^^^^^^ WARM GREETINGS FROM ^^^^^^^^^^^^ :-)
Ivan Suzman 50/39/36 [log in to unmask] :-)
Portland, Maine land of lighthouses 46 rainy deg. F :-)
********************************************************************
--------- Forwarded message ----------
From: Ivan M Suzman <[log in to unmask]>
To: [log in to unmask]
Date: Wed, 18 Oct 2000 07:32:17 -0400
Subject: Re: JAMA: Pramipexole vs Levodopa as Initial Treatment for
PD/Tasmar's role
Message-ID: <[log in to unmask]>
Dear Dr. Romero and PIEN friends,
My pill-taking inner voice suggests
to me that PWP's are better off (I am) if
they use Sinemet or Atamet , or a generic brand
of L-dopa, instead of pramipexole (otherwise known as
Mirapex), in any stage of Parkinson's Disease.
For me, Mirapex, or pramipexole,
was way too strong, made me dizzy and
mentally confused in even a tiny dose. It was
scary. Meanwhile, L-dopa still works pretty well.
I hope physicians can pay close attention to your summary.
Meanwhile, what I wonder is, how do we get Tasmar elevated
to proper respectability? It has been a great medication
for me. I think its supposed links to changes in liver
enzymes are only possible in rare cases,
where physicians presecribed it in too high a dose,
before they realized how to use it
I use 300 mg per day (6 x 50 mg,). Each 50 mg dose
is a 100 mg tablet, sliced in half.
Jorge, thank you for sharing on the PIEN list.
Incidentally, where do you practice?
Any Tasmar experience?
Thank you,
Ivan Suzman, PWP
50/39/36
On Tue, 17 Oct 2000 20:33:45 -0500 Jorge A Romero MD
<[log in to unmask]> writes:
> This study is very significant:
> > quality of life were BETTER in the Levo-dopa group than in the
> pramipexole
> group.
> 2) The side effects of nausea, hallucinations, and sleepiness were
> more
> common in the pramipexole group than in the levodopa group.
> 3) The PWP in the pramipexole group had fewer dyskinesias - BUT
> DESPITE THE
> FEWER DYSKINESIAS they reported better quality of life with
> levodopa than
> with pramipexole at the end of the study.
>
