HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

How Can Difficulty In Moving After A Brain Surgery Be Managed?

My wife is on mirapex for pd. She recently had deep brain stimulation surgery and her dr said to reduce her mirapex. Do not yet reduce rytary. I have reduced it from 3 tabs a day to 2 1/2 and now she is having trouble moving. I have been at this for 4 days now and not sure what else to do
Tue, 4 Sep 2018
Report Abuse
Diabetologist,  's  Response
Hi,

Deep Brain Stimulation needs to be individualized. The frequency and strength of stimulation need to be gradually adjusted. As you reduce the medicine the doctors will increase the stimulation.

So reduce the medicine until she is comfortable. The symptoms are bound to increase as she's coming off medication. Also to avoid the severe effects of medication withdrawal you need to be slow.

To reduce the dose until she has symptoms but remains comfortable. The doctors can then readjust the stimulation until her symptoms disappear.

Once that happens the dose can be reduced further and the cycle will progress until she continues to be symptomatic at the maximum permissible stimulation.

A dose of medicine, usually small, may thereafter be needed continuously. I have tried to make it as simple as possible.

Hope I have answered your query. Let me know if I can assist you further.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
How Can Difficulty In Moving After A Brain Surgery Be Managed?

Hi, Deep Brain Stimulation needs to be individualized. The frequency and strength of stimulation need to be gradually adjusted. As you reduce the medicine the doctors will increase the stimulation. So reduce the medicine until she is comfortable. The symptoms are bound to increase as she s coming off medication. Also to avoid the severe effects of medication withdrawal you need to be slow. To reduce the dose until she has symptoms but remains comfortable. The doctors can then readjust the stimulation until her symptoms disappear. Once that happens the dose can be reduced further and the cycle will progress until she continues to be symptomatic at the maximum permissible stimulation. A dose of medicine, usually small, may thereafter be needed continuously. I have tried to make it as simple as possible. Hope I have answered your query. Let me know if I can assist you further.