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Madopar vs Madopar HBS

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Hi Dr Okun

I have been taking regular Madopar 50/12.5 around 5 to 7 times per day.  I was just waiting until it wore off and then took another.  When it wears off I feel stiff and have difficulty walking normally, and also get fuzzy in my mind.  I tried 100/25 regular but it gives me a headache and makes me feel tired, and doesn't last any longer.

My neuro swapped me to Madopar HBS 100/25 and it lasts much longer.  Three a day along with the Azilect I already take is enough to keep me moving properly all day.  The downside is that it gives me a constant mild headache and makes me feel a bit sick/tired/groggy.  

Although I move better over the day on the HBS, I felt way less sick taking the 5-7 regular Madopar.  I have only been taking the HBS for a few days but is this side effect common and likely to improve?

Thank you

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Its possible it may improve.  Also you may add some carbidopa or benserazide.  Sometimes going lower and slower on doses also helps to build tolerance.

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