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rytary and sleep

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I take a combo of rytary and IR sinemet.  It seems to work pretty well during the day.  I am having an issue with early evening. I am off pretty much every evening. I was taking 1 Sinemet CR , 2 immediate sinemet(5-530).  I have found that this only lasts until 730 sometimes earlier.  I then will take 2 IR @ 8 (this doesnt seem to kick in at all and when it does it doesnt last very long.  My MD suggested replacing the sinemt CR with a rytary. I did that and have found that it keeps me awake.  I am still trying to find the right balance of the trazadone i am taking to sleep, so adding the rytary has just made it worse. I had tried rytary @ this time before and had the same issue( the doc said that since I am taking trazadone it shouldnt be a problem, well it is)

1.  Is there any way to settle down the early evening using the immediate release sinemet?

2.  I know we had talked about the trazadone.  My challenge is that 25 is not enough and 50 is too much(feeling groggy the next day )

I had gone on vacation and i didnt want to change anything.  I felt I needed  t try something so I have been taking 3/4 of a pill . I actually think it was helping a little but then i added back the rytary and now i feel like the trazadone isnt working at all 

Any thoughts about to settle down the early evening?

I think the sleep would be better if i wasnt so off in the evening


Thanks for all your help1

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I would probably try to take a regular Sinemet at 7:00pm, since you seem to be going off almost every day at about 7:30pm. Maybe just one tablet. Make sure you keep a journal then you can see the patterns and adjust accordingly. Also, as far as using Rytary, Sinemet CR, and regular Sinemet, I would probably try to stick with either the Sinemet and Sinemet CR and no Rytary or just Rytary and no Sinemet or Sinemet CR. I have found that it is very tough to use both at the same time and get consistent results. That has been my experience and the experience that I have heard from many patients. This is probably the best way to settle down the early evening.

As far as the Trazadone goes. I would have the Dr, write for Trazadone 25mg, take 1 to 2 tablets at bedtime. This way you can cut 1 tablet in half, so then you can take 1 & 1/2 tablets at bedtime. This just may do the trick.

I hope this helps and please keep me posted.

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