Please excuse my lack of clarity. I meant that you can ask the doctor to assess, together with you, whether Madopark appears to have any effect on the symptoms. If you’re unsure, you could try increasing the dose and see if things improve (which would suggest he has ‘regular’ Parkinson’s and not just vascular Parkinsonism), or alternatively reduce the dose (which wouldn’t result in any noticeable deterioration if he only has vascular Parkinsonism). If it is vascular Parkinsonism, there is no medication that helps with those specific symptoms. /Dag Nyholm