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>Lisa Carper asked about beginning Sinemet.  Our experience:
>
>Don was diagnosed at age 37 and began taking Cogentin, then added Symmetrel.
>These controlled the tremor (his major symptom) adequately for six years.  At
>the time these proved ineffective (i.e., tremor not suppressed), he began
taking
>Sinemet at low dosage (200mg/day).  Things were fine for ten or eleven years.
>Eventually, however, low doses of Sinemet proved ineffective, and he began
>increasing his dosage--up to 2,800mg/day.  This amt. of Sinemet did have
serious
>unpleasant side effects (Sinemet CR was worse).  Decreasing the dosage to
elimin
>ate side effects meant the tremor was so bad he couldn't sit still, couldn't
>walk, had trouble eating, reading, etc.  That's why we went to France and had
>the VIM stimulation surgery last year.  Tremor is all but eliminated, and he's
>been able to cut Sinemet to 500mg/day (no side effects).  He also takes
Eldepryl
>.
>
>So--delay Sinemet as long as possible but don't go so long that symptoms are
>unbearable (whatever that is to you).  Start with as low a dosage as possible.
>Continue to study alternatives and to support research.  There may be better
>medicines--perhaps even a cure--before yourusband get to the point that sent
>us to France.
>
>Joanne Sandstrom
>[log in to unmask]
>
>
 
Hi Joanne,
Please accept my apologies. This proves one should 'read on' before replying :)
Lisa Carper
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