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What if meds show no effect


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#1 smarreddy

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Posted 25 April 2013 - 03:50 PM

I am diagnosed with PD for the last two months.Initially my neurologist gave patches.When that didn't work,he gave levodopa and miramex.Still there is no effect.At this point should I increase dosage of Levodopa or stop taking any meds.

#2 Rogerstar1

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Posted 25 April 2013 - 04:41 PM

What are your current dosages? The thought occurs that you may not even have Parkinson's - maybe a second opinion on the diagnosis would be in order.

Edited by Rogerstar1, 25 April 2013 - 09:35 PM.


#3 woodbee

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Posted 25 April 2013 - 11:32 PM

smarreddy,
three things 1.Carbidopa levadopa will not show a change in your symptoms until you gradually build up to certain dosage. If you have not been on it very long, or are on a small dosage, don't give up. You'll need more time and /or more dosage increases. the neuro starts you on a low dose so you don't get nautious which may happen anyway.
2. If you do not respond to the medications after reaching the prescribed upper dosage determined by your Dr. perhaps you should find a movement disorder specialist (MDS) and get a second opinion about what is happening with you. You don't mention what symptoms you are having. There are a few other things that look like PD but are somewhat different. Perhaps you have one of those instead.
3. Don't adjust your own meds at this stage of the game. Talk to your Doc first. Be up front with him if they are not helping you ask him if you need a dosage adjustment or a different medication. It can take several months to get meds adjusted to optimum. MDS's have much more experience with adjusting these specialized meds but a competent neuro can do it too however MDS's see many peo;le with PD while reg neuros will see patients with many other neuro disoders, hence fewer(usually) PD patients...another reason to see an MDS. Good luck

#4 Luthersfaith

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Posted 27 April 2013 - 07:06 AM

woodbee is spot on.
You have to be patient with these drugs.
I've lived through #3.
Feared #2
Enjoying #1

Edited by Luthersfaith, 27 April 2013 - 07:09 AM.

"I have told you these things, so that in Me you may have [perfect] peace and confidence. In the world you have tribulation and trials and distress and frustration; but be of good cheer [take courage; be confident, certain, undaunted]! For I have overcome the world." - Jesus (John 16:33)




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