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I've had PD for 12 years and am on 6mg Requip/day, along with sinemet.  My Dr.
told me he has patients taking 20mg/day.  Cut the psych meds and leave the
requip alone.  She may want to ask her Neuro about increasing sinemet dosage.


janet paterson wrote:

> hi all
>
> please post any replies to the list
> and i will forward them
>
> janet
>
> >From: anonymous
> >Date: Tue, 26 Oct 1999 16:10:28 -0400
> >Subject: Requip Reality Check -- Help
> >To: [log in to unmask]
> >
> >Dear list-goddess -
> >
> >I remember that you've sometimes posted anonymous messages on
> >behalf of list-members, and I'm in need of such a service at
> >the moment.  I want to keep the following message anonymous.
> >If you're uncomfortable about this for any reason, please don't
> >feel pressured to post it.  And thanks in advance.
> >
> >- A humble supplicant :)
> >
> >- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
> >
> >Hi Friends -
> >
> >I'm writing on behalf of a female PWP (now mid-60s diagnosed in her
> >early 40's) who started on Requip this summer after a hospitalization
> >due to  some pretty scary side effects from "over-dopamination" (my
> >expression).
> >
> >Since then her (MDS) neuro's strategy has been to reduce her Sinemet
> >intake and rely on Requip to help her make the best use of the reduced
> >amount.
> >
> >She's currently at a care facility where the nursing staff are concerned
> >about the amount of Requip she's getting.  (She's on 8mg per day.)  This
> >dose seems in line with everything I read, but the staff seem to think
> >she'd do better on less.
> >
> >The symptoms they worry about (drowsiness, dizzyness, falling) are symptoms
> >that in the past seem to have been caused by too much antipsychotic
> >medication. During the hospitalization she was titrated up to a pretty
> >hefty amount of Zyprexa (17.5 mg per day), and it's been my opinion that
> >since the psychiatric symptoms are now under control it would be better
> >to CAUTIOUSLY reduce the Zyprexa than to reduce the Requip (since her PD
> >symptoms are NOT under control).
> >
> >So far we have been slowly reducing the Zyprexa with the neuro's blessing
> >(she's now down to 10mg per day) and have had a small improvement in the
> >PD and the drowsiness, but the staff still seem to think that reducing
> >Requip is the way to go.
> >
> >I'm NOT asking anyone to give medical opinions here (though I know some
> >of you are qualified and it's certainly welcome).  I AM interested in
> >hearing from anyone in the 20-year-past-onset range who's on Requip or
> >has tried it.  I'm most interested in the dosages you found to be
> >effective or excessive, but any experiences or insights are welcome.
> >
> >Thanks in advance!