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Suggest Treatment For Stiffness In Legs Despite Being On Rotigotine Patch

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Posted on Tue, 22 Sep 2015
Question: Hello . I have had parkinsons 2 years . Stiffness getting worse , I am on rotogitine 1 mg patches. I tried madopsr, caused bad nausea and vomiting, tried 2ng patches, acid reflux.
I have osteoporosis , also anaemia and lactose intolerance and i b s, intolerant to sweeteners and sugars.
I, promised family I will see what else could help. Could I try 1mg and 2mg alternate days, built up?
An endoscopy was suggested , I am not keen. Will. Have the other end !
Thanks for suggestions
doctor
Answered by Dr. Ajay Panwar (52 minutes later)
Brief Answer:
Strength of Rotigotine should be gradually increased.

Detailed Answer:
Hi XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

As your symptoms are getting worse and stiffness is the prominent complaint,Rotigotine patch can be increased in strength.You can increase 2 mg/24 hours at weekly intervals.You can go to a maximum of 6 mg/24 hours.

Alternatively,as you mentioned,increasing the strength on alternate days can be an acceptable approach.

Even madopar could have been increased,but as you mentioned it cause a lot of side effects in your case.So,for now,increasing rotigotine strength can be tried.

If you have any further questions,I shall be glad to answer.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ajay Panwar (2 hours later)
Thank you
Your suggestion is helpful.
Will see nurse or GP,soon .,
doctor
Answered by Dr. Ajay Panwar (3 minutes later)
Brief Answer:
Thanks for appreciation.

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.

Thanks for appreciation.Please feel free to get back to me anytime you have a query.
Meanwhile,if you have no further questions,please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Ajay Panwar

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Suggest Treatment For Stiffness In Legs Despite Being On Rotigotine Patch

Brief Answer: Strength of Rotigotine should be gradually increased. Detailed Answer: Hi XXXXXXX Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. As your symptoms are getting worse and stiffness is the prominent complaint,Rotigotine patch can be increased in strength.You can increase 2 mg/24 hours at weekly intervals.You can go to a maximum of 6 mg/24 hours. Alternatively,as you mentioned,increasing the strength on alternate days can be an acceptable approach. Even madopar could have been increased,but as you mentioned it cause a lot of side effects in your case.So,for now,increasing rotigotine strength can be tried. If you have any further questions,I shall be glad to answer. Regards Dr.Ajay Panwar, MD,DM(Neurology)