brian, brian, brian as i mentioned before my experience with eldepryl has been wonderful. started on it 12 years ago, and i added vit. E (1M) ,and C, 500 mg and NOTHING ELSE, and am s t i l l in pretty good shape, no side efffffects, just some old age syndromes. brian,; wejust took the chunnel from Waterloo to Gare du NOrd and back,,, got a litttle stiff....so i did a few stretching exerc. on the the Euro Star===went to a wedding in Montparnasse, then to a receptiong in Loches in the Loire, and took selegine every day, felt ok , even forgot second one occasionally......... speed???????? am i totally wrong ??? is it perhaps the vit. E ???? they're gonna have to scrape me off the floor before i take anything else. love bernard ---------- From: Brian Collins <[log in to unmask]> To: Multiple recipients of list PARKINSN <[log in to unmask]> Subject: Re: Selegeline Date: Tuesday, October 06, 1998 3:34 PM On Sun 04 Oct, Keith Chancey wrote: > : > > Selegiline, on the other hand, is now considered to be 'not worth the > trouble' - and it has taken a long time for that conclusion to be > reached. We are now in the catching-up phase, where those neuros who do > not regularly read the medical press continue to prescribe it with no > idea of whether it is really good, bad, or indifferent. (fortunately > indifferent is perhaps the nearest to the truth.) > > Brian, I can only speak from my own experience, but selegeline has been > the only medication I've taken since I was diagnosed just over a year > ago. My symptoms have remained about the same during this period, and I > attribute that to the selegeline. So I can't say that I agree with your > assessment. > > Keith Chancey 45/1 > > Sorry, Keith - I should have explained more clearly, but I was short of time. Selegeline has been a controversial subject since it became available. The argument is not over the question of whether it makes you feel better - that is accepted, at least in the early years of PD. The controversial aspect came from the claims that the anti-oxidant properties of Selegeline would sweep up any free radicals in the substantia nigra, and would be 'neuro-protective' - effectively halting the downward progression of PD. Devotees of the drug became quite aggressive iin their claims, and people tended to be believers (those who were taking the drug) and unbelievers (like me) - I started it, on the advice of my neuro, but refused it when I found that I was experiencing wild 'semi-waking' dreams. Now this is where the arguments get heated. I instinctively shy away from anything which affects my 'personality', and I have no doubt that Selegeline does that. (One of the by-products of Selegeline as it is broken down in the brain is Amphetamine (Speed!). Some people claim that it doesn't affect PD symptoms at all - you just don't give a damn! Since nobody knows what causes PD, the Free Radical story can only be considered as hypothesis. A major review of this and other claims was undertaken (The Datatop Study), and my understanding is that after several years of use, and then introducing sinemet, the amount of Sinemet required by the Selegeline takers was the same as that required by people who had been taking Sinemet all the time. Conclusion: Selegeline is no better than Sinemet as a neuro-protective med. The neuros are now grappling with the question of whether Selegeline should be discontinued. Some of the long-term takers have reported quite severe withdrawal symptoms and are continuing to take it because of that. -- Brian Collins <[log in to unmask]>