As well as Parkinson’s, I have kidney failure (GFR 20, creatinine 166). I sleep for 1.5–2 hours at a time. I wake up 2–3 times a night, feeling the need to urinate. I can’t turn over in bed. I have some difficulty getting out of bed. My feet ‘freeze’ when I try to walk from the bed to the toilet. I usually fall asleep easily. The times it takes me a while to fall asleep are after 3 am. What medication would be suitable for the night?

First and foremost, it is important that you are on the best possible Parkinson’s medication. Some people find that depot levodopa at night can be helpful. Long-acting medicines that are taken just once a day also work at night. When it comes to other types of medication, we do need to take your kidney failure into account, but there are medicines that calm the bladder and others that reduce urine production at night, and of course there are sleep aids. Discuss this with your neurologist! /Dag Nyholm