Precipitant factors of severe off and the parkinsonism-hyperpyrexia syndrome
Enteral and parenteral nutrition with high protein diet
Gastrointestinal problems (severe constipation, paralytic ileus)
Loss of compliance
Psychiatric problems (confusion, hallucinations)
Severe dyskinesia
Postoperative period
Infection
Trauma
Stress
Dehydration
Excessively hot weather