Further update. I emailed my neuro and he suggested that instead of using Azilect, I raise my dose of ReQuip XL from 4 mg. to 6 mg. and stop the Azilect. I did that yesterday and not only did I need no afternoon nap, my tremor nearly stopped completely. My right hand and arm stopped hurting as well. I'm curious to see how this plays out for the long haul.