View Single Post
Old 10-07-2017, 08:03 AM
moondaughter's Avatar
moondaughter moondaughter is offline
Member
 
Join Date: Jul 2010
Location: rural Eastern Oregon
Posts: 613
10 yr Member
moondaughter moondaughter is offline
Member
moondaughter's Avatar
 
Join Date: Jul 2010
Location: rural Eastern Oregon
Posts: 613
10 yr Member
Default

Quote:
Originally Posted by johnt View Post
Thank you for highlighting the supply problem. I've not heard of any problems in the UK - yet.

One issue with breaking up a levodopa/carbidopa CR pill is that it increases the bioavailability of levodopa by about 30%. Normally, as a CR pill is sitting in the stomach providing no therapeutic benefit for now, it is slowly being disintegrated and the freed levodopa starts being metabolized. It is only when the levodopa gets to the upper intestine that it begins to get absorbed.

So, watch out for things like hypotension and dyskinesia, and be ready at the end of the drug cycle for a faster "off".

John

Then would it follow that chewing the pill also can facilitate a faster "on" cycle? Or is it that simple....on occasion I come across soomething like papaya enzymeor fizzy citamin C or saltine cracker with butter etc etc thatt will facilitate the "on" transition but it tends to last only awhile.

Just came across this from an old post of our dear departed friend and NT forum member Reverett:



1: Rinsho Shinkeigaku. 1994 Mar;34(3):264-6.

[Gastric acid secretion and absorption of levodopa in patients with Parkinson's
disease--the effect of supplement therapy to gastric acid]

[Article in Japanese]

Yazawa I, Terao Y, Sai I, Hashimoto K, Sakuta M.

Department of Neurology, Japanese Red Cross Medical Center.

Since an oral regimen of levodopa has been instituted for treatment of
Parkinson's disease, its absorption and metabolism has been well demonstrated.
However, its chemical characteristics of high solubility in acid solution and low
solubility in water have not been well known. We paid attention to this
characteristic and studied the relationship between its absorption and gastric
acid secretion in 38 patients with Parkinson's disease who became refractory to
therapy of levodopa. We measured the pH and amount of collected fasting gastric
juice. Gastric acid secretion was decreased in 22 patients (58%). In ten of these
22 patients, 30 ml of lemon juice was prescribed in every administration of
levodopa as a supplement to gastric acid for two weeks. Increases of L-dopa
concentration after 60 min. and 180 min. were observed after lemon juice
supplement therapy. Among the Parkinson symptoms, rigidity, akinesia, and small
step gait were improved in every case except one patient who showed decrease of
L-dopa concentration at 180 minutes. However, improvement of tremor was less
remarkable. We consider this supplement therapy to gastric acid is one of the
effective and useful methods in the management of Parkinson's disease.

MD
__________________
Smooth seas do not make skillful sailors....
Nature loves courage.


“The day science begins to study non-physical phenomena, it will make more progress in one decade than in all the previous centuries of its existence.”
~ Nikola Tesla
moondaughter is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
Bogusia (10-07-2017), eds195 (10-07-2017), soccertese (10-07-2017)