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Date sent: Sun, 17 Dec 2000 18:15:55 EST Send reply to: Parkinson's Information Exchange Network <[log in to unmask]> From: Dick Swindler <[log in to unmask]> Subject: Mirapex - Dr. Fink To: [log in to unmask] > Bob - > > I'm a bit unclear as to how you intend your caution about Mirapex to > be read. > Is it your position that no one should try Mirapex because of > possible sleep > attacks, or are you suggesting that it should be tried with caution? > I don't know if there are any studies suggestion that if one hasn't > experienced a sleep attack after X number of weeks or months on the > drug, then one isn't likely to experience them at all. It would be > interesting to know. > > After two-plus years of Dick's taking Mirapex with extremely positive > results and no problems, ever, with sleepiness or sleep attacks, it > seems to me that we can feel comfortable that the problem isn't going > to arise. > > Margie I don't use Mirapex in my patients. If I prescribed it for a patient, I would instruct them not to drive a vehicle or engage in other activity where a sudden loss of consciousness would be dangerous (climbing on ladders, etc.). I know of no published work as to whether there is a "time limit" after which you don't have to worry about the blackouts, and that is why I have suggested that the doctor who prescribed the drug (I presume a specialist qualified to use it) be asked these questions. Best, Bob ********************************************** Robert A. Fink, M. D., F.A.C.S., P. C. 2500 Milvia Street Suite 222 Berkeley, California 94704-2636 Telephone: 510-849-2555 FAX: 510-849-2557 WWW: http://www.rafink.com/ mailto:[log in to unmask] "Ex Tristitia Virtus" *********************************************