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otolorin posted a topic in Ask the PharmacistHi, I am a newly diagnosed with parkinson disease,51yrs male.I have a pre-existing mild mitral valve prolapse with mild regurgitation whose symptoms of palpitation and anxiety,has been treated with initially propananol,and a benzo,now metropolol and xanax since I was in my twenties.Now with the diagnosis of parkinson,I am faced with the dilemma of dealing with the side effects of drowsiness from xanax and sleepiness from miraplex.I can handle the drowsiness from xanax because I only take it at night,very small dose,about 0.025mg and 25mg of metropolol succinate at night and in the morning.Sometimes I do have elevated blood presure when anxious.I have tried mirapex as prescribed by my md for a week it did not work.while on mirapex,I never drove.My question is how high is the risk of having a sleep attack when combing parkinson meds with benzos and betablockers? Your response will be highly appreciated. Thanks.