George, you said: "Subject: Symptoms This is a query to any listmember who's had a similar experience. At my current stage of life with PD, I'm taking 50/200 Generic Carbidopa/Levodopa Extended Release enhanced with Comtan three times a day at four hour intervals." George, I now take a 50/200 Carb/Levo CR along with 1 mg of Requip 4 times/day at about 4 hr intervals between 5 AM and 5 PM. This is a recent increase from 3 times/day. I take another 50/200 Carb/Levo alone around 9:00-9:30 PM, about an hour before going to bed. I also take 2 x 100 mg of Amantadine and 2 x 5 mg of Selegiline earlier (one each at breakfast and lunch). I am 51, took disability retirement nearly 2 years ago after gradually reducing my work hours. I was diagnosed at age 42 in 1993, but had symptoms for at least two years prior to that. Started out with just Selegiline in 93 and the rest was gradually added as my symptoms gradually increased. My primary symptoms are stiff slow movement with some freezing. I had some tremor problems earlier. But except for a little resting tremor, I usually don't notice it now. I quit driving as suggested by my doc. because of my slow movement and a tendency to fall asleep at the wheel. (And after an accident where fortunately only the vehicles were damaged.) I am extremely stiff and slow first thing in the morning, but usually after my second carb/levo and Requip I have a good 4-6 hours of "on time." In the afternoons, I am usually "off" for a couple of hours. But usually have another good 2-3 hours in the evening. I get very slow after about 9:30 pm, but usually sleep well. (I wake up feeling sore and stiff around 2 or 3 am, but usually can turn over and go back to sleep.) I use a cane in an exercise program and usually carry it with me when I am out (in case of "off times" w/stiff slow movement and PD shuffle). I suppose that using a cane has a disability connotation. (But I find it better to be bold than shy about PD.) I have a wooden cane with a nice design and focus on its excellence as a tool for exercise, walking, and self defense. I also use some supplements, including multi-vitamins, SAM-E, NADH, and Coenzyme Q-10. I cannot say that life w/PD for the past 9-12 years is wonderful. I regret that I had to "retire" early and give up some more physical activities like running and skiing. But my med regime works most of the time and makes possible good times for family and for developing other interests. Charley Countryman 51, diagnosed 1993 P.S. I think spiritual/religious practice is also important and am open to discussing this with any PWP off list ([log in to unmask]). ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn