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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Skip The Medicine Dosage For Parkinson S Disease Occasionally?

I started Sinemet today for Parkinson s Disease 1/2 tab 3x s per day. I have my last dose at 8 pm, 1/2 hr. from now. I ve been reading side effects horror stories, & have been med free for the last 2 yrs., as long as I know I have P.D.. Is it ok to skip the last dose occasionally? Thank You
Mon, 30 Nov 2015
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Neurologist,  's  Response
I read your question carefully and I understand your concern regarding side effects.

It would have been useful if you had mentioned also the tablet dosage, there are different Sinemet tablets with different concentration of its components, so hard to judge how high a dose is what you have been prescribed.
Sinemet is not a curing drug, it doesn't remove the disease it serves only to make you move and function better. So not taking it won't have any effect on disease progression, it is safe.
You won't have the desired effect though. Also skipping it doesn't mean you won't have side effects after the other two dosages (if you have any side effects at all). So I wouldn't skip this dose, only if you experience side effects can you lower the dose, but not by skipping one dose but by taking say 1/4 tablet 3 times daily.

I hope to have been of help.
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Is It Safe To Skip The Medicine Dosage For Parkinson S Disease Occasionally?

I read your question carefully and I understand your concern regarding side effects. It would have been useful if you had mentioned also the tablet dosage, there are different Sinemet tablets with different concentration of its components, so hard to judge how high a dose is what you have been prescribed. Sinemet is not a curing drug, it doesn t remove the disease it serves only to make you move and function better. So not taking it won t have any effect on disease progression, it is safe. You won t have the desired effect though. Also skipping it doesn t mean you won t have side effects after the other two dosages (if you have any side effects at all). So I wouldn t skip this dose, only if you experience side effects can you lower the dose, but not by skipping one dose but by taking say 1/4 tablet 3 times daily. I hope to have been of help.