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> it is my understanding that current practice is to start with a > Dopamine Agonist to postpone or delay the start of Sinemet and stay with > the Agonist until something (side effect, inefficiency) requires you > to switch to Sinemet. > There have been umpteen discussions about starting with ldopa or with agonists. In the long run it seems there is not much difference, that is what most clinical tests have shown. Some people get on with just sinemet. Since they all have side effects, you have to navigate and see what is best for you. The simpler is often the better. Here in France they do not like prescribing agonists after about 65 years of age because of possible cognitive effects maryse ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn