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Dear Grace,
It's good you switched to another neuro, you deserve thoughtful answers
to a serious question like that of hallucinations. Is the new neuro a
specialist in Parkinson's disease? That's the best possible choice where
possible, because the source of hallucinations can be difficult to
pinpoint sometimes, and a PD specialists will have much more specific
experience in this area.

A thought -- has the physician ruled out infection (including urinary
tract infection), dehydration, electrolyte imbalance, subdural hematoma,
or other possible cause of hallucination? This is not my area of
expertise, Charlie or Bob would be much better sources of information,
but I do know that dehydration and infections can be involved.

It will be important that he receive plenty of fluids, 6-8 glasses a
day, and that he eat well. Nutrient loss and dehydration can worsen a
hallucinatory state.

My very best regards to you and your husband,
Kathrynne

Grace M McNamara wrote:
>
> Thank you for all the response.  I am sorry I gave you the wrong idea.
> It is my husband who has PD.
>
> He was on the same medication since he was diagnosed, seven years ago,
> Four Sinemet 25/100 and two Eldepryl 5 mg. a day. When the hallucinations
> started and we were not getting answers from his neurologist we changed
> to another.  He took him off the Eldepryl.  It took about two weeks and
> he could not get out of the chair.  He needed to be in a wheelchair.
> This doctor  put him back on one Eldepryl a day.  Movement better.  We
> then started on anti psychotic pills, Olanzapine, Seroquel, Mellaril.
> Each separately for a few weeks with no results.  Now we are taking
> Risperdal, with his Sinemet and Eldepryl.  Have just increased the
> Risperdal to 4 mg. a day. Still hallucinating. Will stay on this for
> awhile because I believe we didn't give the other antipsychotics a
> chance.
> Sorry this is so long.  We do appreciate your input.
> Grace








--
Kathrynne Holden, MS, RD
Medical nutrition therapy
Author: "Eat well, stay well with Parkinson's disease"
"Parkinson's disease: assessing and managing unique nutrition needs"
http://www.nutritionucanlivewith.com/