Golden-nbm (new)

[Golden-nbm]

Can anyone help with information on taking sine met 50 mg 4 times daily and levodopa 15 mg at bed time. Husband has PD and is experiencing dizziness.

[park_bear]

Dizziness is common in Parkinson's. Recent study broke down the causes like this: "57 (38%) of the dizzy patients appeared to have orthostatic hypotension; 12 patients (8%) had a classical but previously unrecognized benign paroxysmal positional vertigo [BPPV]. A further four patients (3%) had a more atypical presentation of benign paroxysmal positional vertigo." This leaves about half the dizzy Parkinson's patients with unknown cause. ncbi.nlm.nih.gov/pubmed/239...

So,your husband needs to be checked out for both orthostatic hypotension and BPPV. You can actually do these checks at home if you are so inclined. Checking for orthostatic hypotension requires a good blood-pressure cuff and measuring blood pressure both lying down and standing. Orthostatic hypotension is defined as a drop of 20 points of the systolic blood pressure reading. Systolic is the higher of the two blood pressure numbers.

Test for BPPV involves doing something called the "Dix–Hallpike maneuver". This is a short sequence of motions as shown in these YouTube videos: youtube.com/results?search_... Afterwards the patient is supposed keep the head upright for the next 48 hours, however, this study showed it did not make much difference: scielo.br/pdf/rboto/v71n6/e...

The remedy for BPPV is the Epley maneuver as shown in these YouTube videos: youtube.com/results?search_...

Perhaps some other members of this forum can give us an insight into other causes of Parkinson's dizziness.