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Dr. Okun

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Dr. Okun last won the day on March 3

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About Dr. Okun

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    Advanced Member

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  • Website URL
    http://movementdisorders.ufhealth.org

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  • Location
    University of Florida
  • Interests
    Parkinson disease and movement disorders
  1. Totally agree.
  2. This is a tough one. Some people get headaches that have tinnitus features and the fact that you get it upon wakening and also aftrer taking sinemet may be a clue you need to see a headache doc. One thing we usually so is get a MRI to rule out low pressure as a cause for the headaches.
  3. It is not clear the probiotic will help PD but so far we believe it is safe to take one.
  4. I personally think the statin and cholesterol area with PD risk has been very confusing across studies and needs clarity. At this time remember if you have PD risk is not an issue...because you already have PD. The treatment trials are interesting and I encourage people to enroll so we can get answers. Finally, when it comes to use of statin for cholesterol I usually strongly favor as long as the internist is on board.
  5. In cases like yours I usually seek a sleep study to find out what is going on. Sometimes clonazepam helps.
  6. In my patients I usually just start at 1mg.
  7. There are cases of PD that have mainly rest tremor so it is tricky. The lack of progression would make us question as to whether it is really PD.
  8. This is a really tricky situation. If there is any question between PD vs. ET there is a a scan called a DAT scan that is labelled to help differentiate.
  9. Steve, one option may be the Sinemet 50/200 which has a little more carbidopa. You should also have your docs send an appeal letter. I am so sorry to hear this!
  10. I am not familiar either with DGL, but will post. We use carbidopa and/or domperidone for nausea.
  11. Hard to know, but I bet it would be a little better with Duopa.
  12. My pleasure to help. Yes, I would monitor with your doc and adjust as needed if symptoms re-emerge.
  13. I will leave others to reply to these questions. We use carbidopa or domperidone for nausea in our practice. Good luck.
  14. Thanks for the question. There are too many to list. Some common Parkinson mimics are PSP, MSA, ley Body, and CBD. Here are link that may help: http://www.parkinson.org/understanding-parkinsons/diagnosis/Are-there-other-conditions-that-can-mimic-PD http://www.everydayhealth.com/parkinsons-disease/movement-disorders.aspx
  15. Usually normal in our experience but we need more data on this issue.