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In response to Ervin's query:  I am 62 and have had PD for three years.  =
So far it has been well-controlled with Eldepryl (Seligiline), Symmetrel =
(Amantadine) and Mirapex.  Each case of PD is different, but in the last =
couple of years many specialists in Parkinsons have begun using dopamine =
agonists like Mirapex as the first approach to early PD, especially in =
people under sixty.  This is because Sinemet, long the gold standard, =
often seems to carry with it problematic side effects after 3-5 years.  =
Delaying its use, therefore, by using other medications, delays those =
potential side effects.

Just yesterday I attended a lecture by a leading West Coast Parkinsons' =
specialist.  She strongly supported the approach described above, but =
said that unfortunately, many neurologists throughout the U.S. still =
prescribe Sinemet as the first Parkinsons medication  -- no matter what =
the circumstance.

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<DIV><FONT color=3D#000000><FONT size=3D3>In response to Ervin's =
query:&nbsp; I am=20
62 and have had PD for three years.&nbsp; So far it has been =
well-controlled=20
with Eldepryl (Seligiline), Symmetrel (Amantadine) and Mirapex.&nbsp; =
Each case=20
of PD is different, but in the last couple of years many specialists in=20
Parkinsons have begun using dopamine agonists like Mirapex as the first =
approach=20
to early PD, especially in people under sixty.&nbsp; This is because =
Sinemet,=20
long the gold standard, often seems to carry with it problematic side =
effects=20
after 3-5 years.&nbsp; Delaying its use, therefore, by using other =
medications,=20
delays those potential side effects.</FONT></FONT><FONT=20
size=3D3></FONT>&nbsp;</DIV>
<DIV><FONT color=3D#000000><FONT size=3D3></FONT></FONT><FONT=20
size=3D3></FONT>&nbsp;</DIV>
<DIV><FONT face=3D"" size=3D3>Just yesterday I attended a lecture by a =
leading West=20
Coast Parkinsons' specialist.&nbsp; She strongly supported the approach=20
described above, but said that unfortunately, many neurologists =
throughout the=20
U.S. still prescribe Sinemet as the first Parkinsons medication&nbsp; -- =
no=20
matter what the circumstance.</FONT></DIV></BODY></HTML>

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