Update on Med Review at Doc's Office

These last couple days have been rough.  The increase of 3 mg. a day on the Mirapex has had me in the bathroom sporadically getting sick.  Unfortunately, the Tigan hasn't helped much to date because there was not enough time for it to work before I got sick.  Due to this, I've not been able to keep the meds down long enough to do anything for the PD.

I saw the nurse practitioner at my neuro's office today for the medication review.   Fully symptomatic, it was almost a 2 hour visit.  He (the nurse practitioner) was really concerned about my electrolytes being off balance now due to so much vomiting.  He changed the Tigan from taking up to 3 capsules a day as needed for nausea/vomiting to Tigan - 1 capsule three times a day; each day.  Starting with the first dosage an hour before I can take my first dose of Mirapex.  Then afternoon and evening, a 1/2 hour before I am due to eat and take my other two doses of Mirapex.

 Then, I have to call him on Thursday morning to see if I'm responding to this treatment and handling that much Tigan a day in addition to the Mirapex.  Sleep is now the biggest concern because the Mirapex forces me to sleep from time to time and the Tigan makes me very groggy at the slightest; with instantly falling to sleep without warning also. 

If I handle everything alright, then we'll continue on to September 3rd for the follow up with the neuro.  If not, they will start the weaning process to come off the Mirapex and then once I'm clear of it, will be started on Requip. 

So basically, right now, the way I understand it is, we're continuing the Mirapex because when I can keep it down, it does help! But the dosage has become a regular routine with the Tigan to treat side effects of the Mirapex.

So..that's where we're at for now.