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Roseanne

Xadago

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I am a newly diagnosed PD and I haven't started any PD meds yet. All my symptoms are on the right side. Tremors, slowness of movement and cramping in my foot and leg. I also have problems with writing and anxiety. I haven't started any meds because I am worried about the side effects. I am 58 and still working. I work 12 hour night shift 3 days a week. I am working on walking and exercising. I feel that since meds don't help the disease only the symptoms as long as I can function I should prolong taking meds. Your thoughts on this? Also my doctor suggested taking xadago but I read that it hasn't been studied as a mono therapy drug. Also I read the 2 main side effects are falls and dyskinesia. Your thoughts on this? It seems most doctors start new patients on mirapex. But I'm nervous to take this because of the side effects. I'm at a loss for what to do and I think it is making me more anxious. If I was retired I feel that I would be more at ease with taking meds but I'm worried about having problems at work.

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Personally I recommend to my patients to take medications, to exercise and to see their doc several times a year.  I like PT, OT and speech/swallowing and I am aggressive with a team approach.  I choose meds based on the situation and patient, but in your case I do not agree with your philosophy for not taking them.  I would start with a MAO-B drug (doesn't have to be Xadago).  I then add either an agonist or levodopa and I monitor carefully for side effects.  We see few side effects from MAO-B, but the dopaminergics may have some such as impulse control.

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