Sublingual apomorphine, that I LOVED, is no, longer available...so we are going to try 'inbrija." i hope it works as well. i am not ready to take on a 'pump" yet. (the VYALEV carbo/levo combo or the APOMORPHINE PUMP OPAGO?) Try the inhaler first.
Thoughts on Inbrija?: Sublingual... - Cure Parkinson's
Thoughts on Inbrija?


Inbrija is like breathing in saw dust. It gave me asthma and it causes one to cough a lot. I tried using cough drops and other coatings.. Let me know if you get it too work for you.
I'm a happy Inbrija user for several months. I'm 9 years in to PD, and have reached the stage where I'm seeing more sporadic off episodes than I used to. Furthermore, they are not just movement-offs, the "off-ness" comes out in terms of a "dark cloud of gloom" appearing over my head, sapping my willingness to proceed with anything I'm doing.
Inbrija is easy to set-up and take, and in my own experience, makes the cloud go away in less than a minute, and brings me back to "movement-on" in about 10 minutes.
"Sawdust"? Yes, perhaps. But it's not too bad. I'd equate it to when one accidentally inhales some confectioners sugar from the top of a French pastry. Not great, but not too bad. But everyone's reaction to that sort of thing will be different.
Bottom line: I use it and am glad it is available. It seems helpful to me.
Dan
PS: You can ask ParkiBot.com about it if you want an in-depth, well-referenced AI interpretation of your question. Completely free, non-commercial tool I wrote for the PD community.
I happen to LOVE Inbrija. I only use it once or twice a day, but I think it’s great. It’s been really helpful in rescue situations, such as recently, I was in a workshop making art, and I went off and could no longer use my Xacto knife. Quick Inbrija and I was mostly on in about five minutes. Fully on in 10. Nobody else even noticed.
My other favorite use for this drug is protein avoidance. I frequently seem to forget to check meal timing for my next dose of Sinemet until my alarm goes off right after I just finished a meal. Now, no big deal, I can use this drug right after a big meal, even if it involves protein. Inbrija saves my bacon!
BTW, with practice, my coughing is down to a minimum. Try taking several small inhales and sip of water in between each.