Don't worry, this is NOT a report of a trip to the ER ! In fact, Peter has been managing well in the mornings, after we made the switch in med timing and added 1 Ibuprofen at 5:30 AM. I am pleased that this seems to be working, and he has been rising on his own, without the awful abdominal pains. The other day he even went to the Hallmark card store, and told me to leave him there while I got a haircut----it has been a couple of years since he would let me out of his sight away from home! I mention this not only because so many nice folks have asked how he was doing, but also to encourage you to look carefully at med timing and consider whether a slight shift ( in distribution, not in quantity) may be beneficial----assuming your neuro gives you a little leeway to experiment, as ours does. Camilla Flintermann, CG for Peter 81/70/55 Oxford, Ohio http://www.newcountry.nu/pd/members/camilla/one.htm <[log in to unmask]> "Ask me about the CARE list for Caregivers of Parkinsonians ! "