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Switch from Neupro to Ropinorole

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LouH    0

My husband's neurologist today prescribed a neupro patch of 6 mg to replace the 3 4-mg ropinorole er my husband has been taking for at least 15 years.  This is being done to relieve the stiffness, toe curl, freezing, sleep disturbances etc. my husband experiences from about 3-7 am almost every night. During this time period he often can not get up at all.  He talks a 11pmst dose of 1 1/2 tabs 50/200 carbo/levodopa er and 1 4mg ropinorole.  Do you think the patch could help?  What about stopping all the ropinorole?  Is the 6mg neupro enough to take care of any  withdrawal?

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Dr. Okun    409

This is usually a process and the right doses and approaches will need to be implemented.  In some cases it may replace the Requip but in others it may not.  Re-dosing Sinemet when awakening is also a great strategy.  We tell patient to keep working with their doc and refine doses based on responses and symptoms.

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