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First off:  I don't have Parkinson's, so take this with that grain of salt.

But my sister does, and went through two awful periods that put her in the
hospital for a week each time last year to get re-stabilized.  Each time it
boiled down to a self-application of an 'optional' application of Sinemet.
Her script at that time included a small number of extra pills, in addtion
to the regular doses spread out through the day.  She could take these as
she judged best, and somehow, between the rush of 'normalcy' that they
brought and her progressing condition, she would both lose track of time and
be overwhelmed by the desire to be unfrozen.  Two rounds of medication
stabilization have her back on a strict clock of dosages, and life is much
better.

Judging only from her experience, I can only say that in some cases the
clock has to rule with absurd power or things just get worse.  I keep hoping
that there will be some sort of patch or long term shot that would let her
get some distance from her meds bag and a watch, but so far the docs haven't
sent her that way.

One thing you can do:  pay particular attention to the different cycles
you're on for the different meds and see if you can find a pattern of
effectiveness.  My sister's had better luck with adjusting the time of
day/night that she takes various meds, but it took time to figure that out.
The docs love a filled out schedule along with notations about how you feel,
what you'd eaten, exercise, etc. to compare to your meds schedule.  I'm sure
that's a drag to do, but it does help.

Best wishes and good luck.

John in Flint, MI

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