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Hi Gil and Aliza, and Art--

You could be taking both not enought Sinemet, or too much Tasnar!

I use 225 mg per day.  With the aid of a pill-cutter, I take 25mg, 50,
50, 50 and 50 mg. These five doses are spread out from mid-morning to
midnight. We cut up 100 mg tablets.

I can get tired after these much lesser dosages, but in general they
extend my Sinemet significantly. My Sinemet is down to 750-800 -was 1500
mg / day.  Yesterday I was on without an off-period for SIX hours-triple
the expected Sinemet on-off cycle.

Unfortunately, my food digestion is so slow that my pill pieces may get
blocked from being useful.
At those times, I have to lie down and wait for a long time, or sit
quietly, and sip water or orange juice, unless I sleep.

I also do NOT take Tasmar until my 2nd dose of the day.  Otherwise, I
will get very tired, and hear a buzzing sound that bothers me and
distracts me.

All in all, Tasmar (tolcapone) has nonetheless been a wonderful drug for
me-and has prevented me from thinking about pallidotomy.

Ivan

48/12
^^^^^^WARM GREETINGS  FROM^^^^^^^^^^^^^^^^^
Ivan Suzman         48/12         [log in to unmask]
Portland, Maine    Land of lighthouses     74  deg. F
********************************************************************

On Sun, 23 Aug 1998 15:51:23 +0300 Gil Lieberman <[log in to unmask]>
writes:
>Art,
>This is in response to your message below.
>My wife Aliza is on the same PD meds as you and is experiencing the
>same Tasmar side-effect of being very tired.After about six weeks
>of Tasmar and about two weeks of 200mgx3,we have concluded that Tasmar
>is not helping her PD and is producing the following side-effects:
>1.Extreme tiredness
>2.Increased tremor.
>3.Shakiness
>4.Sharp drops in blood pressure.
>
>Gil,CG for Aliza,PD 2/95
>---------------------------------
>Date:    Fri, 21 Aug 1998 09:30:24 EDT
>From:    Art D'Isabel <[log in to unmask]>
>Subject: Re: Tasmar
>
>Shortly after taking a 200mg tablet of Tasmar, I get so tired that I
>find it
>difficult to stay awake.  I take 200 mg of Tasmar three times a day,
>as well
>as my regular dose of sinemet and caridopa/levodapa.  Does anyone else
>who is
>on Tasmar experience the same side effect?
>