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klmdoc

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About klmdoc

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  • Birthday 01/01/1970
  1. Differences in c/l by brand

    Dr Comes, Would it be permissible for you to tell me which generic sinemet you see the fewest complaints about and that you see the most complaints about? Also, my CVS says that they can order any brand generic that I want but that they typically carry TEVA. ??? I thought TEVA had been sold to another company (????) Bottom line is that I'm going on Medicare in July and must find a generic. I started taking generics about 9 years ago when I started C/L but had to switch to brand labels because of prohibitive costs. Can you make any suggestions as to what I might try first? I've also heard that the doc can write Medicare and ask for label approval -- but if granted, do you know how much it would cost?? Thanks for any help/advice that might help! And thank you once again for all that you do.
  2. Differences in c/l by brand

    JOHN14505 -- Can you clarify which you thought was the better generic, Activis or Mylan?
  3. TAPERING REQUIP

    Your schedule for tapering REQUIP was perfect -- I'm down from 4mg a day to 3 mg a day (going slowly with it!) -- but now I can't sleep more than 3 hours. Could the requip tapering have caused that?? THANKS FOR YOUR HELP!!
  4. TAPERING REQUIP

    My neuro and I think it's possible to decrease my Requip, and we think there's a even a long shot that I can eliminate it altogether, (that or taper down to 1 mg each morning) Currently I take four X 1 mg Requip at the times indicated below; please note that I take the Requip ALONG WITH my Sinemet, also as indicated 800 (1 requip + 2 sinemet) 1100 (1 requip + 2 sinemet) (200 - I take only Sinemet here - no Requip) 500 (1 requip + 2 sinemet) 900 (I take only ONE sinemet here instead of two + I take one Requip) TOTAL: 9 TABS SINEMET + 4 TABS REQUIP How quickly can I SAFELY can I taper this and how would you suggest that I schedule it? I have taken Sinemet since 2008 and Requip since 2007 and have no dyskinesia. I am deeply grateful for your help! I know this is a lot of trouble to figure out, but you have first-hand knowledge that no one else does. Thank you for all that you do.
  5. I had a colectomy and cholecystectomy June 2015 and developed off/on episodes that have become increasingly worse. Is that a co-incidence, or might the surgery have caused an absorption issue for my meds -- and if the latter, is there anything I can do to improve the efficacy of my PD meds? I currently take two 25/100 Sinemet + 1 mg Requip (together) QID - I used to take every 4 hours 8am-8pm but am now having so much trouble with OFF time that I've had to move to every 3 hours -- or else suffer through until the next dose is "due." I feel like I'm losing my mind swinging between excellent function when ON and near total dysfunction when OFF. Thank you for anything you might be able to suggest or point me toward.
  6. Eating With a C/L Dose

    Does OJ ENHANCE sinemet absorption or HINDER it or neither? Please clarify! I need just a little boost for my first dose! Many thanks!
  7. After keeping execl spreadsheets of my reactions for 3 months, it's clear to see that I am wearing off as noted below. Would you kindly comment on my proposed moves below as to whether the timing is good or if you would suggest something different? I am so exhausted by having dealt with these "OFF crashes" (nothing gradual about them) that the stress can't be a good thing. SO ANY help would be SO appreciated! CURRENTLY WHAT IF INSTEAD I TOOK: D = DOSE = 2 25/100 Sinemet + 1 mg Requip taken together 700 am .25 mcg Levothyroxine 8300 am D1 830 AM D1 1030 feel first wearoff effects but 1100 AM JUST THE SINEMET stay busy till I MUST dose at 1130 am D2 NOON REQIP # 2 200 feel wearoff coming on 300 SINEMET DOSE 3 230 pm 3.75 mg tranxene ( to help mitigate wear off) 300 pm really need D3 here but I watch TV (waste time) 400 REQUIP DOSE 3 until again I MUST HAVE 330 or 400 D3 700 SINEMET DOSE 4 800 (with discomfort beginning @ 730) D4 800 REQUIP DOSE 4 Any help will be most welcome!!
  8. Sinemet wearing off

    I think i posted in the wrong place before -- I am trying to get the pharmacist's opinion. If this is a duplicate or the wrong place to post, please let me know where to post. Many thanks! I have written before in another forum, but am asking for clarification regarding wear-offs. After keeping execl spreadsheets of my reactions for 3 months, it's clear to see that I am wearing off as noted below. Would you kindly comment on my proposed moves below as to whether the timing is good or if you would suggest something different? I am so exhausted by having dealt with these "crashes" (nothing gradual about them) that the stress can't be a good thing. SO ANY help would be SO appreciated! CURRENTLY WHAT IF INSTEAD I TOOK: D = DOSE = 2 25/100 Sinemet + 1 mg Requip taken together 700 am .25 mcg Levothyroxine 8300 am D1 830 AM D1 1030 feel first wearoff effects but 1100 AM JUST THE SINEMET stay busy till I MUST dose at 1130 am D2 NOON REQIP # 2 200 feel wearoff coming on 300 SINEMET DOSE 3 230 pm 3.75 mg tranxene ( to help mitigate wear off) 300 pm really need D3 here but I watch TV (waste time) 400 REQUIP DOSE 3 until again I MUST HAVE 330 or 400 D3 700 SINEMET DOSE 4 800 (with discomfort beginning @ 730) D4 800 REQUIP DOSE 4 Any help will be most welcome!!
  9. Sinemet wearing off

    I have written before in another forum, but am asking for clarification regarding wear-offs. After keeping execl spreadsheets of my reactions for 3 months, it's clear to see that I am wearing off as noted below. Would you kindly comment on my proposed moves below as to whether the timing is good or if you would suggest something different? I am so exhausted by having dealt with these "crashes" (nothing gradual about them) that the stress can't be a good thing. SO ANY help would be SO appreciated! CURRENTLY WHAT IF INSTEAD I TOOK: D = DOSE = 2 25/100 Sinemet + 1 mg Requip taken together 700 am .25 mcg Levothyroxine 8300 am D1 830 AM D1 1030 feel first wearoff effects but 1100 AM JUST THE SINEMET stay busy till I MUST dose at 1130 am D2 NOON REQIP # 2 200 feel wearoff coming on 300 SINEMET DOSE 3 230 pm 3.75 mg tranxene ( to help mitigate wear off) 300 pm really need D3 here but I watch TV (waste time) 400 REQUIP DOSE 3 until again I MUST HAVE 330 or 400 D3 700 SINEMET DOSE 4 800 (with discomfort beginning @ 730) D4 800 REQUIP DOSE 4 Any help will be most welcome!!
  10. Can Sinemet cause anxiety

    I've taken 25/100 Sinemet for about 8 years but I had severe anxiety before that and sometimes do now to the point that I take a 3.75 mg tranxene when I really get strung out -- for good reason or not. BUT lately I've discovered that I'm not nearly as "nervous" as long as I stay well-hydrated. Go figure. But you might try drinking a lot of water and see if that helps. If I also have dystonia, I take a 5 mg flexeril instead of the tranxene. (Dr - I realize this is unorthodox;it just works for me. SO if you don't approve it, my feelings won't be hurt!)-
  11. Extensive spreadsheet analysis over the past 5 months indicates that after 13 years, I am for the first time experiencing wearoff period every 3 hours. No external variables are correlative with these wearoffs which occur every 3 hours. I currently take two tabs of 25/100 IR Sinemet + 1mg Requip (together) at 0800, 1200, 1500 and 2000. I need 3-hour intervals, but i am concerned about several issues. Can you help? What would likely happen if I took my first dose as is, moved SIN to 3-hr intervals and left Requp @ 4 hrs? OR would it be best to move the whole cocktail as is? Also of concern: Either way (above) I will need to add a 9th tab of 25/100 at bed time ( when I also take 3.75 mg tranxene + 25 mg Benadryl). Any problem with that? Anxious to hear from you -- thanks so very much!!
  12. Sinemet with Requip

    Please disregard post just now --- I accidentally hit POST -- sorry! I was trying to clarify the schedule you suggested. Is it: 0800 S&R 1030 2 tabs S 1200 R 1430 S 1600 R 1830 S 2000 R seems to "end" the S a lot earlier.. Thanks so very much.
  13. Sinemet with Requip

    That sounds great except what happens when I "run out" of Sinemet early? Is this your suggestion: 800 R+S 1030 2 tabs S again? 1200 Requip 230
  14. sinemet with requip

  15. Sinemet with Requip

    For about 8 of the 13 years I've been diagnosed (now am age 63) I have taken sinemet 25/100 (started with 1 tab now at 2 QID) + 1 mg Requip TOGETHER every 4 to 4.5 hours. For a long time I also took 3.75 tranxene + 1 Benadryl at the same time. Some 18 months ago I started having wear offs that were partly digestive (I had a Laparoscopic Cholecystectomy + ~2ft colectomy July 2015. Wearoffs increasingly problematic so I started taking the tranx & Ben an hour later then decreased dosage of these 2 adjunct drugs; current dose = 1 Benadryl at night + 2 1/2 tranx (3.75 mg X 2.5) per day. NOW for the main question!! Although better, the duration and efficacy of my PD meds remain problematic. I know to keep protein away from them so that's not a factor -- WOULD IT BE BETTER TO SEPARATE THE SINEMET & REQUIP? If so, how so? My current schedule (where D= sinemet + requip) is: 700 .25mcg Levothyroxine 800 D1 (sinemet & requip) 1000 1/2 tranxene 1200 (or 1130 if I cant make it till noon) D2 230ish 1 tranx 400 (or 330) D3 800 D4 11-12 bedtime: 1 T + 1 B I am VERY anxious to hear from you! Many thanks!
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