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04-11-2011, 03:19 AM | #1 | |||
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In Remembrance
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Sinemet CR
dyskinesia-related labeling followed by the Zyprexa (olanzapine) dyskinesia-related labeling. Carbidopa does not decrease adverse reactions due to central effects of levodopa. BY permitting more levodopa to reach the brain, particularly when nausea and vomiting is not a dose-limiting factor, certain adverse CNS effects, e.g., dyskinesias, will occur at lower dosages and sooner during therapy with SINEMET CR (Carbidopa-Levodopa) Sustained-Release than with levodopa alone. Patients receiving SINEMET CR may develop increased dyskinesias compared to SINEMET (Carbidopa-Levodopa). Dyskinesias are a common side effect of carbidopa-levodopa treatment. The occurrence of dyskinesias may require dosage reduction _________ http://www.parkinsons-information-ex.../msg00864.html _________------ http://emedicine.medscape.com/article/291931-treatment parkisonian side effects from meds? Medical disorders, psychiatric disorders, and stress may precipitate or aggravate parasomnias. A careful history of psychosocial stresses, alcohol or drug use, and symptoms of depression should be obtained. Also, a detailed Mental Status Examination should be performed. Patients found to have an underlying psychological or psychiatric disorder should be seen by a psychologist or psychiatrist, and appropriate therapy should be offered.[38, 16] [3, 39, 40] •The treatment of parasomnias is aimed at lessening the frequency and/or intensity of the events. •Whether any of the disorders responds better to one of the commonly used agents than another remains unclear. •The treatment of rapid eye movement behavior disorder is as follows: ◦Treatment for REM behavior disorder is initiated with clonazepam at 0.5-1.5 mg taken at bedtime. This medication has been shown to be beneficial in the long-term. Drug discontinuation often results in prompt relapse. The exact mechanism of action of clonazepam in patients with REM behavior disorder is not known, but its serotonergic properties may inhibit nocturnal motor activity in the brainstem and thus prevent arousals. ◦Tricyclic antidepressants occasionally are used in the treatment of REM behavior disorder. ◦Imipramine, which has serotonergic effects, has been used in the treatment of REM behavior disorder, but the effects are unpredictable. ◦Anecdotal reports of levodopa/carbidopa, gabapentin, and clonidine have been published, but the benefit of these drugs has not been systemically evaluated. •RLS and PLMD are treated with 3 classes of medications. Treatment guidelines are as follows:[41, 42, 43, 44, 45] ◦Anti-Parkinson medications, such as levodopa/carbidopa, bromocriptine, and pramipexole (Mirapex), have been used. ◦Benzodiazepines, such as diazepam, clonazepam, temazepam, and lorazepam, also have been used. ◦Opiates, such as codeine, oxycodone, methadone, and propoxyphene(withdrawn from US market) are other drugs that have been used. ◦Several studies have reported efficacy of different medication
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with much love, lou_lou . . by . , on Flickr pd documentary - part 2 and 3 . . Resolve to be tender with the young, compassionate with the aged, sympathetic with the striving, and tolerant with the weak and the wrong. Sometime in your life you will have been all of these. |
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04-11-2011, 03:22 AM | #2 | |||
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In Remembrance
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why do we volunteet to do insane things?
when we are brain washed by bull maybe we never had pd - or we had something and it was turned into a full spectrum of insanity by the doctors who studied the penis envy guy... ?
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with much love, lou_lou . . by . , on Flickr pd documentary - part 2 and 3 . . Resolve to be tender with the young, compassionate with the aged, sympathetic with the striving, and tolerant with the weak and the wrong. Sometime in your life you will have been all of these. |
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04-11-2011, 01:46 PM | #3 | ||
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Elder
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Hi Lou Lou, we are a bit of an experiment with medicine. They don't know it all. What you are doing in your research is fantastic. Your knowledge of your condition is only going to help you. If you can get to a new neuro, you will have as much information as you can. I found that having my records and knowledge in hand, created an atmosphere of cooperation between me and the doctors at columbia university med. center. don't give up on getting the help lou lou, I am in your corner, and alot of other people care about you too.ginnie
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