To Debbie White My name is Sue - this is my first time to participate in the Parkinsn Digest, though I have been "tuning in" for a week or so and have found many interesting things , some helpful and some parallel to my own experiences. I was diagnosed with PD about 9 yrs. ago after a couple of "suspicious" years of mild tremors. I was on Sinemet (25/100, 3 x/day for 3 or 4 yrs. and didn't notice much change. When tremors began to increase some, Dr. added Eldepryl. I didn't notice much change so didn't continue with it after about 1 yr. In '93 (?) my Sinemet was increased to 50/200 (3 x/day). After a couple of yrs., I began having breathing problems - Dr. had not known anyone with similar problems. My best description was thinking of blowing up a big balloon inside a small box and not being able to blow it big enough. My respiration was rapid and I became VERY tired, lasting anywhere from 20 minutes to several hours! This is a long way round to get to my main reason for writing this. I would appreciate and be very interested in more detail regarding your mother's "breathing difficulties". When I cut back to only 2 Sinemet 50/200, a.m. and p.m., I managed to avoid problems. Neurologist thought perhaps over-medication was the culprit, so he switched me gradually to Permax about 5 or 6 months ago. At first it seemed to eliminate the breathing problems. However, 6 or 8 weeks ago, short (20-30 min.) episodes began again. I am now "weaning" from Permax to Mirapex (Pramipexole)(.25mg Permax & .125 mg Mirapex 3 x/day) for 1st week and building up Mirapex to a max. of 4.5mg / day and eliminating the Permax. My neurologist has been very generous with his "start-up samples" and we have info about contacting our insurance carrier to get Mirapex added to the formulary list to enable us to "co-pay" when we have to get it with prescription. Some of this long epistle may answer other questions for some; mainly I would like to know more about your mother's experience, Debbie. Sue Kendall [log in to unmask]