Charles: I too have ED problems that by my measurement
(tongue in cheek) are frustrating both to me and my partner. My
urologist suggests that PD can be the cause. In my case I feel that
the cause is more attributable to Zoloft than PD. Viagra -is the
'solution' for me. I too dislike the need to schedule, but that's better
than going without. In this same conversation I offer/ask about
experiences with delayed ejaculation/PD/Zoloft (or other SSRI's).
Lanny Weddel
.
----- Original Message -----
From:[log in to unmask] href="mailto:[log in to unmask]">Charles T. Meyer, M.D.
Subject: Re: Bill P. actually posts an on-topic message!
>1. ...any issues that came up with regards to
Parkinson's Disease or >Parkinson's medication and the hip problem or
the actual surgery.
> Good luck with the hio
surgery. I have not experienced it but give the > following as a
suggestion for all PWP who enter a hospital for any >
reason: Watch carefully that meds are given to you
on time during > the recovery period. Nurses who do not know
PD usually do not give out > meds exactly on time and can be considered
"on time" if they give their > medications out within an hour or so of the
directed time. Be sure that > you have a neurologist who knows PD
consulting since problems like this > come up all the time and require
intervention. Talk to the head nurse > prior to the surgery and let
her know rthe importance of exact timing of > the meds for your comfort
and functioning. Remember they will take all > meds from you when
you enter the hospital (unless special arrangements > are made for
self administration) so plan ahead for the inevitable late meds.
2....
swelling of the feet, ankles, and lower leg? Was there any
indication that PD or PD medications had anything to do with
it?
As others have
mentioned Mirapex can cause significant ankle swelling and I believe
Requip can also although it is not a major problem with
the
drug.
3. ... experienced an erectile dysfunction? Was there
any indication that PD or PD medications had anything to do with
it?
PD , I am told by an andrologist I consulted several years ago, can
itself result in erectile dysfunction by affecting vasomotor control.
Dopamine mediates arousal and therefore l-dopa, and the agonists
cause increased libido in some of us. However, unfortunately increased
libido and increased quality and quantity of erections do not go
hand in hand (so to speak). I have experienced the increase
of libido without the erections to go with it. The thoughts are
there sometimes obsessively without the ability to carry them out
easily without Viagra. It also at times interferes with my relationship
with my wife because of my constant desire and decreased ability to perform
both from physical disability and with firm erections. . I agree with
the person who posted about the decreased spontaneity with Viagra which
is quite helpful at times. Lovemaking needs to be scheduled which often takes
away some of the fun(but certainly not all of it.)
I am curious how
many men have experienced significant erectile problems or
hypersexuality. If you don't want to post your response email
me direct at [log in to unmask].
Charlie
.
Charles T. Meyer, M.D. Middleton, WI PD DX 12 years (at age
44) Age 56