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charlotte, what is comtan??     thanks  paula
----- Original Message -----
From: "charlotte A mancuso" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, June 26, 2002 2:27 AM
Subject: Re: Symptoms


> 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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