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^ > ------------------------------------------DATABASE > FORMAT----------------------------------------@b > > Name:James Austin Ryan > e-Mail:[log in to unmask] > Zipcode:48359 > Age:56 > Weight:215 > Height: 6'2" Sex:Male Profession: Physical Chemist > > Years Parkinsonian: 15 > Years Medication: 15 > > Medical Indications:@b > 1.parkinsonism > 2.hypertension > 3.tremor > > Medications:@b > > NAME DOSAGE(mg X daily frequency)@b 1. Sinemet 25/250 1/2 at 4 pm, 1 at 9pm and 1/2 at 11:30 p.m. 2. Symmetral 6 a.m. and 9 p.m. 3. Artane 6 a.m. and 9 p.m. 4. Eldepryl 6 a.m. and 12 noon (noon pill on Mon.Wed, and Fri.) 5. Lopressor 50 6 a.m., 12 noon, and 4 p.m. 6. Zantac 150 9 p.m. 7. Senakot 6 a.m. and 6 p.m. > > Comments: Sinemet is taken on this schedule in order to allow for optimal coordination at supper and to enhance a restful night. Zantac helps to control gastric refux at night. Eldepryl is being decreased because of side effects. Lopressor (a beta blocker) is not only controls hypertension (which is severe), but also controls tremors. Unfortunately, Lopressor and Sinemet taken at the same time cause some confusion and personality changes, so the Sinement dose has been decreased. Another anti-hypertensive is presently being tried. We have found that anti-hypertensive have a tendency to exacerbate PD symptoms, so a large variety of these meds has been tried. Lopressor offers the best control of hypertension without causing additional stiffness.