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Real members of MyParkinsonsTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyParkinsonsTeam Member asked a question 💭
Port Angeles, WA

I have been told that I probably have atypical Parkinsonism and not regular PD. My symptoms fit right in with MSA. I hope I don’t have that. But my problem at the moment is OFF times. It’s horrible and lasts for several hours. The symptoms never go away but the c/l does help somewhat. I haven’t slept more than an hour or two at a time for the past several months. The pain has been unrelenting. I have asked my Dr about extended release c/l and she says there is no such thing. She is my… read more

July 28, 2025
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A MyParkinsonsTeam Member

@A MyParkinsonsTeam Member, If your insurance covers Carbidop/Levodopa, aka Sinemet, it will probably cover the Extended Release (ER)as well. Ask your pharmacist. He/She should be able to tell you if your insurance will cover it, or call your insurance. If they tell you know, push for a "prior authorization". The insurance I had when I was diagnosed in late 2022 covered Sinemet and Sinemet ER, but my system is picky and I can't tolerate either. Rytary works for me. It is also Extended Release, but it is a 3-tier drug and therefore even with a prior authorization, my copay was $789.98 to $1,000.000. Rytary is not a drug that anyone should bounce onto and back off of. If you have poor insurance and can tolerate the Sinemet ER, I suggest that you stay with that. Once I qualified for Medicare with extra help, my copay is never more than, $11.20, I think. I believe that bouncing on and off Rytary damaged my brain. If I could have stayed on from the time we discovered that it was the right medicine for me, I'm certain, I would be much better than I am now.

July 29, 2025
A MyParkinsonsTeam Member

I'm taking Nourianz that helps extend cl it works but after my samples run out I'll probably have to quit because of cost

July 28, 2025
A MyParkinsonsTeam Member

Crexont is a newer ER levodopa drug. I think it has been out for less than a year. Sinemet also has an ER version of carbidopa-levodopa .

July 28, 2025
MyParkinsonsTeam

Yes, extended-release carbidopa/levodopa does exist! The brand name is Rytary, which is an extended-release oral capsule approved by the FDA. This medication was specifically designed to help manage "off" times in Parkinson's disease. Many people experience similar challenges with "off" periods, including difficulty moving Show Full Answer

Yes, extended-release carbidopa/levodopa does exist! The brand name is Rytary, which is an extended-release oral capsule approved by the FDA. This medication was specifically designed to help manage "off" times in Parkinson's disease. Many people experience similar challenges with "off" periods, including difficulty moving, increased tremors, muscle stiffness, and pain. Your doctor can help manage these symptoms by adjusting medication dosage, timing, or adding other medications. While waiting for your MDS appointment, you might want to ask your PCP about Rytary or consider getting a second opinion from another physician who is more familiar with Parkinson's treatments. Regarding your sleep issues, it's important to discuss these with your healthcare provider as there are several treatment options available, including both medication and non-medication approaches. Sleep problems are common in Parkinson's and can be addressed through various strategies and treatments.

July 28, 2025
A MyParkinsonsTeam Member

I’m sorry. I probably wouldn’t be able to afford it either.

July 28, 2025

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