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•Take your medications precisely on time. Missing a dose by as little as 15 to 30 minutes can result in a sudden "off" period which may last for hours. If you have missed a Sinemet dose by 30 minutes or less, chewing the tablets (tastes like chalk) can sometimes hasten the benefits. Perhaps this is because of more rapid absorption through the lining of the mouth. Do not chew Sinemet CR or the other PD drugs.
Roy I was saddened to hear of the recent spike in your symptoms and your subsequent ER visit. I sincerely hope that you're feeling better...
I find if I eat any food, particularly protein, but of any kind I fall headfirst far into the Parkinson's pit. As a result I don't eat when I take the Sinemet and vice versa. leads to a lot of unwelcome weight loss
Once again I hope that you're feeling better...