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teokimhoe

anxiety,depression and parkinson's

4 posts in this topic

I started with anxiety and depression for the past of twenty years before I have parkinson's.

 

I was with psychiatrist for the past of twenty years before I have movementdisorders specialist.

 

In the meantime I have two doctors who treat my disease,emotional and non emotional disorders

 

I have managed well to control my movement disorders but it takes time for my emotional disorders, insomina,anxiety,tiredness,constipation to be treated.

 

My medications:

 

Seroquel 12.5 mg, Lexapro 5mg and 1 Besquil 0.5mg before bed time

 

1 Besquil 0.5 mg daytime.

 

There are medication for my anxiety,dipolar and depression and effective for my illness.

 

Questions:

 

Are they addicited to me?

 

Any side effects with PD medications or interaction with medications for other illness?

 

Any alternative medication to help me?

 

Kindly comment'

 

Regards

 

TEOKIMHOE

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Are they addicited to me?

 

-Likely no, but you need an examination to determine and also to look for dopamine dysregulation syndrome.

 

Any side effects with PD medications or interaction with medications for other illness?

 

-This needs an in person examination and review of medicines.

 

Any alternative medication to help me?

 

-Again, hard to say without an exam.

 

Hope you feel better.

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I'm commenting because I spent 16 years fighting anxiety in particular with lexapro, paxil, wellbutrin, and a number of other medications, none of which helped. When I was diagnosed with PD I stayed on Requip, a dopimine agonist, for about 7 years and although it didn't really help my anxiety, I was so sleepy I slept for at least 16 hours a day. I then went to Mayo clinic to discuss deep brain stimulation for the Parkinson's and was told that I had to take dopamine (sinemet) and show it worked before I would be considered. I did this and the dopamine worked amazingly well to stop the anxiety. One of my first indications now that I am low on dopamine is when I start feeling anxious.

 

I don't know if this is typical or not but it was quite amazing for me to suddenly be free of this problem after so many years because of a drug I wasn't even taking for anxiety. I wonder if there is a particular dosage necessary that helps anxiety. I began on a fairly high dosage as I waited far too long to start on it - probably 1200mg a day of sinemet.

 

Sinemet also pretty much cured my constipation problem. I was able to go from taking 16 milk of magnesia tablets (what my gi specialist recommended for me) to just 2 a day once I began taking dopamine.

 

So just how common is it for Parkinson patients to find that the dopamine also stops anxiety, constipation and even drooling at the optimum dosage???

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This is not an uncommon story, particularly the anxiety issues. Taking sinemet frequently enough to avoid wearing off is the key. Dose can be adjusted up or down, but frequency is critical.

 

The constipation and drooling are hit and miss but many patients improve with sinemet.

 

The dose should be tailored to your needs, and you should not compare to others as everyone is a little different.

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