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    An_248640 posted:
    I'm a little confused. I have been on sinemet cr for about 6 years now. The neuro put me on Azilect recently, also. After taking the azilect for a few days, I begin shaking worse. Sometimes I feel like I'm having a seizure. So I came off azilect and started on amitriptyline, which he had given me for sleep, because the Azilect also kept me awake most of the night. To my surprsise I have found that the amitriptyline works real well for controlling my tremors. I still take the sinemet. Is this a normal reaction for Parkinson's patients on amitriptyline?
    Mark A Stacy, MD responded:
    Dear An_248640
    Amitriptyline is a medication that has some blocking action on secretion of acetylcholine. Other "anticholinergic" medications that may help tremor would include Artane (trihexyphenidyl) or the over-the-counter medication, diphenhydramine (benedryl). These drugs do not help tremor in all people, but it is good that it helps in your case. Side effects of these drugs may include sleepiness, confusion, dry mouth and difficulty with starting urination.
    An_248640 replied to Mark A Stacy, MD's response:
    Dr. Stacy:
    Thank you for this information. Regarding Artane; I know of an aquaintance that I believe took Artane and his teeth were beginning to fall out. Does amitriptyline have the same effect? Also how common is this with artane? Thanks again!!
    Mark A Stacy, MD replied to An_248640's response:
    I have never heard of teeth damage with artane. However, it may be that he developed such dry mouth that it caused damage to the teeth. I would not worry about this result, unless you have severe dry mouth.

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