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Hello,

On 6 Jan 2002 at 11:24, Roberta Nelson wrote:

> I would greatly appreciate finding out what is considered 'safe' for
> sleep help for PWP's using Sinemet & Eldepryl.

Prescription drugs used for the sleep are discussed in the on-line
NPF booklet http://www.parkinson.org/medications.htm. Also consider
the newer drug zaleplon (Sonata).

> My husband . . . is currently having a horrible time as bedtime comes.
> He gets anxious and restless.  He has somewhat of a phobia about sleep
> time because he has SO much trouble going to and/or staying asleep
> (also has all the 'usual' PD nightmares, verbalization, thrashing,
> etc.)  He sleeps little, and intermittently.  It is becoming an
> overwhelmingly disturbing issue  for him.

It sounds like sleep has become so unrewarding that he is trying to
avoid it.  He won't get much sleep that way.  Perhaps some deep
relaxation techniques, or even psychotherapy, may be useful, provided
he is receptive.  If I am in a deeply relaxed semi-conscious state I
am aware of tremor subsiding and I can fall asleep. (My problem is
staying asleep.)

> Would an 'extra' Sinamet at bedtime be helpful?

It may make it easier to get to sleep by eliminating troubling PD
symptoms. However, PD symptoms subside while one is asleep, so
Sinemet is generally not needed while one is sleeping.  In fact it
may contribute to the verbalization and insomnia.  Sinemet tends to
keep me awake at night.

Good luck,

Phil Tompkins
Amherst, MA
dx 1990/age 64

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