I switched from C/L 50/200 to Rytary er 48.75-195mg earlier this year per neurologist. I also take Azilect. The initial recommendation was 3 caps 4X per day. I found my behavior became more animated and more demonstrative. So I reduced to 2 when I get up in the morning (a little after 7) then 2@10 2@1 2@3 2@6 and sometimes 1@6. Not bad but there would be times when I wasn’t doing as well as expected do to lack of sleep, and I wasn’t being super precise. Too many distractions at work. I have become more precise, but when I experience a drop off, and it can happen quickly, I take 1 or 2 and do the rigidity shuffle until it kicks in. Maybe half an hour.
The problem I am most concerned with is at the end of the day it seems like the Rytary has “stock piled”. Meaning I’m not myself. Too animated. Slurred speech and easily irritated. Not good! It’s too much. I haven’t been able to figure oui how to taper without losing mobility, but have given up trying to be totally mobile in an effort to keep my personality on an even keel.
Anyone find this familiar? I am open to suggestions.
Thanks in advance.