i usually don't reply to posts about medical decisions since often not all the facts are presented and i certainly don't use them as an opportunity to rail against healthcare providers. noone is perfect but i'm not going to condemn neuros in general based on one anonymous post on a message board.

i do find it odd that this patient isn't on carbidopa/levodopa or is he? elderly patients have a greater chance of hallucinations on agonists.

if possible, always a good ideat to try to have extra medication on hand for situations like this, not just if you have to suddenly increase doseages but if medication is lost, destroyed, recalled or in short supply due to supply chain interruptions, natural disasters. i recently saw that in the U.S. there was a shortage of 50/200 C/L CR from one manufacturer. easier said than done on these expensive extended release drugs such as requip xl, it might be a good idea to have some good old cheap carbidopa/levodopa on hand just in case.