Wearing off or alternative?

Q: medication and exercises


Discussion Corner Forum Index -> Ask The Parkinson Dietician
View previous topic :: View next topic
Author
Message
Anonymous
Posted: Fri Mar 23, 2007 4:59 am Post subject: Q: Wearing off or alternative?

I am now taking sinemet 25/100 one tablet three times a day and Jumex 5gm one tablet morning and lunch only for the past of two and half years when I was diagnosed as PD patient i.e. year 2005 Sept.

In the year of 2005 to 2006 I did not feel tired or ever took a break when I was taking part different gym classes at gym centre for two to three hours from Mon to Friday i.e body pump, comeback, yoga, pilate , ABT and spinning whatever the gym classes were available.

.
In the year of 2007 I look different as my physical condition do not allow me to continue gym exercises after one hour as I am tired and exhausted.

I have a health check and they are normal.

Blood and heart are at normal level.

I understand my PD medications have a wearing off

Is it the time for me to consult the PD specialist for my problem?

Is it the time for me to increase the doses or for an alternative medicine ?

Teo Kim Hoe
Back to top

Posted: Fri Mar 23, 2007 7:32 pm Post subject: Wearing off or alternative?

In reply to your email I wish to explain the reasons why I have energy to continue faithfully exercises in the gym as follows:

Is my exercises cell in my body that allow me to do so as I am exercising in gym for the past of 20 years before I am diagnosed as PD patient in 2005?

Am I able to overcome/improve my disorderly movement i.e building up and strengthen muscles flexibilty and mobility that I feel tired and exhausted after two years of medications?

Is my aging that not allow me to spend more than one hour in the gmx as I am now 68 years old?

Am I not tired and exhaused as my disorderly movement are not flexibility, mobility and stretchable during the gmy ?

Is my medication wearing off or alternative?

TEO KIM HOE
Back to top


Kathrynne Holden, MS, RDJoined: 22 Jan 2007Posts: 0Location: www.nutritionucanlivewith.com
Posted: Fri Mar 23, 2007 10:58 pm Post subject:

Dear Teo, You appear to have PD very well controlled to be able to exercise so faithfully all this time. And one hour of exercise a day is a lot, whether one has PD or not.

However, PD does progress, and it is very possible that although you have slowed the progression with your excellent routine, it could be time to re-evaluate your medications.

You may have reached a point where you require a bit more Sinemet.

I recommend you post your question to “Ask the Doctor;” the NPF doctors are renowned PD specialists and can give excellent guidance in this respect.

Click on “Discussion Corner Forum Index,” and then on “Ask the Doctor.”_________________Best regards, Kathrynne Holden, MS, RD -- For a Parkinson Tip of the Day visit: http://www.nutritionucanlivewith.com/
Back to top


Kathrynne Holden, MS, RDJoined: 22 Jan 2007Posts: 0Location: www.nutritionucanlivewith.com
Posted: Sat Mar 24, 2007 8:56 am Post subject: Re: medication and exercises

Anonymous wrote:
In reply to your email I wish to explain the reasons why I have energy to continue faithfully exercises in the gyx as follows: Is it my exercises cell in my body that allow me to do so as I am exercising in gyx for the past of 20 years before I am diagnosed as PD patient in 2005? Is it I am able to overcome/improvement my disorderly movement i.e building up and strengthen muscles flexibilty and mobility that I feel tired and exhausted after two years of medications? Is it my aging that do not allow me to spend more than one hour in the gmx as I am now 68 years old? Is it I am not feeling tired and exhaused as my disorderly movement are not flexibility, mobility and stretchable during the gyx ? Is it my medication wearing off or alternative? TEO KIM HOE

Dear Teo, Your faithful exercise regime over twenty years has stood you in good stead – and is still doing so. Keeping the muscles strong, the bones dense, and the balance and posture supple and erect allows for good gait, better and deeper breathing, and more stamina.

Very few folks of your age, even those who don’t have PD, are able to do so well, because most of us haven’t practiced such a good and healthful regime all our lives. Advancing age does slow us all, however, sooner or later. In your case, much later than for most people. And, PD itself gradually progresses, and this adds to the slowing and tiredness. You are doing most remarkably well in managing your PD symptoms; however, it nevertheless may be time to discuss medications with your neurologist. This is outside my scope of practice, you must talk with your doctor regarding type, amount, and/or timing of medications. It is very possible that a slight change in the amount of Sinemet might be just what you need. Write back and let us know._________________Best regards,

Kathrynne Holden, MS, RD -- For a Parkinson Tip of the Day visit: http://www.nutritionucanlivewith.com/
Back to top




Anonymous
Posted: Mon Mar 26, 2007 5:27 am Post subject: medication and exercises 4

In reply to your email as follows: As I spend 2 - 3 hours on exercises in the gyx for the first of two year i.e 2005-2006 without tired and exhausted and I only am able to spent an hourly in the year 2007 as exercise leads to changes in the chemicals in the PD brain symptomatically. As the result I have to optimized the combination of my medication to slow down the PD progression. Aging does slowdown sooner or later. Increases my intake of Sinemet is helpful. I did structural integration, a process of re-education of the body through movement and touch. It systematically releases patterns of stress and impaired function . The primary focus of structural integration is facilitaing the relationship between gravity and the human body. Most bodies are in a state of imbalance. As we grow older. we often "shrink' in height and slowly lose flexibilty. Our bones stay the same length and our muscles can still function, the connective tissue is what changes the most. Connective tissue is the support system of our body. All of the major systems in the body- circulatory, digestive, nervous, musculo-skeletal, and organs- are ensheathed in the connective tissue. A healthy and balanced connective tissue system's characteristics are flexiblty elasticity, length and resilience. Therefore structural integration is suitable for the early PD patient. It changes your body and your life , a period of six months to a year. It is a ten series session TEO KIM HOE
Back to top

Anonymous
Posted: Wed Mar 28, 2007 11:34 am Post subject:

Teo you are my hero!!68 years young and working out in the gym for"only" one hour--I'm feeling really embarrassed at 63 years old and hardly ever make t to the gym at all!!
Back to top