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How can I minimise the end of the dose shaking


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#1 Appa

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Posted 01 February 2013 - 05:37 AM

Doctor

I am trying combination of Madopar 200/50 and stalevo 200/50/200 to better outcome. I am trying this for last few weeks. I take my first dose Madopar 10:00 AM, Stalevo12:00PM, Stalevo 3:00PM, Madopar 6:00pm. Everything is OK 9:00 PM. Around 9:00PM my left leg and left hand start to shake. Sometimes very violently. This will last for 90/120 minutes.
Even if I take another dose around 9:00PM, around mid-night leg and hand start shaking for 90/120 minutes and disturb my sleep. Basically three hours after my last dose this happens. Everyday around 90/120 minutes I am suffering from this hand and leg shaking at the end of my last dose. How can I minimise the end of the dose shaking?

#2 Dr. Okun

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Posted 01 February 2013 - 08:16 AM

One simple solution is to ask your doctor about moving your doses closer together and adding a dose on the end of the day; and maybe even one if you wake up at night.

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


#3 gmk

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Posted 04 February 2013 - 09:19 AM

Make your treatment as simple as possible.
Ask your MDS to change your therapy to Sinemet.
gmk

#4 Dr. Okun

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Posted 04 February 2013 - 05:01 PM

That is one very good philosophy and worthy of suggestion to your MDS.

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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