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a few questions

erin
2 posts
Jun 26, 2009
9:44 AM
1. How long did it take everyone to have both sides of their bodies affected? I know this will be different for everyone but as of now only my rt side is symptomatic . . . too bad I'm rt handed.
2. Is there any benefit to not taking PD meds right away? Will this cause my body to need more and more meds? In other words will it cause my body to make less dopamine?
3. Also, is anyone here trying alternative forms of treatment? Yoga, massage, acupuncture or supplements like vit E and coQ10? And if so, has it helped?
jhb
51 posts
Jun 26, 2009
1:33 PM
1. Symptoms started on right hand in 2004, still only on right side.

2. Started Azilect soon after diagnoses in 2006. My MDS has said since I am premedicated with Azilect and Requip, much lower doses of levodopa will be needed when I start it and I will ramp up slower. (Her opinion/words)

3. I've started playing Wii and noticed improvements when I play regularly for an hour.

EMD
30 posts
Jun 26, 2009
7:08 PM
Erin,

1.My symptoms started on my left side...frozen shoulder (did not know at the time that it was PD),depression, constipation that would not quit and 2 yrs later tremor in left ring finger and pinkie. When the tremor developed I still waited a long time before seeing a neurologist... a bit of denial going on there. By the time I was diagnosed in 06 -07 the Mov. Dis Dr said it was on both sides even though I could not yet tell that for myself but she was right. So to answer you,... 5-6 years. Worst symptoms still on the left side...much milder symtoms on the right side.

2.I did not use meds for about 6 months after I was diagnosed and then decided it was time. some people tolerate them but in my case I had a difficult time with several of them. It took a long time to find the right combo for me with the least side effects

My current and last Dr both said recent research indicated pwp should start meds when their symptoms are bothering or effecting their quality of life....and not try to hold off or wait. Reg. the second part of that ?, I,don't know. ...and last part of that ?....It is my understanding that the meds can help your body protect what dopamine it has...or help it to be more available for use . Will it cause your body to make less of it's own dopamine. ...Really don't know the answer for sure but I don't think so


3.Exercise by far has proved to really help VERY MUCH.
I have read conflicting studies on COQ10 and since my money is tight I have not tried it. I have read that if you decide to use it you need to use a high dose ,,,something like 1200mg per day

Before I was diagnosed I was getting acupuncture for some of the symptoms I later found out were PD. I t was my experience that it did not help. In fact the acupuncturist was surprised when my symptoms were so resistent to being helped. He did not know, nor did I until several months later that I had PD. i discontinued his services at that point.

I just heard a news report this week that said Wii use was beneficial

Were you just diagnosed?


EMD

michelle
223 posts
Jun 26, 2009
10:59 PM
HI -

I was dx'd 3 years ago - I'm 41 now. At the time all of my symptoms were left side and I had very little tremor. I limp hard on my left leg; my left arm does not swing; my left shoulders and back muscles are affected so that I curl up and look "crooked". I take requip and amantadine. Both medications have been increased bit by bit over the past few year.

Now, most recently, I have started having balance issues with my left and right legs. My left hand, left leg, and right leg tremor. I'm definitely not as good at walking, stepping, etc. I trip a lot. But, I can still ride a bike. If I take a sinemet, I can still do my aerobics class. But, I only take a sinemet to do a workout. I avg 1 sinemet per day 3x per week.

The only issue I've heard in holding out on meds is with sinemet. My neuro says if he could release a constant stream of sinemet into my body like an IV, then I could take it. But, the big sinemet high then ensuing crash, cause dyskinesia after awhile. He says that MJFox abused sinemet and that's why he looks kind of bad now. Anyway, his take is that I'm too young for sinemet and should try to wait. Other people will disagree with me on this.

The main point is this - quality of life is everything! Do not stay away from the meds if you're quality of life is diminishing. It's worth it to me to take a sinement if I can get a good workout in. The exercise is much more important to my body than the long term effects from the meds.

michelle
224 posts
Jun 26, 2009
11:01 PM
I can't believe that I just wrote that I use requip! See, now I'm demented! :)

I take mirapex and amantadine with the occasion sinemet tab. I had a hard time with requip - it made fall over asleep. Mirapex worked better.

Mihai
108 posts
Jun 27, 2009
7:35 AM
Hi Everyone...

It's true that Sinemet will eventually lose effect (once the ceiling is hit). I've been on Sinemet since I was diagnosed 8 years ago (at age 33). The argument on the other side was: Why would I not use the best drug out there now, knowing that with time, more (and better) drugs will be unleashed? I am currently on Stalevo, which is a combination of Sinemet and Comtan. I certainly do struggle with dyskinesias (people tell me that I move like MJ Fox); but, that is simply a side effect of the medication. Once the dyskinesias stop, my functioning is great...almost normal!

Good luck to each of you on your PD journey!

Mihai

Last Edited on 27-Jun-2009 7:36 AM

lizzy4451
21 posts
Jun 30, 2009
1:03 AM
edit | delete
Erin, It's great you are proposing such wonderful questions.
1) After 8 years I am primarily affected on my dominant right side. It's an annoyance, not a functional issue. Despite a diagnosis almost 8 years ago, I still work full-time.
2) I started on a dopamine agonist, Requip, right away based on my neuro's recommendation (in retrospect I would have delayed meds based on what I know now). I would encourage evaluating your symptoms and need for meds. If I were to start on meds, I would consider sinemet or stalevo last. Are many other alternatives with lesser, long-term side effects such as dyskinesia.
3)My alternative treatment is exercise. I've been involved with a boxing-based fitness program for people with Parkinson's (it's free so no solicitation here) since late 2006 that involves RIGOROUS exercise. It aggravates my tremor for 30-60 minutes but benefits my symptoms for 2-3 days. I am a STRONG believer in any - and preferably rigorous - exercise for people with Parkinson's. It's also a great stress reliever - something we all need.
Best of luck!
Beth1
121 posts
Jun 30, 2009
6:50 AM
Lizzy- I am very interested in this fitness program that you mentioned. If you have any info. on it I am interested. I currently also am involved with a vigorous exercised program with heavy weights. You can e-mail me if you want -my address is listed in my profile. Thanks so much.
vienna
51 posts
Jun 30, 2009
10:47 AM
Hi Erin, I do all forms of alternative medicine. I use a homeopathic physician, I do acupuncture and I get a massage once a week. I do tons of strenuous exercise. I think the last one helps the most. I cycle everyday. Hard cycling on big hills and I do really vigorous yoga and aquafit four times a week. This does increase tremor but only for a short period of time. My disease is progressing very slowly. So hopefully all of these things are helping, each in their own way. I also really pay attention to my diet, no caffeine or sugar. I eat all organic and I try to eat a ton of veggies and fruit. I think exercise is the key here. I am currently not medicated. It took a few years before the symptoms moved to my left side after starting on the right.My left side is only slightly affected.
Cheers,
Vienna
ddspch56
41 posts
Jul 01, 2009
5:53 AM
Diagnosed 6+ years ago. All symptoms still on right side so far. Medication mix... Sinimet CR, Stalevo, Azilect, Amantadine, Requip XL. Requip...very bad news at 13 mg, now 1-4mg XL per day working well.
Worked full time until end of Jan this year. Started exercise program about 6 weeks ago, definitely helpful.
erin
4 posts
Jul 01, 2009
10:05 AM
Thanks to everyone who took time to respond to my post. Everyone answers are so helpful! I have not yet been officially diagnosed because of my age but expect to be soon because of my increase in symptoms.
I am defiantly going to try and hold off on taking PD meds as long as possible and try alternative treatments, provided they offer me relief from my symptoms. . .
Again, thank you everyone!!!
erin

Last Edited on 1-Jul-2009 10:05 AM