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Carole 'n Joe.... Sinemet itself can cause sudden drops in blood pressure. I'd suggest Joe take a HALF of a Sinemet at a time, taking the first 1/2 about 30 to 45 minutes prior to to taking the second half. The worst that can happen is it won't change the BP problem, so Joe can rule out Sinemet as the cause of the problem. And the BEST that might happen is that Joe's BP returns to the "normal" range. GOOD LUCK! Barb Mallut [log in to unmask] -----Original Message----- From: Joseph Lynch <[log in to unmask]> To: [log in to unmask] <[log in to unmask]> Date: Friday, August 18, 2000 8:16 AM Subject: Inner Tremors >To the two Davids, Janet and Judith.... >Thank you so much for your replies to my question about tremors. >After reading your replies I think perhaps his problem is the result of his >Sinemet.(25/100 CR three times a day.) >Joe was referred to a neurologist by his primary care dr. after the physical >therapist that was working to help him with his weakness in his legs >suggested that there might be more going on then first expected. >The neurologist suspected PD and put him on Sinement. Joe had a good response >to the medication in that his shuffling gait and balance were greatly >improved. Still had the weakness however. >After joining this list and reading your opinions, we talked to the neuro >about seeing a Movement Disorder Specialist and he was very agreeable to it. >Suggested Dr. David Riley at University Hospital, Cleveland. We saw him early >this month. He was very thorough and spent one hour and 45 minutes with us. >He felt Joe was doing very well and kept him on the Sinemet but extended the >time between doses to four hours. >He did find a problem with his BP. Joe has had several periods where his BP >had dropped very low leading to light headedness. The MDS was getting some >strange readings so he ordered Autonomic Nervous System testing scheduled for >Sept. 1. Have some real concerns about that...... >This list is just wonderful. We would never had known to seek out a MDS >without you. >Love you all, >Carole >Care Partner to Joe 70 now/ 70 dx PD/ 67 onset PD