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Vivid Dreams


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#1 Hobey13

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Posted 11 June 2013 - 10:17 AM

I have read that that there is an association of parkinsons disease with vivid dreams. What are the differences between normal dreaming and the vivid dreaming in parkinsons?

#2 Dr. Okun

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Posted 12 June 2013 - 06:38 AM

Parkinson patients can have more vivid and alive dreams and often act out their dreams-- a phenomenon called REM sleep behavioral disorder.
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 citabriapilot

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Posted 12 June 2013 - 07:24 AM

But what is meant by a vivid dream? How does that differ from any dream?

#4 Golden01

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Posted 12 June 2013 - 08:52 AM

Is it the same as night terrors? Is a sleep study required to differentiate between the two?

Husband diagnosed in 2005-Medicines: Azilect, Artane, and Amantadine; Sister and Best Friend from Childhood also have PD


#5 Dr. Okun

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Posted 12 June 2013 - 10:23 AM

A vivid dream is a subjective term used to denote that the "dreamer" feels it is alive and real....regular people without PD can also vividly dream. Night terrors are different and mainly seen in children. A sleep study is usually not required unless difficult to treat with standard approaches.
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

#6 afroney

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Posted 02 July 2013 - 08:45 PM

I have these vivid dreams.

I often punch, kick, or scream in my sleep while having these dreams. I've injured myself a couple of times and have put holes into walls with my fists. The dream usually involves being chased by a monster or the police. I wind up fighting back in these dreams and that seems to correspond to my physical actions.

Its pretty rare that I am able to catch myself doing this. Its usually friends or family that are visiting and staying over that mention my behavior in bed. According to my neurologist, this was one of the first signs of my Parkinson's (These vivid dreams started 5-7 years ago).

#7 Dr. Okun

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Posted 03 July 2013 - 10:43 AM

This is common (vivid dreams) with Parkinson's disease and is known as REM sleep behavior disorder. It is typically well treated by a benzodiazepine such as clonazepam, and in severe cases we will pursue a sleep study.
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

#8 Daven

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Posted 03 July 2013 - 11:13 AM

My Doctor asked me to try taking Melatonin (an OTC supplement) to see if it would reduce my acting out my dreams. It's been very helpful lessening my symptoms.

Dave

#9 Dr. Okun

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Posted 03 July 2013 - 02:12 PM

Thanks Dave for the comment. So far I haven't been successful for treating sleep issues in PD with melatonin. Glad to hear you are doing well.
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

#10 Daven

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Posted 03 July 2013 - 03:47 PM

I also take Trazodone at bed to help with sleep and to calm my nerves in my back. I have severe nerve damage to my L5 and S1 nerve roots on the left and right. Maybe its a combination of the two that helps. Trazodone alone was not helping with me acting out my dreams.

Dave

#11 christie

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Posted 04 July 2013 - 05:24 PM

I started having excessively vivid dreams almost immediately after starting levodopa treatment. I can still remember the dreams I had the first week...very distressing. This side effect of levodopa got better with continued treatment but never went away completely. I am now 5 months into levodopa treatment and i still see nightmares/vivid dreams, almost every night.

Dr Okun, what is the significance of levodopa-induced vivid dreaming in patients with PD? Are these patients more prone to developing hallucinations and/or psychosis?

Thank you in advance for your time

-English is not my first language !

-Aged 39. Diagnosed at 35. On levodopa monotherapy (500mg daily).


#12 Dr. Okun

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Posted 06 July 2013 - 04:58 PM

Definitely having PD itself id associated with vivid dreams. Adding agonists or Levodopa can bring them out. IF something like clonazepam and a sleep study does not result in resolution then seeing a sleep doc and considering a drug like seroquel at bedtime can be helpful. Very vivid dreaming can be a prelude to mild hallucinations.
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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