Print

Print


Alan Bonander
e-mail <[log in to unmask]>
Zipcode 94583
Age:55
Weight:210
Sex   male
 
Year of first symptom: 1977
Year diagnosed: 1984
Year started medication: 1984
 
 
Medical Indications
1 parkinsonism-idiopathic
2 asthma
 
 
Medications
 
NAME             DOSAGE (MG x DAILY FREQUENCY
Eldepryl         05 x 1
Paxil               20 x 1
Sinemet          25/100 x 1
Liquid Sinemet
   Levodopa         49.5 mg / hr      800 mg / day
   Carbidopa        6.75 mg / hr      108 mg / day
   Permax              0.12 mg / hr      1.92 mg / day
Vitamin C         4000 mg
Vitamin B6       50 mg  everyother day
Melatonin          6 mg as needed
 
Comments:
I was started on Sinemet 25/250 x 4 daily.
I tried Parlodel but found it was not effective
The end of the honeymoon with Sinemet was in 1988.  Almost everything wouuld
cause problems.  Sweating, dyskinesia, tremor, bradykinesia and rigidity were
problem symptoms.
In May of 1991 participated in research on duodenal infusion.  I have been
pumping liquid sinemet ever since  This stabilized response, added
predictability to response and I learned a lot about PD and medications.
May of 1993 traveled to Stockholm, Sweden for Right Pallidotomy.  Results are
95% of rigidity gone in left leg, 50% of rigidity gone in left arm, better
facial expression, wider theraputic window.
 
Current issues:
Problems with sleep, food, depression, swallowing, asthma--PD.  All are being
treated but not necessarily solved.
 
I can shut down ver y quickly from food.  To help get around some of these
problems, I wll take about 50 mg of levodopa (liquid sinemet) as I start
lunh.  This will avoid OFF time after lunch.  For evening meal I will take
100 mg of levodopa (liquid sinemet) at the start of thee meal.  This will
avoid the 7 to 9 pm OFF time.  I consider these doses wasted medications and
do not count them in my normal meds. I iwll use these wasted meds about
thrree or four times a week.
 
Regards,
Alan Bonander