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Nicotene and PD
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sparky1109 posted:
When I was first diagnosed with PD and began research on the disease one of the first facts that caught my interest was that heavy smoking was supposed to delay or prevent the onset of PD. My mother was a heavy smoker and exposure to her second hand smoke discouraged me from taking up the habit in any serious way throughout most of my life. After eight years of PD I find myself in an assisted living facility and I am smoking about four cigarettes a day. The first thing I have noticed was that it is practically a cure for what you refer to as 'sluggish bowel syndrome' which has been a very serious problem for me the entire eight years. Secondly, after smoking a cigarette I often experience a sudden relaxation of every muscle in my body which is so profound I have to make sure that I dispose of the cigarette before its onset lest I drop it on my lap ( the facility wherein I reside provides an outdoor smoking area for safties sake). I know of no physitian who would recomend smoking for any patient but I would appreciate any comment you would care to make.
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DUKE MEDICINE
Mark A Stacy, MD responded:
Hi, Sparky1109
Let me join the doctors not recommending smoking. There are some drugs in development evaluating potential efficacy of drugs that stimulate nicotine receptors, but are early in testing. Many years ago, there were tests using nicotine patches, and while some patients reported a benefit, it was not shown to be better than placebo patches (patches that do not contain drug). Be Careful!


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