I have only ever taken Sinemet plus (25x100) four times daily for my PD, it is not helping my worsening balance problem, has any pwp found a medication that can help me, I am 79 and fed up withfalling over. just got through 100 tablets of thiamine in desperation, unfortunately it did not help in any way. but I am very pleased for those it did. kind regards to you all
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Ramondo
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I think you could discuss with your neurologist an increase of dose. You may not be seeing an effect now because your present dose is insufficient to cross the "on"/"off" threshold. Do you take your pills at a different time from eating?
If you live somewhere other than the States you can usually get a prescription for domperidone, I take it with my c/l for the morning dose and it deals with the nausea completely. Also, if you ramped up straight from 1 to two pills that would be hard, I took several weeks to gradually increase my dose.
I take Sinemet-similar dosage, and it has never helped me with my balance issues. It helps with tremor and muscle stiffness, and I can walk better, but I have not found anything that has helped me much with balance. I've tried exercises, that help a bit. Of course, not only have I been diagnosed with PD, but also Ataxia.
Ramondo, I also have peripheral neuropathy in all 4 limbs, that just slowly gets worse, year by year. That certainly does not help with balance issues.
Unfortunately, research indicates that balance problems aren't helped by Sinemet. I agree with Jeansm that this is an issue for PT. Work on exercise that strengthens your core muscles to improve balance.
Ramondo, you can ALWAYS build muscle compared to the amount of muscle you have without exercise. Sure, you might not get a 'six pack' but strengthening your abdominal muscles and other core muscles compared to where you are without exercise will definitely help balance.
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