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    Newly Diagnosed
    APHNS posted:
    Hello Dr.
    I am a 48-year-old female. I started having resting left hand tremors about 2 months ago.
    I went to a neurologist who told me that I am in the early stages of Parkinson's. She then prescribed Azilect .5mg daily and increased it to 1mg on Thursday.
    My question is: Is the Azilect enough medication right now? Should I be taking more of something else?
    My tremors have not decreased.
    Thank you for your thoughts on this matter.
    Mark A Stacy, MD responded:
    Dear APHNS,
    Thank you for your note. From your description, I would classify you with "tremor dominant PD." This type of PD usually changes very slowly, which is good news, but sometimes the tremor does not improve completely with medications.

    Azilect (generic is called rasagiline) is an excellent medication for you at this time, but if the tremor is bothersome, you may wish to talk with your doctor about prescribing more potent medications. However, you are going through a lot of processing right now, and suggest you give the Azilect a few months, unless it is causing problems.

    You may also wish to ask your new PD Community friends for advice about any number of things that I am not qualified to address. I do not know what is like to be told, "you have early PD."
    APHNS replied to Mark A Stacy, MD's response:
    Thank you very much for your reply. It helped my piece of mind.
    What's left of it.

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