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Rick, CR is ok. There is nothing wrong with its use. I don't think your Doctor is doing anything grossly incompetent or dangerous. He probably is doing what most movement disorders specialists several years ago. It is a reasonable diagnostic tool as well. (If you respond it is almost certainly PD if you don't (over a period of a month or so) it would be especially important to follow up more closely with other diagnostic procedures. Remember while the list can give you a lot of general information and can point out grossly incompetent treatment you should use it as a confirming source of information, not as the provider of definitive medical advise about your particular situation. Your doctor knows you and your condition and may have good reasons for doing something that we are not aware of. If we differ with him then talk to him about it. Most of the list members are not physicians. I am but I wouldn't begin to treat you or anyone else over the net. I guess the point I am trying to make is use us for information not for treatment. If you can't develop the give and take with him that you want then get another doctor but with rare exceptions follow his advice. Charlie Rick Hermann wrote: > > Hi List, > > I've received a lot of feedback from listmembers about starting out > treatment (46/2 months) with Sinemet (CR 50/200 once a day). My > neuruologist explained it as: let's see if you respond to anti-Parkinson > meds, and a trial course of Sinemet (1 month) is the quickest test route. > If you do, we'll get you off the Sinemet and onto other meds more > appropriate for your age and level of disease. > > My question, in response to cautionary advice, is: will one month's worth > of Sinemet have significant negative effects? Should I go back to the neuro > asap and say Hey! Let's go another route NOW. The neuro-suggested course--a > 1-month test--makes sense to me, but I am listening to advice from this > wonderful group with wide-open ears and a commitment to my own well-being. > > Meanwhile, thanks for the info on finding a MDS. I have good leads in the > Seattle area. > > Best, > > Rick > Bellingham, WA > where the crocuses are up -- CHARLES T. MEYER, M.D. Middleton, WI [log in to unmask]