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Jeanette, It seems to me your body is crying out for sinemet. Now remeber I am not a doctor, and am only speaking from my own personal experience. But I have been taking sinemet from the beginning - and that is 17. years now. At times I have taken one or another agonist, with varyinig results. Right now I am tkaing mirapex and amantadine with the sinemet. I am probably taking a lot more medication than you need, but my state of functioning at the moment sounds pretty much like yours. I dont drive, and i have to choose like you between shopping and laundry - but i still do most of the cookong - if somebody else washes the dishes.But I've got 15 years start on you . WHat i'm saying is, i have been taking sinemet all these years and it has only been good for me. Over the last couple of years i have develooped dyskinesia - but the amantadine sees to that. . So based on my own personal experience, I think the way to go is to staort wth sinemet, and to add in other things as needed, and to remove them when they become ineffective. BTW, I've been taking sinemet for 17 yrs and i'm still only 50 and looking forward to a long future, both before and after the cure! ############################################################################ Leo Fuhr wrote: > > List family, > Reporting on my experience using PERMAX as monotherapy for my pd symptoms. > As I related in earlier post to list, my neuro suggested dropping MIRAPEX > due to extreme drowniness side effect but wanted to try PERMAX before > reintroducing SINEMETCR since I'm 48(49 on 9/27). > I have titrated up to .25mg 3xs daily with moderately fair results. My > biggest complaints: > 1) Left arm & shoulder are acting as when initially dx in 11/97....pain, > swelling, and not able to swing when walking and not able to do fine motor > skills....typing is hard this AM and was not able to drive on a highway > triip of 148 miles round trip w/o pain in left arm and had to ask dgthr to > drive some yesterday. > > 2)Fatigue continues. I have to choose what to use my limited energy for ie > shop for groceries or do laundry. > > 3) Lots of heartburn/indigeestion and constipation. > > I'm ready to say"Give me back the Sinemet so I can function more > normally." Am I being impatient or not??? > > Jeanette Fuhr 48/47/44?