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carb/levo 25/100mg


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#1 Guest__*

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Posted 14 April 2008 - 10:15 PM

Dear doctor,

Recently my doctor add carb/levo 25-100 mg to Requip.(currenly taking 3 mg 3 times a day) I need to take both carb/levo and Requip three times a day. I am currenly taking levothroid .1 mg and Hyzaar 20/12.5 mg toghther 1st thing in the morning and wait for another hour to take Requip. Since it is better to take carb/levo on an empty stomach, should I take it with levothroid and wait another hour to take Requip or just take with Requip in the morning? My doctor wants me to try carb/levo for two weeks. If it doesn't work, stop taking it and take Requip 4 times instead of 3 times. Is it safe to stop carb/levo after two weeks if it doesn't work? I am only 53 years old, do you think it is too early to take carb/levo. Please advise! Thanks

Karin

#2 Dr. Okun

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Posted 16 April 2008 - 03:33 PM

There are many approaches that work.

I never have patients stop carbidopa/levodopa-sinemet abruptly as this can be dangerous.

I usually start with an agonist and then if tolerated work to the best dose that helps symptoms without side effects. I usually add sinemet when the time is right and again work it up tailoring therapy.
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 Guest__*

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Posted 16 April 2008 - 04:09 PM

Dr. Okun,

Thanks for your quick response. Since I have to take Levothroid in an empty stomach in the morning and I know it is best to take carb/levo in an empty stomach also. Is it safe to take Levothroid and carb/levo together? Or is best to wait another hour, then take the carb/levo with Requip. Thank you for your time!

Karin

#4 Dr. Okun

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Posted 20 April 2008 - 03:42 PM

Karin,

Always best to ask your doc, but in general I usually let patients go either way---but I try to maintain the time intervals between doses so they don't wear off earlier.
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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