 |
 |
On Sun 6 July Jerry Starr Wrote: > > Dear brian and others: I, as a Pharmacist, totally agree with you. Many > physicians do not know how to properly dose a PWP. It takes almost daily > adjustment of doses to arrive at the proper dose, and most physicians do > not have the time to do this. It would be helpful if P.A.'s or advanced > practice nurses could be trained to do this adjustment. It is possible > to break the Sinamet tablets into 1/4's, although a little more > difficult than halving them. They can also be put into liquid form and > get even smaller doses if needed. However PWP should talk to their Dr. > first, and most certainly advise him (or her) of any dosage changes that > have worked better. Many Dr's make dosage changes on invalid > information. It is imperative that any changes the PWP makes be brought > to the attention of the Dr, even if you think it will not be happily > received. > > Jerry Starr, RPh > Dayton, Oh, USA > > Hello Jerry, Thank you for your comments. The Parkinson's Disease Society of the UK are engaged in a programme to create a number of PD Nurse Specialists. This is obviously a costly program, and we are doing it in conjunction with other sources including the Pharmaceutical Industry. The aim is to prove to the NHS that it is cost-effective to tthe NHS to continue to train and support these specialist nurses. Included in the training of these nurses is the ability to give injections, e.g. Apomorphine, and advise patients on how to get the best out of their tablets. We are beginning to see some of these nurses now, and they are most impressive. My particular dosage is 1 1/2 Madopar dispersible (62.5) every 2 hours. I use the Dispersible because they contain added citric acid to make them taste better in water, but I suck them dry (They are really tasty) because a drink of water is not always available every 2 hours! Regards, -- Brian Collins <[log in to unmask]>