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Bill: Would recommend titrating (reducing/increasing) Mirapex down while titrating Permax up, as your friend's neuro suggested. The neuro can give you exact dosages. It is not generally thought to be safe to abruptly stop Mirapex, as there can be complications. Recently successfully switched from ReQuip (which is similar to Mirapex) to Permax myself using this titration method. Carole Hercun, RNC --- ROBERT A MARTONE <[log in to unmask]> wrote: > Bill, > > Nancy withdrew from Mirapex and returned to Permax > without > any proplems. She did it cold turkey and had no > problems. > The Mirapex didn't seem to have any advantage over > the > Permax for her. At the time she was experiencing a > radical > weight loss and we were trying to ween her from all > new meds > and get her back on the old meds to see if that > would stop > the weight loss. It did stop the weight loss but we > never > did figure out why she had the loss occurred. > > Bob Martone > > -----Original Message----- > From: Parkinson's Information Exchange > [mailto:[log in to unmask]]On Behalf Of > Bill Bell > Sent: Thursday, September 16, 1999 10:46 PM > To: [log in to unmask] > Subject: Switching from Mirapex to Permax. > > > Greetings, > > A friend called today to ask if I would pose a > question to my braintrust, > the List. Here goes. His doctor is suggesting he > switch from Mirapex to > Permax. The doctor also said that both can be > taken together as you bring > the Permax up in dose, and bring the dose of > Mirapex down. Has any of you > been thru the same process? Did you stop the > Mirapex gradually then began > the introduction of the Permax? Any insights would > be greatly appreciated. > Thanks in advance and best to all. > Warm regards > Bill > > Bill Bell > Executive Director > Northwest Parkinson's Foundation > 425-746-5556 / [log in to unmask] > http://www.nwpf.org > __________________________________________________ Do You Yahoo!? Bid and sell for free at http://auctions.yahoo.com