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Sydney Adams wrote: > I take Madopar 125 also known as Sinemet [log in to unmask],1@12,1@4,[log in to unmask] > Dopergine [log in to unmask],1@12,1@4,1@= 7. > [log in to unmask],1@12 > I also take ALVOCARDYL LP 160 for Blood Pressure [log in to unmask] > I also have some Madopar ,quick release at same strength which I use i= n > needy situations Dear Syd, I can't find references to Dopergine, Alvocardyl, or Madopar quick releas= e in this American program. However, I=20 have a printout on interactions between Sinemet and Eldepryl. You may wis= h to note references to hypertension,=20 or discuss them with your physician or pharmacist. Drug interactions report for the following 2 medications: =9ALevodopa; Carbidopa (Sinemet=AE) =9ASelegiline (Eldepryl=AE) Selegiline/Levodopa; Carbidopa Administration of levodopa to patients receiving drugs that inhibit monoa= mine oxidase (MAO) can produce a=20 hypertensive response. While traditional MAOIs such as phenelzine inhibit= MAO type A and selegiline is=20 selective for MAO type B, at doses above 30=9740 mg/day, this selectivity= is lost. Selegiline can increase=20 levodopa-induced dyskinesias, nausea, orthostatic hypotension, confusion,= and hallucinations. Reductions in=20 levodopa dosage may be necessary within a few days after the start of sel= egiline treatment. Even though=20 Parkinson's disease is an indication for both selegiline and levodopa, an= d these 2 drugs may be administered=20 together safely in some cases, patients should be monitored closely for h= ypertensive responses, especially if=20 selegiline doses higher than 10 mg/day are used. The adverse effects associated with levodopa, including orthostatic hypot= ension, confusion, dyskinesias,=20 nausea, and hallucinations, can be exacerbated by concomitant administrat= ion of selegiline. Dosages of levodopa=20 should be reduced within 2=973 days after beginning selegiline therapy. > Diet. The greatest problem with any diet is the > availability of suitable foods when travelling or visiting. > I eat as lightly as is possible at Breakfast and Lunch.I avoid almost > entirely protein.I also do not eat Dairy products where possible. This is well-planned for travelling; I would recommend that you use suppl= ements of calcium, magnesium, and=20 potassium, however. These are all implicated in hypertension, heart and n= erve health, and you do not appear to=20 partake of sources high in calcium or magnesium.=20 > Sample breakfast-Porridge made with water and Honey or All Bran with Ap= ple > Juice.A slice of bread with soya butter. This is roughly 6 grams of protein, depending on amounts. Quite low. > Sample Lunch -Pasta and a sauce ,of Veg and Toms. or aSoup with Veg a= nd > Pasta.Fruit and maybe a digestive biscuit. This is also about 6-10 grams of protein, depending on amounts of pasta. = Should be about right. > I spoil myself at night and eat Protein,Desserts.as if normal. > All this generally works quite well,but does depend on a fairly settled= > regime and exercise. > It is vital that I do not become constipated hence the All Bran which i= s> good for me. You could also carry a small bag of prunes when you travel, if the All-Br= an isn't sufficient. When possible, a=20 mix of applesauce, prune juice, and miller's bran is very palatable and e= ffective for many. > My worst time for off periods is usually in the late afternoon Your lunch appears to be quite low in protein; however, both pasta and ve= getables have small amounts of=20 protein. You may wish to add an extra piece of fruit; this is almost pure= carbohydrate, and has fiber as well.=20 The extra carbohydrates may stimulate insulin release and help store the = amino acids in your bloodstream,=20 though I would add that everyone reacts differently. Additionally, I would encourage you to obtain some of your evening protei= n servings from cooked dried beans.=20 They have a much higher ratio of carbohydrate to protein than meat, poult= ry, or fish. Also they are the food=20 highest of all in fiber, which should benefit both constipation and (to s= ome extent) hypertension. Some PD=20 patients report good results with beans, though certainly not all. I beli= eve France has some wonderful=20 cassoulets? > My symptoms are- > Initiating and sustaining movements. I am not able to assist in this area. >Cramping in the thighs. It's possible that insufficient potassium could contribute to(though not = cause) this condition. You seem to be=20 eating plenty of fruits and vegetables; but it might be worth your while = to record all the foods you eat and=20 drink for a few days, and the time of day eaten. You can use this record = to track the types of foods eaten=20 prior to the cramping and "off" times. If there seems to be a food patter= n, we could try changing the diet=20 somewhat. >General tensing > of body.Sleeplessness.. These also are areas I am unable to assist in, a physician or another mem= ber of the list may have advice here.=20 However, I would not hesitate to try biofeedback, acupuncture or other me= thod to alleviate tensing and=20 sleeplessness -- some people respond, some do not. > Signal of loss of effectiveness of medication- Toes curl and cramp. If this is late in the afternoon after a low-protein lunch, my best sugge= stion is, again, to add more fruit at=20 lunch. It is mostly high in potassium, which sometimes helps cramping, as= well as carbohydrates, which may help=20 get rid of the serum aminos. I hope you will let me know if you are able to test this, and inform me o= f the results. Meantime, please do=20 consider a calcium supplement--your physician may have some advice here. Best regards,=20 --=20 Kathrynne Holden, MS, RD Editor-in-Chief, "Spotlight on Food--nutrition news for people 60-plus" Tel: 970-493-6532 Fax: 970-493-6538=20 http://www.fortnet.org/~fivstar You may wish to contact: Better Business Bureau of the Mountain States, < [log in to unmask]> for further information.