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> From: William Heitman <[log in to unmask]>
> To: [log in to unmask]
> Subject: Re: pallidotomy success
> Date: Monday, May 24, 1999 11:42 AM
>
> In a message dated 5/22/99 6:05:34 PM Central Daylight Time,
> [log in to unmask] writes:
>
> <<  Today we decided to give her Sinemet every
>  2.5 hours so that she can eat a little bit more during her meals.  She
did
>  not do as well as the previous two days but she is still much better
than
>  before the surgery.  We will probably go back to dosing every 2 hours.
>
>  As for any other medications.  She is taking Elavil 30 minutes before
bed
>  and Restoril right before going to sleep.  A few weeks ago she tried a
very
>  low dose of Permax but she nearly passed out.  We are going to wait for
her
>  to recover from the surgery and gain a little more weight before trying
the
>  Permax, again. >>
>
> Teresa,
> I don't know this to be true, but it seems to work for me
(usually-nothing
> ever works well constantly with this stupid disease).:
>
> 1  Because of the reaction you mentioned before, I think I would suggest
> Mirapex to the neuro.  It doesn't act like an ergot.
>
> 2.  Try a little protein in her diet during the day.  While it still
reduces
> the power and duration of Sinemet, I have found it useful in smoothing
out
> the peaks and valleys.  The proper time to try it is about 45 minutes
after
> the last (previous) Sinemet dose.
>
>
> Because I too am often hungry, I have to use care to not go overboard.
> However, working up slowly, I have discovered I can get away with the
> occasional daytime big Mac.
>
>
> Regards,
> WHH 55/38/37
>
> PS: My last palli was in '94