What to try next?

[goldengrove]

My 69 year old HwP has had tremor dominant PD for the past 7 years - taking only Azilect (that he started a year ago). The tremor is much worse, embarrassing him at work, so he needs more therapy. Shooting pain in one foot (and numbness in both) is another recent problem. The neurologist prescribed a low dose of an oral dopamine agonist but it made him too sleepy. He is now offering a choice between trying Artane, or a Neupro (dopamine agonist) patch, perhaps left on only during the day, or commencing low dose Madopar. Does the community have thoughts on this?

[CaseyInsights]

Quite a few suggestions were given you two months ago. Please revisit them -

healthunlocked.com/cure-par...

[Hidden]

I take Madopar 4 time a day with B122. Seems to work OK for me.

[goldengrove in reply to Hidden]

Thank you. But is B122 a typo?

[Hidden in reply to goldengrove]

Yes, I have Parkinson's. I double hit keys. In this case the '2'

[goldengrove in reply to Hidden]

Thank you. So you take B12 with each dose of Madopar? May I ask what dose and your reason for taking it?

[CaseyInsights]

‘…He - the doctor - is now offering a choice between trying Artane, or a Neupro (dopamine agonist) patch, perhaps left on only during the day, or commencing low dose Madopar.’

Trust you reviewed the previous options elucidated. But seeing that you are still pursuing options will address the narrow range of options the doctor has offered -

Artane: This is a no-no, and will likely result in memory problems. Use the search bar for the opinion of others. You will find the are largely negative.

Neupro - Dopamine Agonist: Risky.

Madopar: Low risk, standard treatment.

There are no perfect choices. Risk have to be assessed and decisive action taken.

Good Luck 🌺