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medication and time change

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noah    66

I think I may have asked this? before but I am still unclear about what i should do.  I am traveling from boston to arizona and have a very early flight(6 AM) which means that I will be getting  up at 430.

In addition I believe I will be gaining 2 hrs.  Attached is my med schedule sorry it is so screwy.

My concern is that i will be needing to take my meds 2 hrs before i usually do and will have gained 2 hrs on the end of the day.  I asked my MD and all she could say was its just going to be A

crazy day. Well no clue but I want to avoid going off  if at all possible! (I feel horrible when i am off and dont want to ruin my families vacation)

Please I need some specific about what to do with  my  medications.  THANK YOU

Medication Schedulde
3 rytary (23.75-.95mg)                                                            
1.5 Sinemet 25/100
Paxil 15 mg
Carbidopa 25 mg with each dose of sinemet
Amantadine  1-100mg  
3 Rytary
1.5 Sinemet(2 on walking days)
1 Carbidopa


3 Rytary

1 Sinemet

1 Amantadine

1 Carbidopa


2 Rytary

2 Sinemet(2.5 on boxing days)

1 Carbidopa



1 Sinemet CR

2 Sinemet

1 Carbidopa

8:00( this only lasts until 8:30.  After that I am off the night(1.5 sinemet)

Doxepin 20 mg



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Dr. Okun    409

I usually just recommend staying on your same dose schedule on the previous time zone and adding a dose or two later if needed.  When you wake up in the AM restart on new time zone.  That is something that works for our patients and you and your doc may discuss and get a plan.  Good luck.

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Dr. Okun    409

We base this on your symptoms.  Your doc sets timing to avoid wearing off and adds dosages.  Usually if you move from say 3 to 2 hour dosing, this will add several doses at the end of the day.

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