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Hi John, You do not mention what strength of sinemet you are taking and how much that adds up to in the day. My husband Prem is 66 and was diagnosed in 2001. We live in India, so our brand names of the same drugs are different. He has been on 5 tabs/day of syndopa plus (25/100 of carbidopa/levodopa) along with a separate tablet of entacom (entacapone) for the last three and a half years. About a year and a half ago his doctor added 1 mg of azilect as he had become quite under-medicated with his dosage of syndopa and entacom. He has done reasonably ok on this medication. The azilect, particularly, really helped him when he had become under-medicated. Prem's doctor told us that we should not be too worried about the dietary restrictions with azilect and I subsequently found literature on the net that says that with 1 mg/day the dietary restrictions do not apply. We have not therefore changed our usual diet, which is fairly heavy on tyramine. The only caution I would give from our experience is that some doctors tend to over-medicate. Prem's first doctor certainly did, with many adverse effects for Prem. His current one tends to under-medicate slightly. He is a geriatrician and has pointed out that as people get older, 'less is more' works better for them. Prem has the syndopa and entacom at 3-hourly intervals, with the azilect once a day, in the mornings. If necessary I give him an extra dose of syndopa and entacom in the evenings - if we are going to have a late evening or something. As regards his symptoms - he has many of the Parkinson's symptoms, but his gait, stiffness and freezing have all been greatly helped by regular yoga. Balance difficulties have been improved by taking half a teaspoon of turmeric every day. Hope this helps. Moneesha On 11 November 2011 03:15, JOHN YOCHIM <[log in to unmask]> wrote: > I was diagnosed with PD in 2005. Im currently 67 and active. I take > Sinemet 3 x day > / 2 tabs each time. > My Neuro is thinking that either Azilect (rasagiline) or Comtan (also > known as Stalevo) might help me with some of my symptoms. > My symptoms are the usual// /tremor/gait/stiffness/fatigue etc. > > My question is: what, if any, experiences have you had with one or the > other medication > I would appreciate any feedback that you might have. > > I have read the effect/side effects listed and would like to hear from > those that have taken the med. > Thank you for your time and help. > John Y. Erie, Pennsylvania > > ---------------------------------------------------------------------- > To sign-off Parkinsn send a message to: mailto: > [log in to unmask] > In the body of the message put: signoff parkinsn > ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn