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Mom with PD gets argumentative from 3pm to 7pm everyday. Caffeine?
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leavenworthj posted:
My Mom is a very nice and caring person. It is like clockwork..from 3pm till bedtime she becomes impossible. She is rude and fights with everyone around her. Then she is fine till 3 the next day and she is back to an extremely rude behavior.

I found out from the caregiver my dad and her eat a lot of choclate in the afternoon. They ate a half box in one sitting. Could sugar or caffeine be the cause?
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DUKE MEDICINE
Mark A Stacy, MD responded:
Dear levenworthj,
This sounds like a medication related phenomenon. The sweet craving and irritability can be a result of medication intake. I would suggest you review her medication amounts and timing. It may be that an adjustment of her medications will be useful.
 
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grandmadebbbie replied to Mark A Stacy, MD's response:
Hi Dr. Stacy;

My Dr. just put me on selegiline HCL 5 MG X 1 daily he was going to start me on it with alittle higher MG but I take other meds that do not go with them. Can you help me with this I am still having alot of termers where It's hard for me paint any more
Thank you
Debbie
 
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DUKE MEDICINE
Mark A Stacy, MD replied to grandmadebbbie's response:
Hi, Debbie
An action tremor is not as likely to respond to anti-parkinson therapy as a resting tremor. You may want to ask your physician if you could have "Essential Tremor" causing the action tremor that impairs your painting. If so, medications like propranolol or primidone may be useful.

As per the selegiline dose. I use this drug most often in patients who notice wearing off from levodopa. If you have wearing off for more than one hour between doses, perhaps the 10 mg daily dosage is needed.
 
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sosunny2012 responded:
My husband used to take a lot of Mirapex, but ONE of the nasty side affects was the amount of Sugar he craved. And he would get very abusive.
We cut back on that and he sticks to "natural" sugars (still in small doses) and it seems to have helped.


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