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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Dosage For Syndopa And Rasalect

My mother was maintained on minimal doses of syndopa and Rasalact since 5years.one year back she started dyskinesia and akinesia.so Tab pacitane was added.she respond ed well ,but started hallucinations and psychosis, which continued even after withdrawal of pacitane.since 10days she is added on tab Pramirol. SR 0.26 mg,but her hallucinations and psychotic symptoms are increasing.please guide .Are these symptoms are increasing because of Pramirol
Tue, 18 Sep 2018
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Internal Medicine Specialist,  's  Response
Hi,

The dose may be adjusted according to the response of the patient. Carbidopa + Levodopa dose may increase from 10/100 thrice a day to 200/2000 but it can be done under your physician/neuro physician guidance. Rasalect dose adjustment may be measured from 0.5-1 mg per day.

Hallucinations usually happen in the later stages of Parkinson’s. Hallucinations may be a side effect of Parkinson’s medication, but not for everyone who takes them.

It depends on the exact type of medication, the dose and the person taking them. Sometimes, the higher the dose of medication, the chances
of experiencing hallucinations is more. Therefore, they may decrease the dose of medication. It is nothing but the sensitive balancing of Dopamine in the body.

Please consult your neuro physician, he will examine and treat you accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Penchila Prasad Kandikattu,
Internal Medicine Specialist
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Suggest Dosage For Syndopa And Rasalect

Hi, The dose may be adjusted according to the response of the patient. Carbidopa + Levodopa dose may increase from 10/100 thrice a day to 200/2000 but it can be done under your physician/neuro physician guidance. Rasalect dose adjustment may be measured from 0.5-1 mg per day. Hallucinations usually happen in the later stages of Parkinson’s. Hallucinations may be a side effect of Parkinson’s medication, but not for everyone who takes them. It depends on the exact type of medication, the dose and the person taking them. Sometimes, the higher the dose of medication, the chances of experiencing hallucinations is more. Therefore, they may decrease the dose of medication. It is nothing but the sensitive balancing of Dopamine in the body. Please consult your neuro physician, he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist