Sally is right, In my expriernce Neurologists who are not specialists don't have enough experience in adjusting Parkinson's medications.. There are other classes of medications that either allow the levodopa to stay in your system longer or stimulate the dopamine cells to produce more dopamine this is a better way to prevent off time in a long run than decreasing time between Sinemet doses.

I too have facial tics and my meds don’t last very long either. I know I must be restless at night because my bed is a mess in the morning bed covers are ever where but I’m not really upset because I have some good time also. My fingers get numb when my meds are wearing off. I have found that if I wear magnetic bracelets my hands feel better I wish I could be of more help to you

True! Need a neurologist who has a lot of knowledge treating Parkinson's. There are many other medications that can be used with Carbidopa/Levadopa. One size does not fit all. In the 27 years of my husband's ongoing battle with Parkinson's, he has had many medications that worked for several years and then would need another adjustment of either adding to what he is taking or using something different. Everyone is different. Some medications will work for a long period of time for one person but not for another. A neurologist that is not that familiar with PD, may become frustrated in knowing which medications to use as the patient becomes more complicated.

@A MyParkinsonsTeam Member Kimfie I have been on carfadopa levodopa about the same amt. Of time. Recently while asleep I experienced hard tremors in my hands. Sometimes when weather changed I get extreme tremors when I shake all over. One thing you could ask your neurologist is for a different strength. Have a great day

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A MyParki...

I had restless leg syndrome TERRIBLY. Told my Dr., and he prescribed carbadopa levodopa. Worked miracles .