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At 16:40 25-7-99 -0400, M Potter wrote: >Hi all, > >This may seem like a silly question but I'm trying to learn all I can. >So, who better to ask than you, the experts! My mother just recently >began taking Sinemet, I wrote to you asking about the nausea problem >before. She is taking the 50/200 dosage, she asked her doctor about >cutting the pill in half and he said "no" that it isn't the dosage of >the med making her sick but just the "nature" of the medicine. The silly >part of the question is can a controlled release pill be cut in half >(someone told her that you shouldn't) and if you do cut it in half does >it become the 25/100 dosage? Marcia Controled release pills can be cut in half, but having done so they are not controled releqase pills any more. A person who starts with sinemet is not supposed to need controlled release. IMHO 50/200 is a to high dose for a starter. So when you are living in a world were the only existing sinemet is the CR 50/200 splitting them would make sense. But I suppose you live, as we all in a world were also SinemetReg 100/25 and even --60/12 is available. t she would like to do is start out gradually with this medication. >She has been managing on Segeline alone for years but there is no doubt >it's time to begin the Sinemet. The trembling and stiffness is becoming >worse and balance was starting to become affected. So, we aren't arguing >about that. You are right saying it should be build up slowly and the dose should be just enough to have the profit. That nausea is not related to dose is utter nonsense I myself use sinemet for 15 years now and when I make the mistake of a to high dose I get rather heavy nausea. is questionable how long you can use this >medication, shouldn't you start out with the lowest dose possible? Half >a pill does ease her symptoms but it really doesn't have much of an >effect on the nausea and just an overall "not right" feeling. Still, she >would feel more comfortable taking the least amount possible. > >One more thing, what is a Movement Disorder Specialist, is it different >than a neurologist? Thanks again and best wishes to all, Marcia I agree with Jim that you should, if possible try to see another neuro. A movement soecialist is a neuro who has specialised in Parkinson and related diseases. Ida -------------------------------------------------------------- Vriendelijke Groeten / Kind regards, Ida Kamphuis mailto: [log in to unmask]