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Extreme nausea

Dysphagia

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#1 Beau's Mom

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Posted 04 January 2013 - 01:34 AM

I am being discharged tomorrow AM after 2 weeks in the hospital getting my psych and PD meds adjusted have been retching for 6 hours without vomiting I've had one oral dose of Zofran, plus one dose IM SINCE 3:30 pm.. I have taken my carb-levo, clonazepam, trazadone, fluvoxamine and Seroquel and kept them down since 9 PM PST, but the nausea and retching continue. The nurse gave me my 1/2 tab carb/levo two hours late (it was due at noon) although she did give me my 1.5 tabs of carb/levo CR on time. I take both meds q 3 h from 6 AM to 9 PM. After surviving a 5 week double dose of carb/levo CR (50/200 instead of 25/100 q 3 h. When the error was discovered the CR was reduced to 25/100 q3h. I have never felt quite right since September, having frequent panic attacks, especially since a severe rotator cuff repair on 12/5/12. Iyt was just a week ago that the neuro team reduced the carb/levo 25/100 and increased the carb-levo 25/100 CR to 1.5 pills.

it is now 10:05 PM. I asked my nurse for something else, but the medical docs have only offered oral Zofran or oral Vistaril, which the nurse promised me 40 minutes ago but has not brought.. I called the charge nurse about to see if the medical doc could call the neuro docs to see if that missed dose of carb/levo 25/100 could have caused spasms in my esophagus since I've had dysphagia for almost one year. They are now offering me 2 mg of oral Ativan I don't have much hope of it working because nothing I have taken orally has seemed to kick in.

You probably won't see this till morning but I may still be awake at this rate so please answer as quickly as possible. Also, my lower stomach sphincter has frozen before for up to 8 hours before Could this be the problem and would a rescue dose of 1/2 25/100 carb/levo crushed with a Vitamin C and dissolved in 3 oz. of 7-Up be useful?

Thank you from an exhausted but not sleepy Parkie.
Dianne

I am not a human being trying to have a spiritual experience; I am a spiritual being having a (sometimes difficult) human experience.

#2 Dr. Okun

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Posted 04 January 2013 - 08:15 AM

Thanks, see my previous post.

For nausea consider increasing carbidopa (loosen) dose to go along with sine met, Tigan, or domperidone.

Hard to determine the cause.

On my last answer to your query I made some suggestions to your docs on the sinemet.
Michael S. Okun, M.D.
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips




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