I had gout a few years ago and this is my first flare-up since. I started on Sinemet just about a month ago, have had several side effects, but this is one that bothers me a lot. Very painful. Anyone else have this? Also, I've been more grumpy than usual, dizzy, off balance, weird vivid dreams and headaches, plus a bit of nausea. The confusion is annoying, too, and I lose words in the middle of a sentence. How much is side effects from the mediation and how much is from the PD?