Well it has been a week since my follow-up and the news has been more good than bad. My neuro switched me from the Sinemet to Stalevo in hopes of more prolonged relief throughout the day. The news so far is noticeable improvement but still not where I was when I originally started on the Sinemet back in June. I am starting to think that the difference is just progression of the PD and probably lost ground at this point. After switching to Stalevo experienced headaches and nausea again but it only lasted about four days.
As for the symptoms...a mixed bag. The dystonia in my feet has returned but my energy level seems greatly increased. Muscle spasms have decreased significantly although occasionally, particularly when I am tired, I have these really annoying muscle twitches in my right arm, right leg and right foot.
I have noticed that I have been experiencing what I call "spatial problems." By this I mean when I try to walk through an open door I hit the door jam. I have problems judging distances when driving and have learned to allow extra stopping distance to compensate. I have read this is a common experience with PD but my neuro tells me it is not related and may be a vision problem. Only one way to find out, next stop....Optometrist.
My current meds;
Stalevo 125, three times a day
Azilect 1mg, once a day
COQ10 1200mg a day
Perhaps the most troubling aspect that has developed has been a "funk" that I feel like I have slowly been sinking into. I have difficulty staying focused and motivated and my concentration on tasks is almost completely gone. I have been thinking of talking with my neuro about adding an anti-depressant to my treatment plan. I am concerned about the mix of the PD meds and the anti-depressant so, for now at least, I intend on further research before making a decision.
More soon as this journey continues....
