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Hi Paul: Trust me on this one, as a nurse who is also a PWP. There is no magic bullet. Medicine is not an exact science, PD is tricky,we are all of us unique, and it boils down to a matter of trial and error. I know I personally have trouble following the advice I give my patients, but it's true-the answer is finding the right medication for the right patient in the lowest dosage that provides the maximum benefit. The other advice I have is to know your own body and scream loud and clear when a medication/treatment, etc. doesn't feel right. Oh, and be an informed consumer of health care (which you are certainly becoming, judging by your most excellent advice to a newcomer to the PIEnet.) We were lucky with Floyd. You gotta win once in a while. Carole H. --- Paul Lauer <[log in to unmask]> wrote: > It seems from the list letters I read that there is > no real consensus about > which meds to take. Some start on Sinemet, some on > Mirapex, Some on Permax, > some on requip, all with and without Selegiline. > Then the game of switching > from one to the other begins along with the > associated concerns about the > consequences about switching too early/too late or > titrating off or switching > cold and I don't know how many other drugs and > permutations are involved > because I'm too new. Is there no school solution? Is > it that the neuros are > not privy to it whatever it is? Or is it that > people's reactions to the > various drugs are so variable that no global > solution has surfaced or been > accepted into the literature. My Neuro started me on > Sinemet/Selegiline and > when I asked him why not any of the others, he said > that Sinemet was best and > he had stopped prescribing any of the others. > > Paul H. Lauer (PS Carole - I'm in Norwalk and we > were pretty lucky with the > storm) > __________________________________________________ Do You Yahoo!? Bid and sell for free at http://auctions.yahoo.com