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On Tue 29 Oct, Laura and Michael Rogers wrote: > Brian, > Thank you for your input. > This dr tried to put Dorothy on Sinemet once, then when Dorothy had problems > with nausea and stuff, took her off of it. It also lowered her blood > pressure to almost nothing. Then her nurse called back and told her to go > back on it. The nurse was telling her one thing and the neurologist > another. They almost killed her that way. >=20 > My sister-in-law who is a nurse practitioner and keeps well up on all the > meds, suggested that Dorothy ask her dr about taking the smaller doses of > SInemet and sort of work it into her system. She (the neurologist) said > maybe next year. Well it is next year.....nothing has been done toward > that. Dorothy has been to see her and she didn't find any changes worth > seeing her about. > Dorothy is bad enought that she qualifies for a handicap sticker on her car. > I wish that I could send Dorothy to the dr I went to in Knoxville. > I have yet to find a good neurologist in Billings Montana. I hear that this > dr Mosely who does the thalatomy (sp) and pallidotomy is pretty good but > only takes patients he operates on. Since Medicaid doesn't cover that she > can't go there. But we willl definitely find her a new one, if I have to do > it myself. > Laurie >=20 > Hello , Laurie Just a short note in response to your post on 29 Oct, I begin to see how your neuro may feel that there is not much that she can do: If your mother-in-law had such a strong reaction to the Sinemet, her doctor has=20 probably marked her down as Not Suitable for levodopa therapy. Yours is the first case which I have encountered where levodopa has produced a dramatic effect on blood pressure. If this is true, then there really is not very much=20 that your doctor can do. In view of the serious state of her Parkinson's symptoms, I would suggest that you try and get your doctor to try again with the Sinemet, but to introduce it VERY gently, and work up to the theraputic doseage level over a period of weeks- which is What I think your sister-in-law was=A0suggesting. If she can also monitor your mother-in-law's Blood Pressure, then this would look like her best option. Regards, Brian Collins