parkinsons and bipolar occurring together
Posted 24 November 2012 - 06:48 PM
Posted 24 November 2012 - 08:39 PM
This happened to me just recently. My MDS prescribed 25/100 carb/levo CR 6x/day. Shortly thereafter I began experiencing mania symptoms. Unbeknownst to me and even my doctor, the order was transcribed incorrectly and I was given double the dose of what she had ordered. After numerous ER admissions, a 26 lb. weight loss in one month, a hospital admission for weakness and a week in a psych unit where they diagnosed me as bipolar, the error was discovered. Coming off the extra carb/levo was just as distressing as the overdose. I am 59; rarely does someone my age suddenly develop mania, but no doctor was willing to look at other possible causes.
If you've had bipolar disorder before and then developed PD, it might be a different story. If you never experienced it until you were placed on carb/levo, I'd call my doctor PDQ and ask for a reevaluation of my meds!
I am not a human being trying to have a spiritual experience; I am a spiritual being having a (sometimes difficult) human experience.
First symptoms: right-hand tremor, constipation and restless arms 1978 (age 25). Depression and anxiety (non-motor symptoms) began in 1989 and worsened through the years. Last inpatient episode June 2013.
Diagnosed December, 2010 by a regular neurologist (age 57). After negative reactions to Requip, Mirapex and selegiline began Sinemet 25/100 3x/day. First MDS visit in Houston in February of 2011 was inconclusive. Second MDS visit at Baylor Fort Worth in May/June 2011 diagnosis changed to Parkinsonism, Sinemet stopped. Third MDS visit in August 2011 in WA State: received a confirmed diagnosis of idiopathic PD which had started on the right side and had now crossed to the left side as well. Restarted on Sinemet 25/100 4x/day. A short trial of Amantadine caused audio hallucinations in September 2011.
Current medications at age 62: Sinemet 25/100 ODT every 2.5 hours while awake (7/day). One Sinemet 25/100 CR between midnight and 4 AM. Trazodone 200 mg at bedtime, Fluvoxamine 300 mg at bedtime. Clonazepam 0.5 mg morning and afternoon, 1 mg at bedtime. Vit D3 2x/day, Calcium Carbonate Susp. 5 cc daily, Baclofen 10 mg 3x/day, Flonase two sprays 2x/day, Calcitonin-Salmon nasal spray once daily (for osteoporosis). Gel eye drops as needed throughout the day, Restasis Eye drops 2x/day, Nighttime eye ointment at bedtime. 02 2L per nasal cannula while asleep. Walker, electric wheelchair, moist and soft or pureed foods and 115 caregiver hours/month keep me sane.
All of the above subject to change based on progression, stress level, and dyskinesia. Whew! I'm glad I finally wrote that all out.
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