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Nigel: If the problems can be linked to medication would that be a reason to transcend dental medication? Joe. Nigel Harland wrote: > Hello all, Since diagnosis way back in '89 my speech has > become increasingly garbled, to the extent that I now rely heavily on > my wife to do the speaking for me, and I try to avoid conversations if > possible. Even the simplest of phone calls stresses me out, not > knowing whether or not I will be able to make myself understood.The > problem seems to be linked to my Meds, when I am at peak medication > my speech is at its worst, when I am at minimum medication my speech > is almost back to normal.The situation seemed to get worse after I > started taking Amitriptyline to help me sleep.I would like to ask the > following questions.1/ Has anyone experienced similar problems, if so > do you have any advice or tips on how to improve the situation ?2/ > Several mails lately have mentioned Remeron as an aid to sleeping, has > this had any adverse effects on speech ?Regards,Nigel ,46 , Present > Meds :: Madopar Dispersible, Cabaser, Selegeline, Amantadine, > Amitriptyline.