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Mary Ann Ryan wrote:
> Wow, Kathrynne, thanks for this very important info.  I've been following
> Ted's progress but didn't have a clue as to what was going on.
>
> In severe cases of PD, anecdotal information is very important.  It is
> critical for care givers on this list to take case reports about drug
> information very seriously - we never know when our loved ones will be the
> next victims of whatever drug reaction is being discussed.  As a nurse, I
> know that it is impossible for all drug interactions to be reported in the
> PDR.

True, and also, I understand that physicians must weigh risks vs
benefits when deciding on the best medication. However, Dilantin is
among the medications listed by NPF and other sources as contraindicated
for those with PD, and I always mention it whenever someone reports
their PWP has been given Dilantin. Twice previously, the CG reported
back to me that the individual was taken off Dilantin and subsequently
improved.

I know there may be times when Dilantin is the best possible solution,
but I also believe there are health professionals who aren't aware of
its possible effects on people with PD. This isn't surprising, as many
health professionals see very few people with PD in the course of their
careers, thus have little experience to draw upon. But it makes it
doubly important to make this information more widely understood.

Best,
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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