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June 16, 1996

Hello,

For about a year, my father-in law and I have been enjoying the
excellent information everyone has provided. But now he has a
question...

Have any of you had a drug reaction similar to that which I now
describe: I was diagnosed about eight years ago with PD, and have
been on Sinemet CR with good results. I have also been taking
Baclofen (10 mg x 3) and Permax (0.75 mg x 3), Prozac (40 mg),
and Cardizen CD (180 mg x 1). Recently, my doctor substituted
Wellbutrin (l00 mg x 2) for the Prozac, and Amantadine (100 x 2)
was added to the Permax to help prevent fatigue. Since these
change were made, I had been feeling much better. However, about
a week ago, I suddenly developed the following symptoms: swelling
of the feet, ankles and calves on both legs; ringing in both ears
with hearing impairment; and slight focus difficulties with my
eyes. I immediately discontinued the Amantadine (six days ago)
and stopped the Wellbutrin the next day. I noticed no
improvement. My internist, after three more days, discontinued
the Cardizen. I had blood work done and kidney and liver
functions appear normal. Two EKGs revealed only a somewhat slow
heartbeat, but blood pressure was normal. I have had no racing
heart, chest pains or any of the usual heart attack signs. I am
about to go for an ecocardiogram as an extra precaution, but my
edema is not improved and I still have some auditory problems,
although less so. I am now taking only my Sinemet and my Permax
and cannot understand why my problems have not gone away. I would
be grateful for any insight.

You can e-mail me, John, directly at [log in to unmask] and
I will share with my father in law.