To Hotrod - I notice you are taking an awful lot of sinemet. Has no one suggested to you that you try Mirapex. That was a big help to me. Also, to make your sinemet more effective and longer lasting, you could quite likely do well adding Tasmar. I did add both and it really has been a help to me. I'm taking 1.5 mg Mirapex 3 times a day, and right now 100 mg tab of Tasmar also 3 times a day. I'll soon be taking a 200 mg tab 3 times a day. When I first started with the Mirapex I felt like the Enegizer Bunny. It unlocked my stiffness and I could walk normally much of the time. I still had a problem with freezing tho but the Tasmar seems to have solved that problem to. I know that what works for one of us does not work for another but I think it is worth a try. I finally convinced my neuro (I used some of these letters etc.) that I was keeping up on what is out here and he now lets me try whatever I think will help if it is in keeping with his information.) This is long but I believe you are being limited to meds that were the best we had but there are other things out there that may help you helenjc