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I am not a Doc but I would think that CR would help prevent dysK because it 
is a more even dose, without the peaks of regular sinemet.  I have been on 
sinemet for 3 years and I began using comtan at the same time.  I requested 
this based on studies which showed that DK's can be delayed by using comtan 
which makes the sinemet more even.  Before this study, comtan was not used 
until the side effects of sinemet or progression of the disease caused DK's 
and/or more off time.
----- Original Message ----- 
From: "Ting YJ" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, June 23, 2008 10:40 PM
Subject: Sinemet CR & Dyskinesia ????


> Hi,
>
> Have you got experience to in-take Sinemet-CR ? The CR is used for bedtime 
> mostly,
> But, there are some patients in-take at day-time, or mix the CR with 
> Regular(Sinemet)
> at daytime dosage. My doctor told me, if I do that , it may make my 
> Dyskinesia
> early-coming. I am YOPD, I think the CR's "slow release" may slowdown the 
> dopamime
> stimulate the brain neunon, it should be prolong the Dyskinesia's coming. 
> I tried to
> intake CR(switch from Regular) around 1 months. It seems not bad.
>
> My questions are .....
> (1) Do you know daytime CR will cause the Dyskinesia's early coming ?
> (2) Do you get related articles about CR & dyskinesia ?
> (3) "Must" Dyskinesia occur to PD patients( specially YOPD), no matter 
> whatever
> medications or actions he performs ?
>
> Nice to discuss with all of you !!!!!
>
>
>
> 
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