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> I'm not sure about mirapex, but I THINK that sinemet can lower blood > pressure. Postural hypotension, where the BP drops when the patient > stands up, can be especially problematic. > > A mirapex question: was your mother decreasing her sinemet while she > upped the mirapex??? usually necessary > > Depression is common with chronic illness in general and with PD in > particular because of lowered dopamine. Lotsa PWP take various meds, > the SSRI's like prozac & zoloft seem to work esp well for many. > > Is your mother's neurologist a PD specialist??? When the symptoms get > this complex, a PD or "movement disorder" specialist is advisable, at > LEAST on a consult basis. Send a post titled something like "PD docs in > (where your mother lives)" for suggestions. > > Mary Rack > cg for Mom until 1/2/98 Thanks for your suggestions. You know, I never even thought to consider whether this neurologist is a PD specialist-are they listed that way, or do you just have to ask? He has only recently become her neurologist. I will look into this, thanks. And no, she was not decreasing sinemet at the same time. She was just adding the mirapex to her normal schedule. Is decreasing sinemet at the same time what is normally done? Thanks for your suggestions, Jan