Emotional disorders and Parkinson Disease

Posted: Thu Jul 05, 2007 6:17 am Post subject: Emotional disorders and Parkinson Disease

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Dear Doctor,

I refer to my articles.

I had seen the Psychiatrist for our matrimonial relationship in the past and the more I complaint the heave medication would be given as I was a trouble maker in order to calm down my emotional disorders and it was not a successful treatment.

In order to communicate amongst each other in connection with our matrimonial relationship is it advisable to consult Psychology Centre?

Kindly advise.

TEO KIM HOE

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Dr. Fernandez



Joined: 20 Jan 2007
Posts: 90

Posted: Thu Jul 05, 2007 4:15 pm Post subject:

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Definitely. Pharmacotherapy (provided by a psychiatrist) plus psychotherapy (provided by a psychologist), is better than either approach alone.

Yours,
_________________
Hubert H. Fernandez

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Anonymous






Posted: Sat Jul 07, 2007 10:12 pm Post subject: Emotional disorders and Parkinson Disease

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Dear Doctor,

I have seen the doctor of psychologist and was told to do the text on Urinary Metabolic Profile and Kryptopyroles and were part of nutritional diagnostic testing for mood disorder.

Do you believe they are related with the emotional disorders?

Are they effective to reflect the nutritional level that caused the emotional disorder?

At present I am taking anti depression drugs i.e. 1l2 tablet Zyprexa Zydis 10 mg, one Luvox 50mg,1/2 of Rivotril 0.5 mg and one Lexapio 10mg at bed time.

would I cutdown the medication as they are too repetition?

Are they safe of taking antidepression and the effect of sexuality?

Kindly elaborate

TEOKIMHOE

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Dr. Fernandez



Joined: 20 Jan 2007
Posts: 90

Posted: Sun Jul 08, 2007 7:17 am Post subject:

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Sorry, I do not know about the relationship of urinary metabolic profiles and kryptopyroles and depression. It is not something I routinely do, nor do I know if our psychologists/psychiatrists here do that.

What I can tell you in your current medication is that I am concerned you are on zyprexa. It is an antipsychotic drug (usually for hallucinations, but occasionally used for other indications), but this clearly worsens PD. I would get off the drug if I were you. The only 2 antipsychotic drugs that PD patients can safely take are quetiapine and clozapine. All ther rest may worsen PD.

Yours,
_________________
Hubert H. Fernandez

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Anonymous






Posted: Mon Jul 16, 2007 4:24 am Post subject: Emotional disorders and Parkinson Disease

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Dear Doctor,

Thank you for the advices.

My doctor stops me from taking antidepression drugs i.e. 1l2 tablet Zyprexa Zydis 10 mg, one Luvox 50mg,1/2 of Rivotril 0.5 mg and one Lexapio 10mg at bed time.

My doctor replaces them with Seroquel 25mg two tablets and 1/2 of Rivotril 0.5mg at night.

My medications for PD i.e. one sinemet 25/100 two times
with one requip 4mg three times per day.

I am given one Benzhexol HCL 2mg three tablets per day for
treatment of drooling of Saliva.

I was told it is expensive to have BTX treatment for salivary drooling and potential side effects of BTX. It is effective for three months.

Kindly advise

TEOKIMHOE

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Dr. Okun



Joined: 19 Jan 2007
Posts: 251
Location: University of Florida
Posted: Tue Jul 17, 2007 12:35 pm Post subject:

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Botox can be effective for drooling, but is expensive and does need to be repeated every 3-4 months.
_________________
Michael S. Okun, M.D.

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