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George/Scott,

It's none of my business, and I'm jumping into the middle of a thread,
but I can't help commenting on the dosages I'm reading for Requip
especially (for what it's worth).

According to my Movement Disorder Specialist, and everything I've heard
and read about Requip, 6mg of Requip is just about the very least you can
take for a therapeutic effect.  Now I suppose that some people may have
had a beneficial effect with 4 or 5, but 6-7mg/day is considered the
start of a therapeutic dose for Requip.  You can go up to 24 mg/day,
although that is the max.

Incidentally, the dosing is very different from Mirapex, which, mg for
mg, is much more potent.  I started with Mirapex, and found it harder to
take than Requip, and found that after trying for months, I couldn't get
past 1 1/2 mg/day--1/2, 3 times per day.  My doctor had me switch to 7mg
of Requip after a short titration, and I found that, yes indeed, 7 mg was
just about the equivalent of 1 1/2 mg of Mirapex.  The max for Mirapex
is, I believe, around 6 mg.

Also, most people take 25/100, rather than 50/200, although you are
taking extended release.  Extended release doesn't work real well for a
lot of people.  Have you tried regular Sinemet with Comtan?

I hope you don't mind my little opinions and ideas.  Good luck to you
both.

Charlotte Mancuso

On Tue, 25 Jun 2002 23:13:50 -0700 scott burnett <[log in to unmask]>
writes:
> george,
>         Your situation sounds similar to mine.  Same time schedule,
> similar
> problems but add on neck and back pain, fatigue and a feeling of
> "not being
> right" when I'm off.  I recently upped my dosage of requip to 6 mg a
> day
> and that helped some.  Stress really makes a difference  to me so
> the issue
> of continued work is of real concern.  I am changing to what I hope
> is a
> much less stressful position next school year so I evaluate that as
> time
> goes on.  I spent several weeks looking into the California State
> Teachers
> Retirement systems disability set up aand it looks pretty good.
> Even
> though I intend to keep working and adapting my schedule and
> workload as
> much as I'm allowed, it made me feel alot better to have the info at
> hand.
>    Someone from the list put it very well I thought when they wrote,
> "I have
> a cup of energy to use each day, and I have to decide where I want
> to use
> it; at work, with friends or with family."  That's not an exact
> quote but
> you get the point.  Somewhere down the road, all of us PWP's will
> have to
> make a personal choice.  When and where it will be is up to us.
> Scott from California
>
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