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Dear Kathrynne,

Thanks so much for your answer about Requip and Sinement.I really appreciate it.

People with PD certainly react differently, to meds!!

Thanks again

Lorraine

"Kathrynne Holden, MS, RD" wrote:

> Lorraine Jeffe wrote:
> > This has been discussed before,but I wasn't taking it at that time.Right
> > now I'm taking 25/100 of sinement 3 times a day.
> > Because of a slight balance problem I was put on requip .25 mg  3 times
> > a day.this summer took them together, but I was having some nausea. My
> > neuro suggested I take the requip with meals and this seemed to be the
> > solution. In addition to the nausea I had some dizziness.For the last
> > two weeks I've tried to take my sinement at least 45 mins. before
> > meals,which  seems to be easy to do before breakfast,but not usually for
> > lunch and dinner. It was suggested that I take the requip every eight
> > hrs to maximize the benefit.Well that's o.k. the first thing in the
> > morniing,but the middle one  and the last of the day are done at all
> > times. I am a snacker and have difficulty eating a lot at meals except
> > breakfast.My system seems to tolerate the requip without taking at meals
> > now and I've had only one dizzy spell,which lasted just a few
> > seconds.Also I'm not certain whether my gait is as good later in the day
> > then it was.Well I guess my question is just what is the optimum way to
> > take these two meds--together, spread out, etc?
> > Perhaps Kathryan could answer this.
>
> Dear Lorraine,
> Sorry for the delay in responding, I have been away for awhile and am
> now struggling through a great deal of e-mails.
>
> The optimum way to take the Requip is the way that works best for you,
> and it seems you may have found it, as you say that now you can tolerate
> the Requip apart from meals. However, it's definitely best to take
> regular Sinemet at least 30 minutes before meals, otherwise it's likely
> to be blocked by the protein in the meal. I know this is very hard to
> coordinate, you are not alone in this. So if it works for you to take
> the Sinemet and Requip at the same time, that might make it easier for
> you to schedule.
>
> Best regards,
> Kathrynne
>
> --
> Kathrynne Holden, MS, RD
> "Ask the Parkinson Dietitian"
> http://www.parkinson.org/
> Author: "Eat well, stay well with Parkinson's disease"
> "Guidelines for Medical Nutrition Therapy for Parkinson's disease"
> http://www.nutritionucanlivewith.com/
>
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