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Dear Yen,
Your father has been diagnosed with PD for five years, yet
is only taking 300 mg of levodopa daily. It's possible that
he is undermedicated.

It's also possible that the "passing out" episodes are due
to orthostatic hypotension, which can occur with PD
medications. Is his physician a neurologist specializing in
movement disorders? That is extremely important for his
well-being as PD advances. As PD progresses, it becomes
increasingly harder to prescribe exactly the right
medications in the right amounts.

I suggest you might e-mail your question to Dr. Abe
Lieberman, a leading neurologist specializing in Parkinson's
disease.

If you'd like to do so, go to the NPF website:

http://www.parkinson.org/

scroll down the page and click on

Ask Dr. Lieberman, NPF Medical Director

Follow the directions, and you'll be able to e-mail Dr.
Lieberman
directly. He usually responds within 48 hours.

My very best regards,
Kathrynne

yen dinh wrote:
>
> Hi everyone,
>
> My father is 64 years old. He was diagnosed at 59. He has been taking
> Sinemet continuously since then. Now, he is taking Sinemet 25/100mg 3tablets
> a day. His health is getting worse. He has difficulty in speaking, moving
> his legs, his hand, and especially he has some sudden passing out times(even
> when he was eating). When that happends, we usually have to help him to lay
> down in a bed then about 15minutes after he will be back consious. My father
> has been taking blood pressure but the result is normal. His blood pressure
> is not too high or neither too low. His doctor doens't know why my father
> experienced the sudden passing out times. We're out of hope right now!!!
>
> By the way, we read on a newspaper about the laser treatment for PD. The
> treatment will be combined with taking the pills(Sinemet). Has anybody ever
> heard about that treatment. Any information would be really appreciated.
> Thanks for your help!
>
> Yen
>
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--
Kathrynne Holden, MS, RD
Author: "Eat well, stay well with Parkinson's disease"
"Constipation and Parkinson's" --  audiocassette & guidebook
"Guidelines for Medical Nutrition Therapy for Parkinson's
disease"
     & Risk Assessment Tools
"Risk for malnutrition and bone fracture in Parkinson's
disease,"
     J Nutr Elderly. V18:3;1999.
http://www.nutritionucanlivewith.com/