Hi Carole, It's been ages since I heard from you, but then I haven't been posting or writing much. I've started back on Permax. I was on it before but on a very low dose. In February I came down with the flu...a bad one that kept me in bed for three days. After that my PD and meds went completely out of whack. I told both my family and my then neuro. I don't know if it was just a coincidence or what. Of course the docs didn't know either. When I saw my neuro in May, after some discussion, he decided to put me on Requip instead of increasing the Permax. Around the 3 - 6mg point I told the neuro that I didn't think Requip was working and I felt generally unwell most of the time. He said "we won't call it a failure until we hit 16mg a day. Well, we it hit 16mg and went up to 18mg and finally 20mg. By then I was having hallucinations, panic attacks and the muscle spasms were just a bad, if not worse. He finally weaned me off Requip, but then during my last appointment (with meds working beautifully) he said he couldn't give me anything because I was doing so well on just the Sinemet. Both my husband and I told that the Sinemet only lasted for two hours and then the rigidity would set and the pain would start all over again. However, he insisted that the spasms were not PD related and then said we were to my Sinimet in half and come back to see him in two weeks. I knew I couldn't possibly function or stand the pain that would surely be there. Fortunately I was able to contact another neuro and am now under their care. Things 'seem' to be improving but it's a slow process titrating to the level where they want me to be. I hope things improve for you. Just remember, they may be the doctors and have all the credentials, but they don't know your system as well as you do. Take care, Judith BTW--I mailed Dr. Lieberman's article to the neuro. Perhaps it will save some other poor soul from going through what I went through. >>Have had an agonizing similiar experience. Find I need the Sinemet for strength, but one of the agonists for muscle spasms. I sometimes wish I could wish PD on several neurologists I know for just a day. Walk a mile in my shoes, etc. Carole<< -- Judith Richards, London, Ontario, Canada [log in to unmask] EASE THE BURDEN FIND A CURE ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn