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Hi Stephan,

Just a couple thinking-out-loud comments.  You cite a text that recommends
crushing a Sinemet tablet and mixing it with water as a possible way to
speed up absorption.  If that tablet were timed release, then this method
might not be suitable...possibly providing too much levodopa at a time (?)

The idea of crushing the tablet reminds me of something I read this week
in an earlier APDA newsletter (Spring 1996).  There's a column by Enrico
Fazzini, D.O., Ph.D (Asst Prof. Neurology, NY Univ.) that includes brief
answers to readers questions.  One reader says, in part, that it takes up
to an hour for his Sinemet CR dose to start working.  Fazzini replies for
this specific PWP that, in part, perhaps taking a regular 25/100 Sinemet
(not CR) simultaneously with the Sinemet CR would help.  He always advises
discussing everything with one's neurologist and he advises the
neurologist be a PD specialist, not a general neuro.

Has anyone's neurologist advised taking a regular Sinemet simultaneously
with the Sinemet CR as a sort of boost until the Sinemet CR kicks in?

Lynne CG for Virginia 78/8