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Steve, I am no expert on this (especially since I don't take Sinemet any
more) but I think neuros like to delay our taking carbodopa/levodopa due to
the dyskinesias and other side effects PWP eventually suffer, some sooner,
some later.
Ray
----- Original Message -----
From: "Steve Rack" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, May 21, 2006 7:16 PM
Subject: Re: Correction on Selegeline's neuroprotection


> >The American Academy of Neurology issued new practice guidelines in
>>April 2006. They stated that based on the research, there is no
>>evidence yet that any PD treatment has been found to be
>>neuroprotective. More research is needed.
>>...
>>Results and conclusions:
>>1. Levodopa does not appear to accelerate disease progression.
>>2. No treatment has been shown to be neuroprotective.
>>3. There is no evidence that vitamin or food additives can improve
>>motor function in PD.
>>4. Exercise may be helpful in improving motor function.
>>5. Speech therapy may be helpful in improving speech volume.
>>6. No manual therapy has been shown to be helpful in the treatment
>>of motor symptoms, although studies in this area are
>>limited. Further studies using a rigorous scientific method are
>>needed to determine efficacy of alternative therapies.>>
>>
>>http://aan.com/professionals/practice/guidelines/Neuroprotective_PD.pdf
>
> ....
>
>>
>>In a recent meeting, the AAN ( I think) decided that so far there is no
>>known
>>neuroprotective medication against PD. ( I cannot find the article)
>>maryse
>
> I found the AAN report interesting for a couple reasons:
> 1. They make no mention of the clinical studies going on right now (I
> think:-) of CoQ10 and several other supplements with antioxidant
> properties.
>
> 2. Although Levadopa does not appear to accelerate the disease they
> now recommend delaying its use in favor of agonists etc. Why?
>
> --
> Steve R.
> Brattleboro, VT
>
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