Time zones
 

Please bear with me if I ask for help again.We will be travelling to a different time zones as we are going on holiday to China from the U.K .The trouble is the part of China we are travelling to is 8 hours ahead so to continue as in UK involves waking in the night. Is this the best thing to do My husband is only on Reqip:4mg x3 +1mg daily at present and is tremor dominant.I am concerned we will upset the delicate balance as he is well at the moment with minimal symptoms. We have asked the neurologist and he did not seem to know the difference between plus or minus time zones and got in a real muddle.The Parkinson's nurse specialist is on holiday.Besides there is nothing to beat personal experience. Thanks

Jetlag expected...
 

Every sommer we travel to Denmark and back again to the US. There is a six hour difference in time zone. I have taken Requip for the last five years, adding sinemet just last year.
I keep my watch set on the time of the country I have just left. From the US, when we lose 6 hours, i skip the morning dosis, set my watch at local time at lunch, take the lunch dosis, and I'm on local schedule. With eight hours difference you may want to take early lunch and dinner for a couple of days when you just arrive.
On the way back, when we gain six hours, I do end up with one day that contains four meals and four dosis of meds. But I go to bed early, and for the next few days I will usually wake up at 4 or 5, but I try to wait until at least 6 if I can, before I take my morning dosis. I am usually quite badly jet lagged both ways, but only for a day or two.

Be sure to request assistance in both airports when you book. Even though your husband may object to being wheeled in a wheel chair - it's early days for him, and he may still be too proud, as was I. But with a wheel chair you will avoid the lines at security, and you will be seated first in the plane - no rush, no pushing.

Requip has now and then caused me to faint during long flights. It is an awful feeling of disappearing and turning deaf and mute. Your husband should be prepared for the possibility, though it is unlikely. As soon as I begin to hear ringing in my ears, I alert my husband, and when he keeps speaking to me, and keeps stroking my hands, I avoid losing consciousness.

Requip can also affect one's feet. If your husband suddenly feels that his feet are not cooperating, a .50 mg reduction in one of the daily dosis may help bring his feet back to 'normal'.

This is more advice than you asked for, but who knows.... it's good to be prepared.
Have a wonderful trip.

birte

Sincere thanks
 

I knew somebody would come up trumps.Sincere thanks from across the pond.