If you have more off times than on times, it sounds like you may need a change in medication, either higher dose or different combination. My husband's neuro has tried several different medications in addition to his c-l. None made much difference, but he didn't stay on them long.
January 17
Are you experiencing frequent "off" times with your current carbidopa-levodopa regimen?
It sounds like you're dealing with a lot of "off" time right now, which can be really frustrating. The good news is that your neurologist recognizing this and wanting to make changes is exactly the right approach.
When levodopa starts Show Full Answer
Are you experiencing frequent "off" times with your current carbidopa-levodopa regimen?
It sounds like you're dealing with a lot of "off" time right now, which can be really frustrating. The good news is that your neurologist recognizing this and wanting to make changes is exactly the right approach.
When levodopa starts wearing off more quickly, it's often a sign that your current dose or timing needs adjustment. This is actually quite common as Parkinson's progresses.
Your doctor might suggest several options:
* Breaking your doses into smaller, more frequent amounts throughout the day
* Adjusting the timing of when you take your medications
* Adding another medication to help extend how long levodopa works
* Trying extended-release formulations that provide more stable levels
* Considering add-on medications like rasagiline, entacapone, or amantadine
Some people find that taking levodopa on an empty stomach (30 minutes before or 60 minutes after meals) helps it work better. Also, eating high-protein foods later in the day can prevent them from interfering with medication absorption.
Don't hesitate to be specific with your neurologist about when your "off" times happen and what symptoms you experience. This information helps them find the best adjustment for you.
January 17