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Bode

Mono Medication

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Dear Dr Okun, 

I saw my doctor a couple of months ago after your suggestion on the use of Artane. Amantadine was recommended but not readily available. Can I continue with the Sinemet alone? I am currently using half and a quarter of  the 25/250 Sinemet every 3 hrs. 

Also please is there anything like diminishing return on the use as I have noticed that on time is now about 2.5 hours. I now have the Mucuna Pruriens seeds. 

BR

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Using Sinemet alone is a strategy that is totally ok.  Sometimes you will need to move doses closer together to treat wearing off.  This is very common and not alarming.

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Thank you Doctor. I am following your earlier response of every 2 hours till I get to see my doctor on Tuesday. 

It seems Sinemet is addressing the anxiety issues too. I feel less anxiety when on? Any comments on this? 

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We have seen this with many patients...more frequent dosing eliminates or lessens "off medication" anxiety in Parkinson.

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