Print

Print


Debbie,

I am presuming that your mother does have dystonic symptoms.  The fact that the
muscles are tight and can be loosened up with massage is similar to what I
have.

Regarding my theory about Requip causing or contributing to the dystonia, I
really don't know.  I think there is a "therapeutic window" which I may have
now fallen through the bottom of.  I slowly decreased my requip dose from about
32 mg to 16 mg/day.  My  sinemet started  at about 7 tabs per day and  is now
at about 10.  But there was a time in there when I was at about 18-20 mg of
requip  and 6 tabs of sinemet. Also my dystonia has been getting worse at night
especially.  If symptoms stay bad I will probably increase the Requip slightly.

The dystonia is the most debilitating symptom I have had of all my 10 years
PD.  As Bob Fink said in his reply there are Botox injections that are used to
relieve symptoms of the illness Dystonia and I presume they can be used for
dystonia caused by PD.  But that is something a movement disorder specialist
would need to answer.  I am counting on my STN DBS surgery for relief in a few
weeks.

Good luck to your mom.

Charlie





Debbie White wrote:

> What exactly is dystonia? Is it rigidity or does it involve cramping or
> twisting?
>
> Charlies Meyer noted in a posting that reducing his Requip helped with the
> dystonia. (Someone I  correspond with privately also brings up the
> possibility that my mom might be overmedicated.) Now I'm wondering whether
> my mother Joyce's severe head slump is a type of dystonia --  her neck is
> very rigid, as are her shoulders and she cannot even lift  her head with
> her hands. (The physical therapist can work through the riigidity, however,
> and get her head up for a few hours after therapy.) My mother is on a
> fairly high dose of Requip and never reduced her Sinemet (in fact, that was
> increased a bit). Any info would be appreciated. Thanks.
>
> Debbie White
>
> [log in to unmask]

--
******************************************************************************************

Charles T. Meyer,  M.D.
Middleton (Madison), Wisconsin
[log in to unmask]
******************************************************************************************