I have used Neupro for about 8 months. Neupro helps to prolong the effectiveness of sinemet cr or stalevo with longer "on" time. My current drug regime is: 3 x Stalevo (100) plus one neupro (6mg).
It has the same side effects as requip - sleepy but it is tolerable to me. Please also be careful of another possible behavioral side effect - in my case, I am compelled to take a lot of snack
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Your pwp should start from 2mg, then 4mg or 6 mg <at biweekly interval> as guided and cut back of sinemet at initial trial is necessary as the combination of both sinemet and neupro (at high level) may result in "overdosage"!
Hope the above helps!
All the best
LING