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Dear Patricia,
I can really relate to your problems.  I am about your age, will be 59 in
September and was diagnosed approximately a year ago.  My neurologist
started me on Sinnemet 25/100 two or three months ago.  He told me to take
1/2 pill three a day for 5-7 days and then increase it to 1 pill three times
a day. The first week was fine, but once I increased it, I was constantly
nauseaus and very lightheaded.  Just about the time that I would start to
feel half way decent it was time to take another pill.  I dreaded taking the
pill.   I was scheduled for gall bladder surgery so I asked my neuro if I
could at least go off the Sinnemet until after surgery, I hated the thought
of going into surgery feeling sick.  He gave me the Ok and gave me Sinnemet
CR for after surgery.

I got on this list and asked for help. I got a lot of good advice on this
list, some of which I tried. For the first two weeks after surgery, I took
the Sinnemet twice a day and then increased it to three times.  One thing
that I have learned from this list is that PD and the medicines affect
everyone different.  What is working for me is to drink 1/2 small bottler of
Sunny-Delite with my pill and eat a cracker (I use nabs).  I need to wait at
leas 30 min before eating a meal or I will get sick.  If I feel nauseous
between times, I either eat another cracker or drink ginger-ale.  I also
found that if I ate a real big meal, then I would get sick.  It's been four
weeks since I went back on the Sinnemet and I feel the best that I have in a
couple of years.  I very rarely shake, am not as slow, my handwriting has
improved and I can move a lot better.  In other words, I actually feel
normal.  Everybody told me that my body would get used to the Sinnemet, in
fact one person told me that I was increasing it too fast.  I have also
heard and read that you should not cut the pill in half.  Maybe your neuro
could give you 25/100 instead of the 50/200.
Sorry to be so lengthy, I know I have rambled on.  Hang in there.

Dora
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