD, JD, described positive 18-month data on bemdaneprocel, an investigational cell-based approach for patients with Parkinson disease.

In this segment, Kremens described pump therapies currently in development, such as ND0612 and ABBV-951.

Kremens gave thoughts on the use of several investigational continuous agents, including IPX203, risvodetinib, and P2B001.

In this conversation, Kremens discussed the common use of antiemetics in Parkinson disease, the real-world data surrounding these agents, and whether there are certain clinical advantages to apomorphine hydrochloride injection.

Daniel Kremens, MD, JD, provided commentary on a number of various amantadine formulations for Parkinson disease, and how timing of dosing impacts efficacy.

The neurology doctors discuss motor fluctuations and dyskinesia associated with Parkinson’s Disease.

The neurology doctors discuss motor fluctuations and dyskinesia associated with Parkinson’s Disease.

Unmet Needs and Improving Diagnosis of Dyskinesia in Parkinson Disease
ByDaniel E. Kremens, MD, JD,Rajesh Pahwa, MD,Robert A. Hauser, MD, MBA,William Ondo, MD,Fernando L. Pagán, MD The expert panel reviews unmet needs in treatment and management of dyskinesia and shares advice for physicians treating patients with Parkinson disease.

Surgical Options and Emerging Treatments for Parkinson Disease
ByDaniel E. Kremens, MD, JD,Rajesh Pahwa, MD,Robert A. Hauser, MD, MBA,William Ondo, MD,Fernando L. Pagán, MD Drs Fernando Pagan, Robert A. Hauser, and Daniel Kremens highlight existing and emerging surgical and pharmacological options for treatment of dyskinesia in Parkinson disease.

Use of Other Amantadine Formulations in Parkinson Disease
ByDaniel E. Kremens, MD, JD,Rajesh Pahwa, MD,Robert A. Hauser, MD, MBA,William Ondo, MD,Fernando L. Pagán, MD The expert neurology panel shares their clinical experience with different formulations of amantadine in management of dyskinesia in patients with Parkinson disease.

Amantadine DR/ER for Dyskinesia in Parkinson Disease: Safety Profile and Ideal Patient
ByDaniel E. Kremens, MD, JD,Rajesh Pahwa, MD,Robert A. Hauser, MD, MBA,William Ondo, MD,Fernando L. Pagán, MD The expert panel reviews the safety profile of amantadine DR/ER and who may be an ideal patient for its use in patients with Parkinson disease experiencing dyskinesia.

Studies With Amantadine-DR/ER for Treatment of Dyskinesia
ByDaniel E. Kremens, MD, JD,Rajesh Pahwa, MD,Robert A. Hauser, MD, MBA,William Ondo, MD,Fernando L. Pagán, MD The expert neurology panel discusses clinical trial data of amantadine-DR/ER in treatment of dyskinesia and OFF episodes in Parkinson disease.

Amantadine Formulations in Treatment of Dyskinesia in Parkinson Disease
ByDaniel E. Kremens, MD, JD,Rajesh Pahwa, MD,Robert A. Hauser, MD, MBA,William Ondo, MD,Fernando L. Pagán, MD Drs William G. Ondo and Rajesh Pahwa analyze the pharmacokinetics of different formulations of amantadine for treatment of dyskinesia in Parkinson disease.

Treatment of Dyskinesia in Patients with Parkinson’s Disease
ByDaniel E. Kremens, MD, JD,Rajesh Pahwa, MD,Robert A. Hauser, MD, MBA,William Ondo, MD,Fernando L. Pagán, MD Drs Rajesh Pahwa, Daniels Kremens and Fernando Pagan provide an overview of current treatment options for treatment of dyskinesia in patients with Parkinson’s Disease.

Challenges in Balancing Treatment of OFF Episodes and Dyskinesia in Parkinson Disease
ByDaniel E. Kremens, MD, JD,Rajesh Pahwa, MD,Robert A. Hauser, MD, MBA,William Ondo, MD,Fernando L. Pagán, MD The expert panel highlights challenges in treatment of OFF episodes and dyskinesia together and long-term consequences of delaying treatment for dyskinesia in patients with Parkinson disease.

Diagnosis of Dyskinesia and Impact on Quality of Life of Patients With Parkinson Disease
ByDaniel E. Kremens, MD, JD,Rajesh Pahwa, MD,Robert A. Hauser, MD, MBA,William Ondo, MD,Fernando L. Pagán, MD The expert panel shares strategies for accurate clinical diagnosis of dyskinesia in patients with Parkinson disease and discusses how dyskinesia may impact the quality of life.

Risk Factors for Dyskinesia in Patients With Parkinson Disease
ByDaniel E. Kremens, MD, JD,Rajesh Pahwa, MD,Robert A. Hauser, MD, MBA,William Ondo, MD,Fernando L. Pagán, MD The expert neurology panel examines risk factors for development of dyskinesia in patients with Parkinson disease.

Pathophysiology of Dyskinesia in Parkinson Disease
ByDaniel E. Kremens, MD, JD,Rajesh Pahwa, MD,Robert A. Hauser, MD, MBA,William Ondo, MD,Fernando L. Pagán, MD Drs William G. Ondo and Robert A. Hauser discuss the understanding of pathophysiology and clinical features of dyskinesia in patients with Parkinson disease.

Challenges With Parkinson Disease Treatments
ByDaniel E. Kremens, MD, JD,Rajesh Pahwa, MD,Robert A. Hauser, MD, MBA,William Ondo, MD,Fernando L. Pagán, MD Drs Rajesh Pahwa and Daniel E. Kremens discuss challenges with Parkinson disease treatment and management of motor fluctuations, dyskinesia and OFF episodes in patients.

Use of Parkinson Disease Treatments and Identification of OFF Episodes in Clinical Practice
ByDaniel E. Kremens, MD, JD,Rajesh Pahwa, MD,Robert A. Hauser, MD, MBA,William Ondo, MD,Fernando L. Pagán, MD The expert panel discusses advances in formulations of carbidopa/levodopa and identification of OFF and ON time in patients with Parkinson disease.

Treatment Options for Parkinson Disease
ByDaniel E. Kremens, MD, JD,Rajesh Pahwa, MD,Robert A. Hauser, MD, MBA,William Ondo, MD,Fernando L. Pagán, MD Dr William G. Ondo provides an overview of available treatments and pharmacokinetic properties of different drugs for Parkinson Disease.

Despite the availability of medications to relieve OFF episodes in Parkinson disease, widespread adoption of on-demand therapies has been less-than-ideal, marking the need to shift the treatment paradigm in PD.

Parkinson’s Disease: Advice for Community Neurologists
ByStuart H. Isaacson, MD, FAAN,Laxman Bahroo, DO,Khashayar Dashtipour, MD,Daniel E. Kremens, MD, JD,William Ondo, MD Expert neurologists provide insight on how to decide on an on-demand therapy for Parkinson’s disease and provide some general advice.